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Kadın Hastalıkları ve Doğum Uzmanı - Op. Dr. Nazlı Oral Korkmaz

Hysteroscopy

Hysteroscopy

Hysteroscopy is the name given to the examination of the inside of the uterus and the part of the tubes that open to the uterus accompanied by an optical camera. It is a procedure that serves to perform diagnostic and surgical procedures.

 

How Is Hysteroscopy Performed?

Hysteroscopy is performed by entering the uterus through the cervical canal vaginally using special tools. In this method, images are tracked on a monitor. A tubular instrument consisting of a camera or lens system that enters the uterus is called a hysteroscope. Inspection can be done in 3 ways. These:

  • Local Anesthesia
  • General Anesthesia In The Operating Room
  • Spinal Anesthesia In The Operating Room

Before surgery, one of two different methods is used to open the cervix, such as putting drugs into the patient's mouth or vagina.

In cases where it is difficult for the cervix to expand enough to pass through the hysteroscope, it must be expanded using long thin rods called Spark Plugs. Then the hysteroscope is slowly released into the uterus and the image projected onto the monitor is monitored. At this time, fluid is added to the uterus so that the inside of the uterus expands further and the hysteroscope can observe the uterus comfortably. If necessary, the cutter or burner at the end of the hysteroscope is operated with appropriate tools. There are two types of hysteroscopy methods called diagnostic, diagnostic, or office, and surgical or operative.

 

When Should Hysteroscopy Be Performed?

Menstruation generally ends after the operation 1. it should be done weekly. 1 week after the end of menstruation, the reason for the cavity is that there is no blood in the uterine cavity, the cavity will be easily seen. In addition, there is no thickening in the wall of the uterus, so polyps or fibroids will be easily visible. 1 hysteroscopy can still be performed, as it is sometimes necessary to perform diagnostic and therapeutic operations in patients with excessive uterine bleeding due to conditions. But in general, it is more appropriate to do it 1 week after the end of menstruation.

 

What Should Be Considered After The Operation?

After the operation, the person can be discharged from the hospital on the same day. There is a very rapid healing process. Since no incision is made during the procedure, there is no healing process due to the scar and the like. It is normal to have very little pain due to the hysteroscopy process. This is not a situation to worry about the healing process is completed quickly. After surgery, a doctor should be consulted if conditions such as excessive vaginal bleeding, severe abdominal pain, fever, foul odor, and excessive vaginal discharge are noticed. After surgery, it is normal to feel some vaginal discharge and cramps for a few days. There is no problem with using simple painkillers for these pains. After surgery, sexual intercourse should be avoided for a few days or decongest until the next menstrual period.

 

What Diseases Are Used To Treat?

Hysteroscopy is an important diagnostic mechanism in the investigation of the causes of infertility, recurrent miscarriages, the investigation of the cause of abnormal menstrual bleeding, and the detection of intrauterine pathologies and the treatment process.

  • For polyps or fibroids that lead to excessive bleeding,
  • For congenital abnormalities of the uterus, (septum, bicornis, arcuate, hypoplasia)
  • To investigate recurrent IVF failure,
  • For adhesions in the uterus (Asherman syndrome)
  • For the study of recurrent miscarriages
  • For the removal of the spiral, whose rope cannot be seen or escapes into the uterus,
  • To diagnose early-stage cancers of intrauterine tissue ( endometrium), a biopsy can be taken from the suspicious area under direct observation.
  • Abnormal hysterosalpingography (HSG) or ultrasound can be performed to confirm the finding.

 

What Are The Advantages Of Hysteroscopy?

Most operations can be performed with very little pain after the procedure without an incision.

  • Pain is barely felt.
  • Mobilization of the patient (getting up) occurs earlier.
  • As it is a daily surgical procedure, it does not require hospitalization.
  • After the procedure, a person can quickly return to their routine life after resting for 1-2 hours.

Kadın Hastalıkları ve Doğum Uzmanı - Op. Dr. Nazlı Oral Korkmaz

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