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Operative hysteroscopy
Hysteroscopy can also be used for treatment. Operative
hysteroscopes are slightly larger instrument fitted with
mechanical instruments (e.g. scissors, biopsy forceps,
graspers), electrodes (e.g. resectoscope) or laser.
One of the most effective hysteroscopic procedures is
myomectomy. Fibroids are usually excised but can also
be vaporised. This type of surgery is indicated provided
the fibroids are not too large or numerous, and situated
mainly inside the uterine cavity.
Hysteroscopic surgery can also be used to remove polyps,
divide uterine septa, free adhesions (Asherman's syndrome)
and destroy the endometrium (endometrial ablation). |