Method of hysteroscopy in gynecology: an inside view

Hysteroscopy — one of the most informative diagnostic methods in gynecology, which allows you to visually assess the state of the uterine cavity and perform additional surgical manipulations under visual control. This is a microsurgical intervention that has minimal consequences for a woman's health. This method is used to diagnose and remove polyps, myomatous nodes, as well as to dissect synechiae. Read more about hysteroscopy on estet-portal.com in this article.

The main indications for the use of the hysteroscopy method

Hysteroscopy is indicated for diseases of the uterus, such as adenomyosis and tumors, and this method is also used for menstrual irregularities and infertility. Timely diagnosis allows you to start treatment on time and achieve the best result.

Hysteroscopy is of particular value in the diagnosis of infertility.

Often during hysteroscopy, a biopsy of endometrial tissue is performed, which allows you to evaluate its histological structure, determine the presence of atypical cells that may indicate the development of a tumor.     features of diagnostic and surgical hysteroscopy;
•    basic steps of the hysteroscopy procedure;
•    hysteroscopy: possible complications of microsurgical diagnostics; Peculiarities of diagnostic and surgical hysteroscopy

Diagnostic hysteroscopy is performed to clarify the diagnosis to assess the condition of the endometrium and uterine cavity. This procedure may be accompanied by minor surgical interventions such as removal of polyps,
hyperplastic endometrium

and adhesions. Surgical hysteroscopy involves a wider range of interventions, namely the removal of myomatous nodes, deep resection of the endometrium, removal of tissues of the hydatidiform mole, excision of septa and dense adhesions of the uterine cavity.

, as the endometrium is at its thinnest at this time. Diagnostic hysteroscopy is performed under local anesthesia, and surgical — under intravenous anesthesia. The hysteroscope is inserted through the cervix into the uterine cavity. To improve the view, the uterine cavity is expanded with a gas or liquid. Hysteroscopes for surgical manipulations have an additional channel for the introduction of instruments.

Hysteroscopy: possible complications of microsurgical diagnostics

During hysteroscopy, the most serious possible complication — is a perforation of the uterus. Small defects are treated conservatively with antibiotics and uterotonics. Large lesions are sutured surgically.

The length of stay in the hospital after hysteroscopy depends on the scope of the intervention, but most often does not exceed a few hours.

In the postoperative period, minor spastic pains in the lower abdomen and bloody discharge may be disturbing for several days.

There is also a risk of infectious complications, for which antibiotic therapy is given.