Health, Diseases and Conditions
Hysteroscopy. What it is?
In recent decades, gynecologists in European countries have almost completely stopped using such manipulation as scraping of the uterine cavity in order to obtain a material (mucosal scraping) for histological examination or removal of pathological formation in the canal or cervical canal. To replace the rough and sufficiently traumatic manipulation came a new way - hysteroscopy. What it is?
A control examination of the state of the uterine cavity is often prescribed after any surgical interventions on the uterus, with miscarriage, at the end of the course of hormonal treatment. Thus, diagnostic hysteroscopy helps to detect the cause of infertility, menstrual irregularities, miscarriage, dysfunctional uterine bleeding.
Then the question arises: therapeutic hysteroscopy - what is it? This is a manipulation, which is performed to correct and treat the revealed pathological deviation. Indications for it are intrauterine septum, synechia, submucosal fibroids, polyps, endometrial hyperplasia and other conditions. Operative intervention is carried out through the hysteroscope, which allows you to enter the necessary tools, through which various therapeutic manipulations are carried out. Endoscopic methods allow to eliminate not only the above pathologies, but also to remove nodes of myoma, ablation and resection of the endometrium. These procedures are known as hysteroresectoscopy, in general the same hysteroscopy. What it is And is there a difference? Hysteroresectoscopy is not a diagnosis, but an operational method for treating uterine diseases. This is one of the most modern and progressive methods of surgical treatment, a sparing alternative to traditional cavitary surgery.
The following procedures are known: liquid and gas hysteroscopy. What it is? For a thorough examination of the uterine cavity it is expanded. For the diagnostic study, gas hysteroscopy is used. In the absence of bloody discharge, the uterine cavity is expanded using carbon dioxide. For conducting surgical interventions, liquid hysteroscopy is more preferable, which is realized by using low molecular and high molecular fluids. It provides clear visibility and allows you to control the operation.
Diagnostic hysteroscopy and surgical treatment can be performed by the doctor's decision at the same time or as a different procedure. Often during manipulation, an endometrial biopsy is performed .
It is important to know that hysteroscopy has contraindications. These include the recently transferred processes of inflammation of the genital organs, stenosis of the cervix, severe uterine bleeding, common infectious diseases, especially in the acute stage, severe forms of diseases of the cardiovascular system, kidneys, liver.
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