Hysteroscopy, first described in the late 1800’s did not find widespread clinical use for more than 100 years. In 1869, Pantaleoni performed the first diagnostic and therapeutic hysteroscopy when he used a modified cystoscope to investigate the uterine cavity and cauterize a hemorrhagic growth. Early hysteroscopists used a tube to mechanically distend the uterus for visualization. Near the beginning of the 20th century, Dr Isidor C. Rubin first used carbon dioxide (CO2) to distend the uterus for hysteroscopy. Around the same time, Professor C.J. Gauss, a German surgeon and descendant of the famous mathematician, first performed hysteroscopy using fluid distention media. However, hysteroscopy did not find widespread acceptance for another half-century.

In the 1970s interest in hysteroscopy renewed, in parallel with the rapid advancement of diagnostic and operative laparoscopy. Probably the most important advances came in the form of improved methods for distending the uterine cavity, including use of viscous and low-density liquid solutions. Around the same time insufflation machines were designed for CO2 and fluid media that utilized high pressure and low flow, rather than the low pressure and high flow used for laparoscopy. Carbon dioxide was often used for diagnostic hysteroscopy and fluid media became the standard for operative hysteroscopy. It was found that isotonic fluid was ideal for most operative procedures, whereas non-conductive hypotonic media was required for electrosurgical procedures.

The use of hysteroscopy became widespread in the 1980s with the development of better optics and lighting and the use of video cameras. Operative techniques for various intrauterine pathologic conditions continued to be developed. The evolution in surgical equipment brought the introduction of bipolar electrosurgery which allowed the use of normal saline as a distension medium thus permitting longer operating times and minimizing fluid overload risks.

In the 21st century hysteroscopy is a globally established diagnostic and therapeutic technique, well integrated in contemporary gynecology, end continuing to evolve.

Contact Us

Please fill in the form below and we will contact you very soon.
Form by ChronoForms - ChronoEngine.com
  • fb
  • yt

Copyright © 2022 All Rights Reserved
Dr Eleftherios Meridis