The field of hysteroscopic surgery has seen many advances over the years, from improved optics, the flexible hysteroscope, the resectoscope, hysteroscopic morcellators and most recently, the 5-mm “mini”-resectoscope. The art of hysteroscopy never stops to amaze me. The ability to perform a complex surgical procedure inside of the uterine cavity, without incisions, in the outpatient setting is revolutionary. Add to this the ability to achieve this without a speculum, tenaculum or cervical dilation; i.e. the vaginoscopic approach.
This technique provides several advantages, including avoiding a false track, decreased risk of uterine or cervical perforation, and minimizing trauma to the cervix and endometrium, avoiding the bleeding and debris, hence providing excellent visualization. I feel privileged to practice in this golden age of hysteroscopy, particularly with the coming-together of amazing hysteroscopic surgeons through the innovative Hysteroscopy Newsletter, the Global Congress of Hysteroscopy and the many successful hysteroscopic summits and congresses organized throughout the globe.