From diagnosis to treatment, hysteroscopy plays a pivotal role in modern gynecologic care. In this episode of BackTable OBGYN, Dr. Christina Salazar, a minimally invasive gynecologic surgeon and associate professor at Dell Medical School in Austin, Texas, joins hosts Dr. Mark Hoffman and Dr. Amy Park to discuss the value of hysteroscopy in managing complex intrauterine pathology.

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SYNPOSIS

Dr. Salazar shares her introduction to hysteroscopy and the mentors who shaped her early training. She discusses her expertise in hysteroscopic surgery and its broad applications, with a focus on the complexities of Asherman syndrome, dysmorphic uteri, and the critical role of endometrial health assessment. The conversation also covers surgical techniques, post-operative care, and emerging technologies in hysteroscopic and reproductive care. Dr. Salazar concludes by emphasizing the need for improved classification systems for Asherman syndrome and future directions in reproductive health innovation.

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TIMESTAMPS

00:00 - Introduction
05:34 - Training and Mentorship in Hysteroscopy
11:21 - Dr. Salazar's Practice and Techniques
14:00 - Challenges and Trends in Surgical Practices
18:58 - Referral Practices and Advanced Hysteroscopy
21:58 - Understanding Dysmorphic Uterine Population
24:08 - T-Shaped Uteri Description
26:09 - Hysteroscopic Metroplasty: Methods and Risks
29:17 - Innovations in Hysteroscopy
32:38 - Value of Ultrasound in Hysteroscopy
36:35 - Post-Operative Management and Estrogen Therapy
39:23 - Challenges and Future Directions in Hysteroscopy
44:23 - Concluding Thoughts

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RESOURCES

The epidemiology, clinical burden, and prevention of intrauterine adhesions (IUAs) related to surgically induced endometrial trauma: a systematic literature review and selective meta-analyses
https://academic.oup.com/humupd/article/31/6/588/8248883

Hysteroscopy Newsletter
https://hysteroscopynewsletter.com/

Ep. 106 Hysteroscopy Techniques in Gynecology Care with Dr. Christina Salazar