Headed into the OR for your first hysteroscopy? In this episode, we walk through everything you need to know before you scrub in — from indications and pre-op preparation to OR equipment, distension media, fluid deficit management, and how to handle complications when they arise.

I. Introduction & Learning Goals

Purpose: Guidance for an intern's first hysteroscopy in the OR.

Objectives: Review indications, pre-op preparation, OR setup/equipment, fluid media, and complications.

II. Indications for Hysteroscopy

Diagnostic Hysteroscopy:

Operative Hysteroscopy:

III. Pre-Operative Preparation

Chart Review Checklist:

Patient Counseling (Benefits & Risks):

IV. Equipment & OR Setup

The Hysteroscope Components:

V. Distension Media (Fluids)

Isotonic Solutions (Preferred):

Hypotonic Solutions:

Fluid Deficit Management:

VI. Procedural Steps & Tips

VII. Complications

Resources:

About the Speakers:

Host: Lucy Brown, MD, MPH – Resident physician at Johns Hopkins GYN/OB. Dr. Brown is passionate about medical and resident education and will be pursuing a Fellowship in Complex Family Planning after residency.

Guest Speaker: Mahima Krishnamoorthi, MD – Gyn/Ob resident at Johns Hopkins Hospital. She attended Stanford University for undergrad and graduated from the Johns Hopkins School of Medicine.

Intern Ready: Ob/Gyn is a podcast aimed at interns and off-service residents beginning their post-graduate training in Obstetrics and Gynecology. The views expressed are the speakers' own and do not constitute medical advice.