Hysteroscopy

What is a Hysteroscopy?

Hysteroscopy can be described as a kind of minimally surgically. It involves inserting a small scope (hysteroscope) via the cervix and the uterus. The hysteroscope permits surgeons to see the interior of the abdominal cavity using an LCD monitor. 

?The uterine cavity was then checked for any signs of abnormality. The surgeon will examine the shape of the uterus and the inner lining of the uterus and look for evidence that there is pathology within the uterus (fibroids or polyps). The surgeon also tries to locate the openings of those fallopian tubes (tubal Ostia ).

Hysteroscopy is a minimally invasive and minimally invasive surgery. It involves inserting a small scope (hysteroscope) via the cervix and the uterus. The hysteroscope permits the surgeon to see what is inside the uterus cavity using the video monitor. The uterine cavity is checked for any signs of abnormality. 

The surgeon will examine the shape of the uterus and the uterus's inner lining and seek out any signs that there is a pathological condition in the uterus (fibroids or polyps). The surgeon will also try to locate the fallopian tube openings (tubal or Ostia).

How does Hysteroscopy work?

When general anesthesia is provided (this procedure is also done in the clinic with local anesthesia, but it is typically restricted to diagnosing and treatment only), the hysteroscope will be introduced into the uterus by using a sodium solution (NaCl) or syrup of sugar (Sorbitol) to expand the uterus and to obtain a view within the abdominal cavity. 

A local block of anesthetic in the cervix is usually used first to give local anesthesia. After examining the uterine cavities, different instruments could be placed through the hysteroscope. These instruments help treat menstrual heavy bleeding and polyps.

What exactly are the advantages of the hysteroscopy procedure?

The time to recover is swift. Most patients return home within the same day of a hysteroscopic operation. There is no abdominal injury. Therefore, post-operative pain is low, and there aren't any wound infections.

What kinds of procedures does a gynecologist do using an hyperscopy?

Many gynecologists utilize the hysteroscope to examine the inside of the uterus to search for signs of intrauterine disease such as polyps or fibroids that could cause heavy or irregular menstrual flow. The cavity examination can also be performed in women who have difficulty getting pregnant. Other conditions that are suitable for Hysteroscopy are

• Removal of cervical or endometrial polyps

• Removal of fibroids

• Biopsy of the lining of the Endometrial

• The cannulation (opening) to the fallopian tubes

• The removal of adhesions intrauterine (scarring)

• The removal of the IUCD (intrauterine contraceptive device)

• Endometrial ablation - the destruction of the liner of the uterus, treatment for menstrual irregularity or heavy bleeding

What are the contraindications to the procedure of Hysteroscopy?

Problems with health systems, precisely heart-related problems aggravated by anesthesia general, might be a cause for caution when performing the procedure of Hysteroscopy.

A consultation with anesthesia is suggested when there is doubt about the surgical status of the patient. This procedure is often carried out without the use of general anesthesia but using a regional anesthetic (epidural/spinal) or local anesthetic. An anesthesiologist can help you determine the safest way to anesthesia.

What's the definition of an Endometrial Ablation?

Endometrial ablation is an in-patient procedure that helps decrease or stop the excessive bleeding from the uterus. In ablation, the endometrium (lining of the uterus) will be destroyed. 

A mild electrical current or warmth destroys the lining. This procedure stops the liner from regrowing. Endometrial ablation may be an alternative to surgery for hysterectomy in women with excessive and irregular bleeding from the uterus.

Do I qualify for endometrial ablation?

Women who have finished their pregnancy and experience excessive or irregular bleeding that is not caused by fibroids could be treated using ablation of the endometrial lining. The gynecologist should first determine if an intrauterine pathology is responsible for the bleeding. 

Typically, an endometrial biopsy will be carried out at the clinic to confirm there isn't any cancer. A saline enhanced ultrasound (SIS), also known as contrast ultrasound, could also be used to determine the size and cavity of the uterus. 

The SIS is similar to a vaginal ultrasound. However, it also injects fluid into the abdomen to permit visualization of the inside and the exterior part of the uterus. This kind of ultrasound is comparable to Hysteroscopy; however, it is not as precise.

Sulfation is not advised when:

• The uterine cavity can be enormous (greater than 12 centimeters)

• Hyperplasia or cancer of the endometrium (precancer) is an issue

• A submucosal fibroid or polyp is detected

• Severe dysmenorrhea (menstrual cramps)

What should I expect the following ablation of the endometrium?

After ablation, your bleeding should reduce. Some women may end ultimately. If the bleeding doesn't stop completely, it will likely be smaller. There is rarely any improvement in bleeding after an ablation. Regular pelvic exams are recommended every year, even if you have stopped menstruating.

Can I have another procedure performed at the same time as my Hysteroscopy?

Yes. Laparoscopy can be performed in conjunction with the hysteroscopy procedure, particularly in women who undergo an infertility examination. Women can also opt to undergo another elective procedure performed as a part of their gynecologic procedures. Surgery procedures that have been done simultaneously consist of bladder suspension (TVT) and liposuction.

Are polyps or fibroids able to be eliminated hysteroscopically?

Yes. If the fibroid or polyp is found in the uterine cavity, it can usually be removed using the hysteroscope. If the fibroid appears to be significant, it might require two procedures to eliminate it safely.

How long is the typical time to recover following the procedure?

Recovery is typically swift as there aren't cuts. Most patients will require painkillers in the initial post-operative period, but usually, an anti-inflammatory is sufficient. An order for an opioid should be issued before the discharge. Sexual contact should be avoided, and sporting activities for two weeks. It is recommended to avoid putting anything into the vagina for at least two weeks, including Tampons. The majority of women return to work in two weeks.

What can I be expecting immediately after the hysteroscopic procedure?

• Uterine cramps or abdominal pain

• Vaginal bleeding

• Lightheadedness, nausea or vomiting

• The throat may be swollen if an air tube was used in conjunction with general anesthesia

What is the best time to speak to the doctor after having the procedure?

Do not be afraid to contact your doctor in case you experience any of these symptoms:

• Heavy vaginal bleeding (greater than one sanitary napkin every hour)

• Fever

• Inability to eliminate urine

• Intensifying or severe abdominal pain

• Vomiting

• Breathing shortness

What are the dangers of the hysteroscopic procedure?

Infection or bleeding can be a result of any surgery. In some instances, surgeons may not be able to finish the procedure safely due to excessive bleeding, absorption of fluid, or the size of the fibroid. 

Hysteroscopy-specific complications include uterine perforation as well as excessive retention of fluid. The fluid is utilized to dilate a uterine cavity in the procedure of Hysteroscopy. The fluid could be absorbed into the circulation (lungs and the brain) in some cases. 

If there is over-absorption of fluid, this procedure should be stopped. The death of an embolus and emboli are rare. However, they are possible complications of any surgical procedure.