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Gynecology

Hysteroscopy in the diagnosis and therapy of intrauterine disorders is now standard procedure in clinics and, to an increasing extent, in outpatient settings and private practices. Thanks to the miniaturization of the hysteroscopes, many procedures can now be performed with a minimum of trauma and without general anesthesia away from the OR. KARL STORZ has played a major role in this development and offers a number of "office" hysteroscopes with very small diameters.

Along with a product line for standard gynecological procedures using hysteroscopic and/or laparoscopic techniques, the KARL STORZ portfolio also includes endoscopes and specialized instruments for reproductive surgery and fetoscopy. Various amnioscopes for obstetrics or ductoscopes for mammary ductoscopy, with a diameter of approx. 0.8 mm, round off the range of products for gynecology.

Many gynecological procedures today can be performed using laparoscopic surgical techniques. Our product range is constantly being expanded not only to include morcellation systems or uterine manipulators for standard procedures such as myoma enucleation or supracervical hysterectomies (LASH) but also to offer instruments for niches such as the creation of laparoscopic-assisted neovagina.

Highlights

Creating Certainty: Diagnostics and Treatment Outside the OR

Solutions for office hysteroscopy

Hysteroscopy allows accurate diagnosis of any abnormalities in the uterine cavity while 5 Fr. instruments often make immediate treatment possible. Narrow-lumen hysteroscopes enable procedures to be performed outside the OR without anesthesia or dilation of the cervix. Furthermore, hysteroscopy can be used to rule out any obstacles to implantation prior to IVF treatment.

  • The CAMPO TROPHYSCOPE® with a diameter of only 2.9 mm allows an atraumatic primary approach to the uterine cavity under visualization
  • The irrigation function of the ENDOMAT® SELECT provides an optimal overview thanks to the constant maintenance of intracavitary pressure
  • Outsourcing diagnostic services and minor hysteroscopic procedures extends the capacity of the OR to the clinical outpatient setting

The Bipolar 5 mm Office Resectoscope

Versatile use

In addition to bipolar resectoscopes with diameters of 7 mm and 9 mm, KARL STORZ now offers a 5 mm resectoscope. Due to its small diameter, this resectoscope offers the possibility to perform resection outside the OR. Infertility patients or those suffering from abnormal bleeding can thus be treated in the doctor’s office or clinical outpatient setting, even without anesthesia. Together with the AUTOCON® III 400 HF generator, effective resection, coagulation or vaporization is achieved.

  • Minimal outer diameter
    • Optimized procedure time*
    • Enhanced safety, accessibility and patient satisfaction*
    • Possible to perform resection in the doctor’s office or clinical outpatient setting, even without anesthesia
    • Little or even no dilation required
  • Optional use as a diagnostic hysteroscope in conjunction with semirigid 5 Fr. instruments
  • Real bipolar system with current not returned via the sheath

Source:
* http://www.fvvo.be/assets/725/FVVinObGyn-10-115.pdf.

Rapid Tissue Ablation with a Small Diameter

19 Fr. Intrauterine BIGATTI Shaver (IBS®) with HYSTEROMAT E.A.S.I.®

With an optical system that features an outer diameter of only 6 mm, the Intrauterine BIGATTI Shaver (IBS®) is inserted into the minimally dilated cervix. Thanks to the 4 mm shaver blade, the immediate removal of intrauterine pathologies is now possible outside the OR, e.g., in office settings and clinical outpatient departments or IVF centers. 

  • Mechanical removal of intrauterine pathologies such as polyps, myomas or placental remnants
  • Immediate suction of the resected tissue via the HYSTEROMAT E.A.S.I.® provides optimal visibility
  • HYSTEROMAT E.A.S.I.® can be used in both hysteroscopy and laparoscopy
  • No thermal damage to tissue as HF current is not used 
  • Fully reusable system
  • NEW: More intraoperative possibilities thanks to various 4 mm instruments

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