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La hysteroscopy is a procedure that allows the gynecologist to visualize the inside of the uterus using a endoscopy. A hysteroscopy It can be done to make a diagnosis, with the aim of treating intrauterine pathologies and also as one of the methods of surgical intervention. It is a minimally invasive procedure or form of surgery. It is used to diagnose and treat many abnormalities in the uterus.
To carry out this procedure, the gynecologist inserts a hysteroscope, an instrument that consists of a long, thin tube that has a light at the end, and is connected to a television camera with which you can see in detail the cervix and the inside of the uterus.
Hysteroscope, the key instrument
La hysteroscopy It gets its name from the instrument used to perform it, a thin tube called a hysteroscope. This instrument sends images to an external monitor used by the person in charge of the inspection. A saline solution is used through the hysteroscope, to expand the uterus and facilitate its visualization and that of the beginning of the fallopian tubes.
Before performing the hysteroscopy, the patient is administered the required anesthesia, which can be general or local, and any type of medication that reduces pain and helps with the relaxation process. During the process, different tools can be introduced through the hysteroscope that can help complete the necessary procedures.
La diagnostic hysteroscopy is the procedure used to diagnose many problems related to the uterus and cervix. Nothing is done in this process beyond the diagnosis and confirmation of the results.
La surgical hysteroscopy it is the next step after diagnostic hysteroscopy. In this process, surgery, which is minimally invasive, is performed to treat the problems found in the diagnostic procedure. Some of the conditions that can be treated using the surgical hysteroscopy, include the removal of different growths of polyps, fibroids, among other things:
- Removal of endometrial polyps or cervical.
- Elimination of fibroids.
- Endometrial lining biopsy.
- Opening (or cannulation) of the fallopian tubes.
- Removal of the lost intrauterine device.
- Endomethrectomy, name given to endometrial ablation: the endometrium (uterine lining) is destroyed, a very effective treatment against irregular or large menstrual bleeding.
At present the trend is to combine diagnostic and surgical hysteroscopy in the procedure called see and try in such a way that patients are diagnosed and treated in the same procedure that is carried out during the intervention.
Contraindications to hysteroscopy
Being a minimally invasive surgical procedure has few contraindications. Any allergy or general problem that can be aggravated by the use of general or local anesthesia, can be a problem when performing a hysteroscopy. Cases of infections are almost non-existent. Sometimes the patient's associated diseases may represent a problem that contraindicates hysteroscopy.
En general, a the patients are discharged the same day of the hysteroscopy, so they can return immediately. They may need a chaperone if general anesthesia is used. The gynecologist prescribes the recommended medications for pain and necessary rest. It is recommended not to have sexual intercourse for at least 1-2 weeks after the operation.
Dr Francisco Carmona
Women's Medical Director