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a hysterescope is a small camera inserted into the uterine cavity in diagnostic hysteroscopy the uterine cavity is inspected and any pathology is identified in operative hysteroscopy intrauterine pathologies are visualized and then removed operative hysteroscopy can be performed using loop electrosurgical resection mechanical tissue removal and mechanical tissue extraction using instruments such as scissors or a grasper attached to the hysteroscope there are multiple indications for operative hysteroscopy including abnormal uterine bleeding infertility recurrent pregnancy loss retained products of conception removal of a foreign body obtaining a tissue sample for pathology uterine septum resection or ismocial repair in this video we will focus on the removal of endometrial polyps and submucosal fibroids using three different hysterescopic techniques you