Hysteroscopy: implications and possible complications
Removal of an endometrial polyp is a procedure familiar to almost every fifth woman. As a rule, excision of polyp of the uterus using hysteroscopy, it is considered more gentle and less traumatic. This way, also, is an excellent test that will help determine the nature of the polyp, the presence or absence of cancer cells in its structure. Quite often women are interested in what effects occur after removal of a polyp of the uterus.
Overview of hysteroscopy
It is the hysteroscopy, is considered the most new and effective method of diagnosis in gynecology. With the help of an optical instrument known as a hysteroscope, the doctor can visually examine the condition of the uterus, the mucous layer of the endometrium and cervical canal. This method greatly facilitates the diagnosis, its confirmation, and in some cases, treat many intrauterine pathologies.
Types of hysteroscopy:
- For diagnostic purposes. The main goal of this procedure is to carefully examine the entire lining of the uterus, in particular its inner layer is the endometrium, the doctor could confirm or deny the presence of pathology. Tissue is not injured.
- Surgical type. This method is used if you want to conduct endoscopic surgery, removal of an endometrial polyp or in order to correct some abnormalities in the uterine cavity. For example, using this procedure is quite easy is the removal of fibroids and polyps.
- Microhysteroscopy. Meaning — a manifold increase in visual pictures, allowing you to make accurate endoscopic intervention. You can also make a study of the epithelium of the endometrium at the cellular level.
- Control. This procedure is important to observe and monitor the progress of treatment. Monitoring helps to determine whether drug therapy is effective or not. You can also monitor the recovery of the mucous walls of the uterus after surgery.
In order to perform the procedure, the uterine cavity is necessarily stretched using a special gas or liquid. Also, depending on the types of hysteroscopy, which is the removal of an endometrial polyp, depend on the effects that can occur immediately after surgery and in the postoperative period.
What to expect after the hysteroscopy?
If the removal of an endometrial polyp was performed under local anesthesia, a woman can expect to be discharged in a few hours. When using General or regional anesthesia, the patient is under close medical supervision for about 2-3 hours.
During this period only need after the procedure is rest. If hysteroscopy is associated with the removal of a polyp or fibroids, issued the sick list.
The consequences depend directly on the physiological peculiarities of the female organism, its reserves and transaction volume:
- a few days can disturb pain aching and pulling of nature, as in menstruation;
- highlight the first few days are bound to be, so you must use the strip;
- possible flatulence, he associated with the conduct of anesthesia and the influence of gas on the internal organs;
- soreness top of stomach and shoulders, also testifies to the leakage of gas into the abdominal cavity.
These symptoms should disappear within 3-7 days.
Some General recommendations after the hysteroscopy will help to avoid infections and severe consequences:
- not to have intercourse 2 weeks after removal of a polyp of the endometrium, increased risk of infection;
- do not use tampons, only sanitary pads, do not perform douching;
- to plan conception after 6 months after the procedure, when the cycle will be restored and will become a regular;
- a month not to play sports and not to lift weights.
Removal of endometrial polyp by hysteroscopy: implications and complications
Of course, whether the consequences depends on the type of operation and surgeon, who performed removal of build-up. Typically, complications can occur after surgical hysteroscopy and all the other serious consequences of a rare case.
Possible complications can be divided into five groups:
- Complications from surgery: they can occur during surgical intervention and in the postoperative period.
- After effects of anesthesia.
- The problems caused by the expansion of the cervix.
- An air embolism.
- Complications provoked by prolonged, forced position of the patient during surgery.
There are also complications of early and late type.
- the inflammatory process in the uterus and abdomen of 90% (pelvioperitonit and endometritis);
- hemolysis within the blood vessels;
- bleeding 5%.
- the formation of a pyometra;
- in the presence of chronic adnexitis – hydrosalpinx;
- defects in the cavity;
- exacerbation of chronic inflammation;
- incomplete removal of intrauterine tumors.
Typically the most common effects are: perforation of the uterus, endometritis and bleeding.
We consider each of them:
- Perforation of the uterus – rare, in violation of surgical technique the uterine wall can be punched through. Mucosa may not recover and then maybe infertility. Symptoms expressed: the pressure falls, a sharp, severe pain may to pain shock and fainted. There is a General malaise and weakness.
- Bleeding – these complications occur often. Usually occurs when the removal of an endometrial polyp or node fibromatous type. Can also occur if improper techniques of walls. Dangerous when the discharge is abundant, are intensive and last about two days.
- Gynecological disease endometriosis. In simple words – it is the inflammation which arose from the uterine cavity. Bacteria can get into the cavity during operation on non-sterile medical instruments. Consequences can occur immediately, usually takes a few days. Endometritis is characteristic symptoms: pain in the lower abdomen, vaginal blood or splashes of blood (pus) discharge.