RCOG classification of operative hysteroscopy levels
- Diagnostic hysteroscopy with target biopsy
- Removal of simple polyps
- Removal of intrauterine contraceptive device
- Proximal fallopian tube cannulation
- Minor Asherman's syndrome
- Removal of pedunculated fibroid (type 0) or large polyp
- Division/resection of uterine septum
- Major Asherman's syndrome
- Endometrial resection or ablation
- Resection of submucous fibroid (type 1 or type 2)
- Repeat endometrial ablation or resection
Issues related to operative hysteroscopy
- Needs advanced training and high level of expertise.
- Usually requires cervical dilatation to accommodate larger sheaths and operating instruments.
- Intravasation of distension medium as a consequence to operative intervention.
- Difficulty in obtaining a good view due to bleeding as a result of surgical intervention.