Uterine endoscopy, endometroscopy with the aid of uterine insufflation

The Development of Modern Endoscopy

“…This bleeding obscured the vision and covered the distal lens of the scope. R ubin [27] reported in 1925 that he insufflated the uterine cavity with carbon dioxide and treated any bleeding that occurred with adrenaline. By 1927 a hysteroscope was produced that had an internal wash system to rinse away any blood that may cover the lens; this scope was moderately successful [21].…”

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“…Rubin chose to use Carbon Dioxide (CO2) as a gas and CJ Gauss used a flow of liquid instilled from a height of 50 cm. 3,4 Prior to the popularity of hysteroscopes in the 1970s, the diagnosis and treatment of intrauterine diseases was mainly based on dilation and curettage (D&C). 1 However, research studies found that there was a high percentage of false negatives associated with identifying focal lesions within the uterine cavity.…”

Office versus Institutional Operative Hysteroscopy: An Economic Model

“…In-office hysteroscopy has been described in the literature dating back to 1869 when Pantaleoni [1] published his description of endoscopically directed therapy for an endometrial polyp. For the next hundred years, several clinician-investigators reported the successful performance of hysteroscopy in an office or office-like setting using no or local anesthesia including Isadore Rubin from New York in 1925 [2] and Charles Gauss in 1927 [3] and his student Charles Schroeder in Germany in 1934 [4],X X. Nevertheless, by the end of the 20th century, hysteroscopy was not only underused in most of the developed world it was typically performed in an institutional environment under sedation or with regional or general anesthesia [5].…”