Fluid overload. Complications and prevention can be avoided and treated as previously discussed.
New training opportunities may include virtual reality
Underutilization of hysteroscopic myomectomy may be due to inadequate training in the technique during residency or the misconception that it is difficult to learn. (Training has been further hampered by the lack of a suitable animal model.)
Fortunately, hysteroscope manufacturers are beginning to offer physicians and operating room personnel didactic and hands-on laboratory courses. In the near future, we hope, these companies will hire gynecologic hysteroscopists to support physicians and nurses in the field, as has been done in many other specialties.
The creation of new tools such as virtual-reality simulators will undoubtedly enhance the teaching of operative hysteroscopy.
Dr. Isaacson teaches hysteroscopy courses sponsored by Karl Storz Endoscopy.