Hysteroscopy is a form of minimally invasive surgery. The surgeon inserts a tiny telescope (hysteroscope) through the cervix into the uterus. The hysteroscope allows the surgeon to visualize the inside of the uterine cavity on a video monitor. The uterine cavity is then inspected for any abnormality. The surgeon examines the shape of the uterus, the lining of the uterus and looks for any evidence of intrauterine pathology (fibroids or polyps). The recovery time is very quick. Almost all the patients go home the same day following hysteroscopic surgery. There is no abdominal wound so the postoperative pain is minimal and there are no wound infections.

Diagnosis

For diagnostic purposes, hysteroscopy can be performed in the gynecologist’s clinic by administering local anesthesia. Small polyps can also be removed in this procedure. But, when the hysteroscopy is done in conjunction with a more in-depth surgical procedure, it is done in a hospital under local or general anesthesia.

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What is Hysteroscopy ?

Hysteroscopy is an operation in which a telescope is inserted through the mouth of the uterus and into the uterus to the inside of the uterus. Diagnostic hysteroscopy is used to try and find a cause for symptoms. Hysteroscopy may also be therapeutic or operative when treatment is performed.

Who might benefit from hysteroscopy?

A hysteroscopy may be used to try to determine the cause of various problems such as:

• Heavy periods.
• Irregular periods
• Bleeding after your menopause.
• Unexplained miscarriages.

How is hysteroscopy performed?

• A general anesthetic is administered, so the procedure itself is painless.
• A small 4mm telescope is passed via the vagina into the uterus for diagnostic procedure.
• In case the procedure needs to be changed into a therapeutic/operative procedure, the instrument is changed to an operative hysteroscope or a resectoscope as might be requires.

Which other procedures may be performed during hysteroscopy?

As well as being used to investigate the cause of various problems, it can also be used to

• Remove polyps- small lumps of tissues growing on the lining of the uterus
• Remove scar tissues in the uterus
• Remove adhesions (areas where the wall of the uterus are sticking together)
• Remove fibroids( non – cancerous growths in the uterus)
• Locate a lost or stuck contraceptive device, such as an intrauterine contraceptive device (IUCD)
• As a routine procedure before IVF ( test tube baby treatment 0 to rule out any problem inside the uterus

What are the advantages of hysteroscopy?

Compared with other, more invasive procedures, hysteroscopy offers the following advantages:

• Shorter hospital stay.
• Shorter recovery time.
• Less pain medication is needed after surgery.
• Avoidance of hysterectomy
• Possible avoidance of open abdominal surgery
• No scar and no stitches.

Keyhole surgeries performed at  Life Plus Hospital Laparoscopy

Hysteroscopy

• Diagnostic hysteroscopy for infertility.
• Removal of Polyps – Polypectomy.
• Removal of fibroid – Myomectomy.
• Opening of blocked tubes – Tubal cannulation.
• Release of adhesions – Adhesiolysis.
• Removal of `lost’ IUCD (loops).