- Hysteroscopy - examination of the uterus inside
What is a hysteroscopy
Hysteroscopy - a method for studying the inner surface of the uterus by introducing into its endoscopic instrument - hysteroscope. During the study, you can implement some surgeries.
A study carried out after the introduction of the uterine cavity fluid (liquid hysteroscopy) or gas (gas hysteroscopy). Most liquid used as a change of the fluid in the womb during the study provides better visibility and enables the conduct of its uterine bleeding
Uterine bleeding outside of menstruation - a sign of a serious breach
. In addition, liquid hysteroscopy eliminates the ingress of air into the blood vessels during the study.
How does the equipment for hysteroscopy
Hysteroscopes consist of optical tube that is inserted into a hollow metal cylinder with valves for connecting the liquid and gas systems, and flexible tools for the channel (special tweezers to remove tissue for analysis, and so forth). The kit also includes a hysteroscope caps fit over the cervix during the investigation that the gas is not removed from the uterus prematurely.
Optical system hysteroscope usually gives 5-fold increase, but there is a hysteroscope can give rise to a hundred and fifty times, which allow a closer look at the inside of the uterus, which is especially important to detect cancers at early stages.
Diagnostic hysteroscopy may be performed in an emergency and planned manner. Indications for emergency hysteroscopy are uterine bleeding. Planned hysteroscopy is performed to control after scraping the lining of the uterus (exclude the possibility of partial removal of any structures) to detect malformations of the uterus at constant miscarriage
Miscarriage - why you lose the most precious thing?
, Infertility and so on.
During hysteroscopy can be performed such surgeries as removing small formations (polyps) of the mucous membrane of the uterus and small submucosal fibroids (benign tumors) on the leg, the separation of intrauterine adhesions (adhesions after inflammation), extract intrauterine contraceptive (spirals), or parts thereof .
Contraindications planned hysteroscopy
Contraindication to the planned hysteroscopy is an inflammation of the internal and external genitalia, the presence of vaginal discharge
pathogens or a large number of white blood cells (pus). Contraindications for hysteroscopy are also common diseases such as thrombosis, infection (flu, sore throat), severe diseases of the cardiovascular system, liver and kidneys.
Gas hysteroscopy not performed at break cervical erosions on it and some other conditions under which it is impossible to create conditions for sealing the cervix.
The research is carried out only in the hospital. Before the planned hysteroscopy examine the contents of the vaginal smears, do a general analysis of blood and urine. According to the testimony of a woman examining physician to rule out diseases other bodies appointed by the ECG, chest X-ray and so on.
On the eve of hysteroscopy to put a cleansing enema immediately before the test to empty the bladder.
How is hysteroscopy
For anesthesia often used intravenous anesthesia with the use of short-acting drugs. The woman is in the gynecological chair
Gynaecological chair: Take a closer look
, Vulva, vagina and cervix treated with a five per cent alcoholic solution of iodine. When liquid hysteroscopy cervix expanded with special extenders and the hysteroscope is introduced to the connected light guide and the fluid system through which pressurized liquid is continuously supplied. After cervical dilation fluid flows freely from the uterus.
For carrying out the gas hysteroscopy to the cervix after the expansion of its channel to wear special cap, whereby negative pressure in the uterine cavity. Then it is introduced hysteroscopic sheath without the optical system, the uterus was washed with saline, was placed in a hysteroscope optical system connected with the optical waveguide device and is connected with a system for introducing a gas under pressure. With the introduction of gas (carbon dioxide), the uterus expands, enabling inspection.
Possible complications of hysteroscopy
Hysteroscopy may be complicated by the entry of air into the blood vessels of the uterus (with gas hysteroscopy), exacerbation of chronic inflammatory processes in the uterus and its appendages, perforation (perforation wall) uterine cervical dilation. Contact with the liquid or gas into the abdominal cavity of a complication is not.
Hysteroscopy - an accurate and reliable method of research, but it must be carried out only with strict indications, and after a full exclusion of contraindications.
- gynecological examination