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Hysteroscopy

 


Hysteroscopy provides a way for your doctor to look inside your uterus. A hysteroscope is a thin, telescope-like instrument that is inserted into the uterus through the vagina and cervix. This tool often helps a doctor diagnose or treat a uterine problem. Hysteroscopy is minor surgery which is performed either in your physician's office without anesthesia or in an Operation Theatre setting. It can be performed with local, regional, or general anesthesia--sometimes no anesthesia is needed.

Hysteroscopic surgery: --When an operation is performed in side the uterine cavity

Office Hysteroscopy is a procedure performed to evaluate the internal architecture of the uterine cavity through direct visual inspection- procedure described as Diagnostic Hysteroscopy and to remove surface lesions that protrude into the cavity (e.g., polyps, adhesions, a septum, or to pass a thin catheter through one or both fallopian tubes- described as Operative hysteroscopy. Hysteroscopy is usually performed under a light sedation and anesthetic administered intravenously by an in-house anesthesiologist. For patients who have had a vaginal delivery before, and for those with an easily negotiable cervical canal, it is possible to perform the hysteroscopy with only local anesthetic. In addition, patients who have not had a vaginal delivery in the past, but who have a high pain tolerance and a low level of anxiety, may do their hysteroscopy under local anesthetic (Para cervical blockade). What happens during the hysteroscopy procedure?

  1. The opening of your cervix may need to be dilated or made wider with special instruments.
  2. The hysteroscope is inserted through your vagina and cervix, and into your uterus.
  3. Next a liquid or gas is usually released through the hysteroscope to expand your uterus so your physician will have a better view of the inside.
  4. A light source attached with the hysteroscope allows your physician to see the inside of the uterus and the openings of the fallopian tubes into the uterine cavity.
  5. If surgery is required, small instruments are inserted through the hysteroscope.

How will I feel after a hysteroscopy?

Some patients may experience shoulder pain following laparoscopy or when gas is used to expand the uterus (Today we are using Normal saline for the distention medium during Hysteroscopy). Once the gas is absorbed the discomfort should subside quickly. You may feel faint or sick, or you may have slight vaginal bleeding and cramps for 1-2 days following the procedure.
Contact your Doctor if you develop any of the following after your hysteroscopy:

  • Fever
  • Severe abdominal pain
  • Heavy vaginal bleeding or discharge

Is hysteroscopy safe?

Hysteroscopy is a fairly safe procedure. Problems that can occur happen in less than 1% of cases, but include:

  • Injury to the cervix or uterus
  • Infection
  • Heavy bleeding
  • Side effects from the anesthesia

Although general anesthesia is sometimes used, in the majority of cases it is not necessary. Hysteroscopy allows your physician to see inside your uterus and aids in the accurate diagnosis of some medical problems. The procedure and recovery time are usually short. Patient can start doing normal activity after 4 to 6 hours after Hysteroscopy most of the time.

 

Advantages & doing surgeries through hysteroscopy.

Day care procedure, safe, recording of the procedure, teaching and learning purpose.

 

 
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