The Biopsy Snake Grasper Sec. VITALE: A New Tool for Office Hysteroscopy.

Hysteroscopic evaluation of the endometrium with biopsy can be performed using different graspers whose terminal ends have specific features. This technical note aims to describe an innovative hysteroscopic grasper, the biopsy snake grasper sec. VITALE (Centrel S.r.l., Ponte San Nicolò, Padua, Italy), which can be used to grasp and cut at the same time. The characteristic features of this grasper are as follows: a sleeve with an opening along the whole width, a flat pointed tip with serrated edges fixed to its end by a U-shaped joint, and 2 sharp-edged jaws that completely encompass the tip when they are clenched. The biopsy snake grasper sec. VITALE, therefore, aims to be a useful innovative tool. It is a robust, easy-to-use instrument compatible with all modern hysteroscopes equipped with a 1.67-mm (5 French) working channel.

Morcelador histeroscópico (Truclear System (R)): nuestra experiencia inicial / Morcellator hysteroscopy (Truclear System(R)): preliminary experience

Objetivo. Eficacia y seguridad del sistema de morcelación histeroscópica. Pacientes y métodos. Estudio observacional retrospectivo durante el periodo 2004-2009, que incluye a un total de 411 pacientes diagnosticadas de patología intracavitaria a las que se les realizó una histeroscopia quirúrgica con un sistema de morcelación mecánica. Resultados. Se realizaron 327 polipectomías y 76 miomectomías, con una tasa de éxito del 99,2% y con un tiempo quirúrgico medio de 9,2 min y 22,3 min, respectivamente. Conclusión. La técnica de morcelación histeroscópica es segura y eficaz, presenta una corta curva de aprendizaje, unos buenos tiempos quirúrgicos y una baja tasa de complicaciones (AU)

Objective. To evaluate the efficacy and safety of the hysteroscopic morcellator. Patients and methods. We carried out a retrospective observational study of 411 patients diagnosed with intracavitary disease, who underwent surgical hysteroscopy with the mechanical morcellation system from 2004 to 2009. Results. We performed 327 polypectomies and 76 myomectomies. The success rate was 99.2%. The mean operative time was 9.2 minutes and 22.3 minutes, respectively. Conclusion. The hysteroscopic morcellation technique is safe and effective, has a short learning curve, a reasonable operating time, and low rate of surgical complications (AU)

Office hysteroscopy: current trends and potential applications: a critical review.

Office hysteroscopy is an excellent method of identifying and treating intracavitary uterine lesions. It has become easy to learn and perform; as an aid of modern technological applications, it is safe, accurate, provides immediate results under direct visualisation, and offers the additional benefit of histological confirmation and the discomfort of patients is minimal. We applied an extended literature search to explore the special features and details of the technique itself, as it evolved since it first appeared 30 years back. Our initial goal was to examine potential changes/improvements of the modality, in terms of the instrumentation used and the technique itself, the indications of use, its incorporation in daily practice, and patients' and clinicians' acceptability.

[Technical innovations in endourological stone therapy]. / Technische Innovationen in der endoskopischen Steintherapie.

Endoscopic stone management is a field of consistent technical innovation. For ureterorenoscopy, flexible scopes capable of 270 degrees deflection have allowed access to the complete urinary tract, including the lower-pole renal calculi. To counter the flaw of high repair costs, new-generation flexible ureterorenoscopes feature significantly greater durability and a less frequent need for repair. The development and improvement of auxiliary instruments such as access sheaths has facilitated the procedures, reduced complications, and improved the stone-free rates. A similar trend is seen for percutaneous nephrolitholapaxy (PCNL). Development is directed at miniaturised instruments such as the mini-PCNL. Especially in combination with a tubeless procedure in which a routine nephrostomy after PCNL is omitted and the nephrostomy tract is closed using hemostyptic sealant, similar success rates are achieved, with fewer complications and shorter hospital stays.

Instrumentación en histeroscopia / Instrumentation in hysteroscopy

El objetivo de este trabajo monográfico es informar o refrescar los conocimientos básicos que todo especialista interesado en la técnica histeroscópica debe saber o conocer antes de iniciar la practica diaria, sobre instrumental principalmente y unas pinceladas sobre la técnica

The main objective of this monograph is to inform or refresh the basic knowledges that all specialist in gynaecology, interested in hysteroscopic technique, must know before beginning in their rutinary practice