Prof. Jacques Hamou revolutionized hysteroscopy. He built a scope of 5 mm, which carried a rod lens of 4 mm of improved visual optics and guided the distension media to the cavity. This eventually led to “ the traditional technique”, which involved a vaginal speculum, a tenaculam; often-cervical dilatation was necessary, which meant that the whole had to be done with Anaesthesia and in a operating theatre. Which necessitated
a longer hospital stay, greater discomfort and expense. Liquid media and co2 were used.
In early 1990 and onwards, several improvements were introduced. The major one,
diameter of the scope was reduced to 2mm,by Bettochi without compromising the visibility and quality of work. The no touch technique did away with the speculum, the tenaculum, need for dilatation and operating theatre. Procedures could be carried out in the OPD, suddenly making it a hugely popular device to diagnose, plan further surgery and carry out a variety of extensive surgical procedures. The instrument has evolved from a diagnostic tool to one where treatment can be carried out, using isotonic solution and in a out patient setting.
It is not possible to forecast when the procedure will reach its full potential or what the “potential” is. It is essential for both the scientists and doctors to strive to go that little further.
It is important that hysterocopists all over the world keep in touch with each other so that these latest improvements and advances can be shared and translated into benefits for the patient.
Rahul Manchanda & Prabha Manchanda