Operative Hysteroscopy

Everything You Need to Know About Operative hysteroscopy

What is it | Techniques used  | Complications | Recovery | Cost

What is operative hysteroscopy?

When an abnormal condition is detected in the uterus during the diagnosis of hysteroscopy, doctors perform the operative hysteroscopy. A hysteroscope is used to insert small instruments during the process of operative hysteroscopy to correct the abnormal conditions of the uterus. The surgical procedure may also be done to treat infertility or remove growths from the uterine cavity.

A gynecologist or an obstetrician performs the process of operative hysteroscopy using a hysteroscope to view the uterus and the cervix. Images clicked by the hysteroscope are sent to the monitor for further examination. Operative hysteroscopy performed along with laparoscopy can help to prevent perforation of the walls of the uterus.

When is operative hysteroscopy performed?

An operative hysteroscopy is performed to treat the following abnormal conditions of the uterus:-

• Abnormal bleeding: Abnormal bleeding may be the cause of heavy menstrual flow or bleeding after menopause or between the periods. To treat such types of heavy or lengthy bleeding, doctors use the procedure of endometrial ablation. During this procedure, a hysteroscope along with other instruments are used. They help to destroy the uterine lining.
• Polyps and fibroids: Polyps and fibroids are the non-cancerous growths in the uterus. Hysteroscopy can be used to treat them.
• Septum: Doctors use the procedure of hysteroscopy to find out the defect of the uterus or if you have a uterine septum.
• Adhesions: Sometimes scar tissues form a band in the uterus, which causes changes in the menstrual flow and infertility. Doctors use the procedure of hysteroscopy to locate and remove the adhesions.

Who is a candidate for hysteroscopy?

A person suffering from the following conditions is an ideal candidate for a hysterectomy.

• Irregular bleeding followed by cramping: If you are suffering from cramping and irregular periods, you must consult a gynecologist first. They will recommend you for a hysteroscopy to have a closer look at your uterus. This help helps them to know about the various problems like fibroids and polyps. The heating tool may be used by your gynecologist to stop excessive bleeding.
• Assisting with permanent birth control: A small device is inserted in the fallopian tube using the technique of hysterectomy.
• Infertility issues: If you and your partner have problems regarding conceiving, you must consult a gynecologist. They will perform a hysterectomy to examine various problems of your uterine wall that are creating problems for your parenthood.

Techniques used in operative hysteroscopy

The techniques used in operative hysteroscopy is discussed below:

• The electrode is only activated once it starts moving towards the cervix.
• The operator can coagulate, cut, and vaporize by adjusting the setting of the generator. It depends upon the kind of electrode chosen.
• The myometrium is cut deeply, especially at the corner and in the cervix.
• Depending upon the energy used, the uterine distension medium used in the case of operative hysteroscopy differs. The distension medium used nowadays is N/saline, in the case of bipolar energy. In the case of monopolar energy, the distension medium used is an electrolyte-free medium.
• The balance of fluid is monitored thoroughly.

Complications of hysteroscopy

The complications of hysteroscopy are very rare. It occurs in 0.1% in the case of diagnostic hysteroscopy and 1% in surgical hysteroscopy.

Operative hysteroscopy recovery

The kind of recovery depends upon the type of anesthesia being used. You must rest for sufficient time after the procedure.

Operative hysteroscopy cost

The average cost of operative hysteroscopy in India ranges from Rs. 15,000 to Rs.51,000.

Disclaimer:- The content on this post is for information purposes only. Please consult your doctor for personalized medical advice