Here is an educational video demonstrating how to perform operative Hysteroscopy. 2.9mm and 30’ Hysteroscope and the operative sheath used and Normal saline used as a distension medium to create working space in the uterine cavity with keeping intrauterine pressure less than 120 m of Hg. After removing the air from the tubing and system, tubes attached to the irrigation channel of operating hysteroscope to avoid air embolism complications of hysteroscopy and under vision water jet and the tip of the hysteroscope is fixed/pushed in the cervical canal. Cervix is not dilated and the tip of the Hysteroscope with the saline jet is introduced inside the cervical canal. You have to see the cervical opening/canal portion by rotating the assembly and then only you have to push the tip of hysteroscope otherwise it will produce false passage and under vision entered inside the uterine cavity gently. Systemically mapping done of the different wall of the uterus and to visualize left tubal ostium, left lateral wall, fundus, septum from the fundus endometrial polyps, right tubal ostium, and right lateral wall. 5F scissor is introduced through the operating channel endometrial polyps cut and send for HPE. The septum is cut with gently from one side to another side. Complete excision means when the tip of the hysteroscope is at isthmus we should able to see both Ostia simultaneously and both equal triangles of the excised/raw part are seen on both anterior and posterior sides uterine walls with the base of the triangle at fundus midway.
