Page 70 - PCC09

Tips and tricks in operative hysteroscopy in challenging situations
• Cavity obliteration
• Large size Pathology
Shaver overcomes the burden of size and chips !!
Relation with myometrium Vascularization
Tissue hardness
Polyp, myoma or placental remnant • Intramural Surgery
In Hysteroscopy resection Size Matters
Size : volume = 4/3r3 •2cm~ 4.2cm3 8min. •3 cm ~ 14.1 cm3 28 min. •4 cm ~ 33.5 cm3 67 min.
Operating time of critical importance
Emanuel MH et al. Fertil Steril 1997;68:881-6
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1.00 2.00 3.00 diameter in cm
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volume in cm3