How is hysteroscopy of the uterus?
The word hysteroscopy formed from fusion of two roots. In hystero, translated into Russian language means «uterus,» and scopy – to look. That is, it is surgery, during which doctors carried out the inspection of the inside of the uterine cavity using special equipment. This event can have many purposes, however, the basic is always the same – diagnostic, although during the procedure can be performed and therapeutic manipulation. Despite the fact that this modern procedure is becoming more and more common, many people do not know exactly how to do a hysteroscopy.
This technique allows to diagnose and to treat many uterine abnormalities, due to which very often manage to avoid vysokotravmatichen way operations. To date, this procedure has become one of the main methods of diagnosis of uterine causes of infertility and treatment of many diseases of the uterus, including endometriosis, polyps, fibroids and other tumors.
There are surgical hysteroscopes through which doctors can enter a variety of electrosurgical tools, beads, hinges and rollers to stop bleeding. With a unipolar surgical cutters is cutting of all sorts of sites, modified sites of the myometrium, truncating partitions. Alongside, there is a coagulating (sticking together) of the incisions, allowing for effective and timely control of bleeding.
Hysteroscopy belongs to the class of small surgery, also called minimally invasive. Under these procedures is no dissection of the tissues of the body, and the device for inspection body is inserted through the natural openings. If you need to conduct an audit of the uterus, the hysteroscope is performed through the vagina, then entering into the cervix. Making sure that the input part of the device went without complications, it is introduced into the uterine cavity.
To be more detailed and careful examination using a hysteroscope into the cavity of the injected gas or liquid.
These substances must be inert not to cause irritation or change the tone of the uterine walls, so as not to disturb the examination.
Modern hysteroscopes equipped with a digital signal, and the image of them is displayed directly on the screen, looking at which doctors observe how is hysteroscopy of the uterus and assess its condition. In addition, can be viewed her channel and internal openings of the fallopian tubes.
On average, the procedure takes from ten minutes to half an hour, however, if during hysteroscopy operation is conducted, it can go longer, up to several hours. At the time of the it all depends on the type of intervention, which is performed by doctors.
Medical indications for examination of the uterine cavity
This intervention is an extremely effective method of diagnosis due to the fact that with its help, doctors can obtain a lot of data on the status of the internal cavity of the uterus and affect a number of pathological processes which develop in it. Therefore, many patients recommended to be screened.
The main indications for carrying out this intervention are likely the diagnosis of internal endometriosis of uterine body that requires confirmation. Using hysteroscopy confirmed the presence of submucous nodes, adhesions, look for and remove the remains of the ovum.
This extremely important procedure for the diagnosis of cancer of the cervix and endometrium, as the diagnosis of a malignant neoplasm verificarea only after histological confirmation, which is done on the basis of the research material obtained during hysteroscopic biopsy. Perforation of the uterine wall and malformations of the body also are an indication for carrying out this manipulation.
Also do the procedure with postmenopausal bleeding of unknown origin, and menstrual irregularities. A hysteroscopy needs to be done and to monitor the status of the uterus after classical operations, if conducted hormonal therapy. Infertility or miscarriage of the fetus are also indications to this examination.
Depending on the indications and purposes of each procedure varies, and how the hysteroscopy is carried out in each patient.
Indications for surgery:
- The uterine synechia.
- Intrauterine septum.
- Fibroids located under the mucous layer.
- Endometrial polyps.
- Endometrial hyperplasia (a precancerous condition).
Cases where intervention is necessary to refuse
A hysteroscopy is not recommended in cases if the patient is in serious condition due to other diseases of kidney and heart failure, hepatic failure. The presence of active infectious processes is also a contraindication for the procedure.
It is impossible to conduct the survey in case of heavy uterine bleeding or ongoing pregnancy.
The study is also contraindicated in stenosis of the cervix, as this pathology makes it impossible to hold the endoscope inside the hollow organ.
Thus, hysteroscopy is a modern and highly informative method of research, which can be carried out diagnostics of many pathological processes of the uterine body. The main advantages of this procedure is the low invasiveness and the fact that the transaction does not take the patient a lot of time, as it rarely lasts longer than an hour.
This is important as many patients are worried about how long the procedure lasts. Another important advantage of hysteroscopy is not a purely diagnostic technique, its execution time can be performed a variety of surgical intervention for the treatment of a wide range of diseases of the uterus. Because of this, this technique gained wide popularity as doctors and patients.