Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

On the Shoulders of Giants Through the Lens of the Laparoscope Dr. Harry Reich: Empathy, Optics and Courage.

Surgical technology international·2024

Same author

The Gynecologic Resectoscope: An Endangered Species.

Journal of minimally invasive gynecology·2023

Same author

Resectoscopic Surgery Part III: Advanced Resectoscopic Surgery.

Surgical technology international·2022

Same author

Resectoscopic Surgery Part II: Introducing Ultrasound Guidance for Intermediate-Level Surgical Procedures.

Surgical technology international·2021

Same author

Office-Based Gynecologic Surgery (OBGS): Past, Present, and Future: Part II.

Surgical technology international·2020

Same author

Office-Based Gynecologic Surgery (OBGS): Past, Present, and Future: Part I.

Surgical technology international·2019

Search research articles

Related Experiment Video

Updated: Nov 7, 2025

Author Spotlight: Recent Advancements in Reoperative Foregut Surgery

Author Spotlight: Recent Advancements in Reoperative Foregut Surgery

Published on: September 22, 2023

Resectoscopic Surgery Part I: Overcoming Obstacles and Mastering the Basics.

Morris Wortman¹

¹Clinical Associate Professor of Gynecology, University of Rochester Medical Center, Rochester, New York.

Surgical Technology International

|May 4, 2021

Summary

This summary is machine-generated.

The continuous flow gynecologic resectoscope (CFGR) remains essential for advanced minimally invasive gynecologic surgery (MIGS) procedures. Despite newer technologies, the CFGR offers unique precision for complex cases, though educational and logistical barriers hinder its use.

More Related Videos

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

Robotics in Surgery: A Modular Robotic Platform Driven Gastric Wedge Resection

Robotics in Surgery: A Modular Robotic Platform Driven Gastric Wedge Resection

Published on: February 7, 2025

Related Experiment Videos

Last Updated: Nov 7, 2025

Author Spotlight: Recent Advancements in Reoperative Foregut Surgery

Author Spotlight: Recent Advancements in Reoperative Foregut Surgery

Published on: September 22, 2023

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

Robotics in Surgery: A Modular Robotic Platform Driven Gastric Wedge Resection

Robotics in Surgery: A Modular Robotic Platform Driven Gastric Wedge Resection

Published on: February 7, 2025

Area of Science:

Gynecology
Minimally Invasive Surgery
Surgical Technology

Background:

The continuous flow gynecologic resectoscope (CFGR) revolutionized minimally invasive gynecologic surgery (MIGS) upon its introduction in 1989.
The advent of global endometrial ablation (GEA) devices and hysteroscopic morcellators (HMs) has led to a decline in CFGR utilization.
This decline is regrettable as the CFGR is uniquely suited for procedures not achievable with newer technologies.

Purpose of the Study:

To re-evaluate the relevance and indispensable role of the CFGR in modern MIGS.
To outline the necessary operating room team composition, instrumentation, and skills for basic resectoscopic surgery.
To detail advanced applications including ultrasound-guided procedures and management of complex cases like post-ablation failures and intramural myomas.

Main Methods:

Review of the CFGR's capabilities and comparison with newer technologies.
Discussion of essential components for performing resectoscopic surgery, including team roles and skills.
Exploration of advanced techniques, including ultrasound guidance for intermediate and complex cases.

Main Results:

The CFGR enables precise procedures such as endomyometrial resection, hysteroscopic metroplasty, isthmocele correction, intramural myoma resection, and management of endometrial ablation failures.
It offers versatility, consolidating functions of multiple disposable platforms.
Despite its benefits, significant impediments to CFGR use exist, including limited educational resources, trained experts, medico-legal concerns, and institutional challenges.

Conclusions:

The CFGR remains a vital tool for gynecologic surgeons performing advanced MIGS procedures.
Addressing educational and logistical barriers is crucial for restoring the CFGR's widespread use.
A comprehensive understanding of its application, from basic to complex cases with ultrasound guidance, is essential for maximizing its potential.