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Hysteroscopy - Hera Medical Group
مقاله تخصصی

Hysteroscopy - Hera Medical Group

3 weeks ago
815 بازدید
Najmeh Faraji

Najmeh Faraji

Tehran

Nutrition and dietary

هیستروسکوپی

_

هیستروسکوپی نوعی آندوسکوپ، داخلی مجرایی است که از آن می توان برای کمک به تشخیص و درمان برخی از بیماری های داخل رحمی استفاده کرد. برطرف کردن چسبندگی های داخل رحم، خارج ساختن میوم های داخل حفره رحم( ساب موکوسل)، برداشتن سپتوم های داخل رحم از جمله مواردی است که با هیستروسکوپی قابل انجام می باشد . In this method, the gynecologist enters the uterine cavity without an incision and with a hysteroscope that carries a camera and a light. class="wpb_column vc_column_container vc_col-sm-12">

Diagnostic hysteroscopy

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In this method, the uterine cavity is evaluated and its purpose can be to obtain a sample of the endometrium (layer inside the uterus) or to identify structural abnormalities such as the uterine septum or local lesions such as adhesions, polyps or myomas.

Diagnostic hysteroscopy helps to diagnose in the following cases:

Abnormal and unexplained uterine bleeding

  • Before menopause
  • After menopause

Selective cases of infertility in case of abnormal vaginal ultrasound or unexplained infertility.

  • Frequent and spontaneous miscarriage
  • Diagnosis of congenital uterine problems

Diagnostic hysteroscopy can be performed in the office or operating room on an outpatient basis, and in the following cases, hospitalization is required.

  • Hysteroscopic surgery
  • A number of intrauterine procedures can be performed with a hysteroscope, such as:
  • Removal of intrauterine adhesions
  • Sterilization
  • Cutting the uterine septum
  • Removing intrauterine myomas
  • Removing intrauterine polyps
  • Removing the remaining products of pregnancy
  • Removing the IUD
  • Destroying the endometrium (inner layer of the uterus) in cases of heavy bleeding

Important

If the hysteroscopy is of a therapeutic type, the surgical instruments enter the uterus through the hysteroscope and the surgery is performed. class="wpb_wrapper">

Benefits of hysteroscopy

_
  • Short and no recovery time
  • Prevention of stomach opening
  • Short-term package

Risks of diagnostic hysteroscopy

The risk of diagnostic hysteroscopy is small and its complications rarely result in serious consequences. Uncommon side effects include uterine perforation, bleeding, and side effects related to anesthesia and dilators. After diagnostic hysteroscopy, most patients experience mild vaginal bleeding and sometimes shortness of breath. The patient should be encouraged to have a friend or relative with them to accompany them home.

Dangers of therapeutic hysteroscopy

The risk of hysteroscopic surgery is greater than the risk of diagnostic hysteroscopy and includes risks related to anesthesia, uterine perforation, bleeding, air embolism, infection, and complications related to dilators, injuries to the intestines or It is Edra's channels. class="vc_row wpb_row vc_row-fluid">

_

How to perform hysteroscopy

Hysteroscopy operation is performed as an outpatient in the office with local anesthesia or in the operating room with full anesthesia. After anesthetizing, the vagina is washed with antiseptics, the oesoculum is passed, and after dilating the cervix and uterus, the hysteroscope enters the uterine cavity through the vaginal canal and cervix. To auscultate the uterus, carbon dioxide gas or liquids such as mannitol or sorbitol are used, then light is shone into the uterus through the hysteroscope to observe the components inside the uterine cavity and uterine tubes. id="cz_17346" class="cz_17346 cz_image clr cz_image_no_fx center_on_mobile">

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