By Herve Fernandez, Olivier Garbin and Amélie Gervaise (Auth.)

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L Il est possible d’intégrer certains actes urgents dans un programme ambulatoire aux conditions de garantir le même niveau de qualité et de sécurité au patient. l Les patients de statut ASA I, II et III stables ainsi que le grand âge sont éligibles à l’ambulatoire. l Il est recommandé d’assurer les conditions de la compréhension et de l’acceptation des modalités de prise en charge par le patient : traducteur et documentations écrites pour les patients non francophones, représentant légal ou parent pour les mineurs, tiers pouvant garantir le bon respect des recommandations pour les patients atteints d’un trouble du jugement.

Side-effects and complications of outpatient hysteroscopy. Aust N Z J Obstet Gynaecol 1993 ; 33(1) : 61–2. [4] Tam WH, Yuen PM. Use of diclofenac as an analgesic in outpatient hysteroscopy : a randomized, double-blind, placebo-controlled study. Fertil Steril 2001 ; 76(5) : 1070–2. [5] Hedayati B, Fear S. Hospital admission after day-case gynaecological laparoscopy. Br J Anaesth 1999 ; 83(5) : 776–9. [6] Abdi W, Amathieu R, Adhoum A, et al. Sparing the larynx during gynecological laparoscopy : a randomized trial comparing the LMA Supreme and the ETT.

9). 7 Matériel de base en hystéroscopie diagnostique : optique, gaine à simple courant, tubulure d'instillation de sérum physiologique, câble de lumière froide. Le diamètre extérieur de ces hystéroscopes peut varier de 3,5 à 7 mm. L'optique utilisée sera de 12° si un geste opératoire est réalisé afin de suivre l'instrument dans le champ de vision le plus loin possible. Résectoscopes Ces résecteurs ont été conçus à partir des résecteurs utilisés en urologie. 11). Le diamètre des résecteurs est compris entre 6 et 9 mm.

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