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Surgical Techniques in Gynecology

Diagnostic hysteroscopy is used to visualize intrauterine lesions and conditions such as polyps, fibroids or heavy menstrual bleeding, which can then be treated by operative hysteroscopy.


In gynecological laparoscopy, the uterus, ovaries and fallopian tubes can now be diagnosed and treated with minimally invasive surgery.

Working closely with leading gynecologists, Richard Wolf has developed advanced instrument sets and system solutions for all types of hysteroscopic and laparoscopic applications. Throughout development, our first priority has always been to further reduce potential risks.


These minimally invasive procedures have many advantages, including much less pain for patients and greatly reduced surgical trauma. Because they reduce postoperative discomfort, many procedures can now be performed on an outpatient basis or with a short hospital stay.

Diagnostic hysteroscopy

Diagnostic hysteroscopy is one of the most important procedures in gynecology and a key procedure for patients with suspected uterine disease and for fertility and infertility patients. It is used to examine the inside of the uterine cavity, document findings and assess intrauterine lesions, for example

  • postmenopausal breakthrough bleeding,
  • heavy menstrual or uterine bleeding,
  • suspected endometritis, polyps, submucosal fibroids, endometrial or cervical cancer.

Diagnostic hysteroscopy is also used to examine fertility and infertility patients, including patients with infertility, premature or late births or recurrent miscarriages, and to investigate possible uterine anomalies.

Depending on the situation, diagnostic hysteroscopy can be performed in hospital or on an outpatient basis ("office hysteroscopy"). The hysteroscope is inserted into the uterus through the vagina. An endoscopy system (camera, light source and monitor) and a distension medium – gas (CO2) or fluid (dextran 70, or 5% mannitol, 3% sorbitol and 1.5% glycine, or 0.9% isotonic saline (NaCl)) – give a clear view of the uterine cavity.

Hysteroscopy can be performed with flexible or rigid hysteroscopes. Because rigid hysteroscopes are available in a range of diameters and can be used for both outpatient and inpatient procedures, they have become the method of choice. Flexible hysteroscopes are better suited to office hysteroscopy. Technical advances in hysteroscopy have made diagnostic hysteroscopy an effective standard procedure in gynecology.

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Operative hysteroscopy

Today, operative hysteroscopy is a standard procedure. It is a major challenge for surgeons, who need method-specific expertise to prevent and manage the particular complications that can occur.

Minimally invasive methods have a low complication rate and have therefore broadened the range of indications for gynecological surgery.

Indications:

  • Myomectomy
  • Polypectomy
  • Septum resection
  • Endometrial resection and ablation
  • Asherman syndrome

Richard Wolf instrument sets and system solutions are tailored to the latest hysteroscopic diagnostic and therapeutic procedures. The miniaturization of instruments has been an important milestone in their development.

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Gynecological laparoscopy

Gynecological laparoscopy is a subfield of gynecological surgery. Its main advantages are high patient acceptance, minimal trauma in hysterectomy, good surgical results and a markedly shorter recovery. In many cases, procedures such as hysterectomy can therefore be performed laparoscopically.

The following procedures can be performed by gynecological laparoscopy:

  • Hysterectomy
  • Total laparoscopic hysterectomy (TLH)
  • Laparoscopic supracervical hysterectomy (LASH)
  • Laparoscopically assisted vaginal hysterectomy (LAVH)
  • Myomectomy
  • Oophorectomy
  • Salpingectomy
  • Urogynecological surgery
  • Fertility surgery
  • Surgery for ectopic pregnancy
  • Endometriosis surgery
  • Oncological surgery

In addition to a comprehensive portfolio for gynecological laparoscopy, Richard Wolf offers individual, innovative system solutions for current surgical techniques

Gynecology

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