Gynaecological Endoscopy

The introduction of endoscopy into the amniotic sac and the chorionic membranes. gynaecology has produced dramatic changes in clinical practice. lt is gratifying Many operative procedures can now be that gynaecologists were the first practi­ carried out safely and swiftly with little tioners to take advantage of the introduc­ disturbance to the patient under endosco­ tion of cold-light systems and the develop­ pic vision. Biopsy of tissues can be per­ ment by Professor H. Hopkins of the red formed without undue risk. Moreover, lens system. No Ionger was the diagnosis permanent records of the pathology can of pelvic disease dependent on signs and be made by photography, films and symptoms, limited biochemical investiga­ videotapes in full colour. tions and, often, a laparotomy of uncer­ Although ultrasonography has contri­ tain value. This frequently happened in buted recently to gynaecological diagno­ the 1950's and 1960's. Diagnosis in sis, laparoscopy and other endoscopies gynaecology became accurate and more will continue to dominate for many years scientific, no Ionger relying on 'inspired' because of their accuracy and the fact that guesses. The safe invasion of the abdo­ operative procedures are possible. As minal cavity by laparoscopy soon led one of the pioneers of laparoscopy in to the adoption of endoscopy in other gynaecology, I welcome this new weil specialities. written and illustrated book by Alan The safety and clinical value of endos­ Gordon and Victor Lewis.