[Possibilities of outpatient uterine surgery]

The lines of operation in the treatment of gynecologic hemorrhagic disorders have developed towards a more conservative direction: the number of hysterectomies has decreased year by year, mini-invasive hysteroscopies having become more common. Endometrial polyps and submucosal leiomyomas can be treated in hysteroscopy, and destruction of the endometrium (thermoablation) is available along with drug therapies for the treatment of excessive bleedings. Hysteroscopy can be utilized also in elucidating infertility of uterine origin. With developing endoscopic techniques it will be possible to transfer the majority of intrauterine procedures from the operating room to gynecologic outpatient clinics, whereby operation is patient-centered and cost-effective.