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Abstract
The Intrauterine BIGATTI Shaver (IBS®) (KARL STORZ SE & Co. KG) represents a new approach to operative hysteroscopy. The Shaver technique by removing the tissue chips at the same time as their resection, improves visualization during the procedure, reducing several problems of conventional resectoscopy such as fluid overload, water intoxication, uterine perforation, and long learning curve for a surgeon. The aim of this lecture is to give all practical tips necessary to correctly use the Bigatti Shaver. The learning curve of this new technique is very fast only if all the necessary parameters and set up are strictly respected. Better vision can be achieved only following all the suggestions included in this tutorial.