Plenty of authors propose outpatient hysteroscopy\ud
as the gold standard diagnostic method for the\ud
evaluation of endometrial pathology. This statement has\ud
been strengthened in the recent years due to the wide use of\ud
smaller diameter hysteroscopic devices, which have made\ud
the dilation of the cervix and the use of anesthesia\ud
unnecessary. The main purpose of this paper is to\ud
summarize the indications of diagnostic hysteroscopy. In\ud
this review, we used the most recent publications in\ud
MEDLINE and Cochrane Library in order to specify the\ud
indications of diagnostic hysteroscopy and the experience\ud
that have been obtained till today in the management of\ud
certain pathological uterine conditions. The key words we\ud
used were diagnostic hysteroscopy, abnormal uterine\ud
bleeding, infertility, endometrial cancer. Hysteroscopy provides\ud
an accurate method of evaluation and direct visualization\ud
of the endometrial cavity and moreover directed biopsy\ud
and sampling of suspected lesions. Last years with the\ud
continuous development in the hysteroscopy devices, plenty\ud
of women benefit surgical hysteroscopy techniques for uterine abnormalities. Hysteroscopy is useful for the diagnosis in\ud
patients with abnormal uterine bleeding, with endometrial\ud
cancer and in infertile women. Hysteroscopy has the unique\ud
advantage of combining a thorough procedure with great\ud
diagnostic accuracy. The only disadvantage is that hysteroscopy\ud
requires specific teaching and training and has a long\ud
learning curve
Introduction: Inversion of the uterus during caesarean section is a rare but life-threatening complication of the procedure that requires immediate treatment, which is reversion and awareness due to the very serious adverse effects that it may have. Materials and Methods: The authors present a case of a 34-year-old para 1 woman of Greek ethnicity who underwent a scheduled caesarean section at 39 weeks of gestation. During the procedure, a uterine inversion occurred as a controlled cord traction was applied in order to achieve placental detachment, after the delivery of the baby. It was managed by immediate manual uterine reversion, which was performed after exteriorization of the uterus. There were no adverse effects. Conclusion: Uterine inversion during caesarean section is a serious complication, but fortunately very rare. However, the obstetrician should be aware that the complication should be quickly identified and act without hesitation because it is critical for the well being of the patient.
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