Surgery should always be performed under magnification. Since nowadays, laparoscopic instrumentation and video equipment are included in the standard armamentarium of a gynecologic operating room, surgical procedures can be performed using a VITOM exoscope (KARL STORZ Tuttlingen, Germany). Gynecologic surgeons usually feel very comfortable with video-guided surgery which involves that an operation is performed relying on the magnified video image on the screen. Thus, the use of the VITOM exoscope is a valid alternative to the colposcope. The rationale for using magnification is first to identify the lesion to be removed in its entirety, and second, to remove only the diseased tissue, thus keeping damage to healthy tissue to a minimum.

The VITOM exoscope is coupled to a high-definition video camera and mounted to a holding system, that allows to maintain an adequate working distance from the patient. In this way, the surgeon is given full freedom of motion by using both hands, holding the speculum with the non-dominant hand while guiding the handpiece, to which a loop electrode is attached, with the dominant hand.

The new generation of gynecologists is offered a valid alternative option to treat patients by loop excision using an exoscope (VITOM system) instead of a standard colposcope.