1.Hysteroscopic unblocking of the fallopian tubes
(1) Indications: Infertile patients with proven interstitial tubal obstruction.
(2) Operation time: 3-5 days after menstruation.
2.Hysteroscopic endometrial resection (TCRE)
(1) Indications
a. Abnormal uterine bleeding that has not been treated for a long time, excluding malignant disorders.
b.Uterus of 8~9 weeks gestation size and 10~12cm cavity.
c. No fertility requirements.
(2) Contraindications
a, cervical scarring, unable to dilate adequately.
b, uterine flexion is too large and the hysteroscope cannot enter the uterine fundus.
c. Acute stage of reproductive tract infection.
d. Acute stage of heart, liver and kidney failure.
e. Those who do not have good psychological tolerance for this operation aimed at relieving symptoms rather than radical measures.
3.Hysteroscopic myomectomy (TCRM)
(1) Indications
Symptomatic submucosal leiomyoma, intramural leiomyoma and cervical leiomyoma.
a. Excessive menstrual flow or abnormal bleeding.
b. Uterus limited to 10 weeks gestation size and cavity limited to 12 cm.
c. The size of submucosal or endometrial interstitial fibroids is usually limited to 5 cm or less.
d. There is no cancer in the uterus.
Submucosal and interprotrusive fibroids that are deeply buried in the myometrium sometimes require more than two operations to complete. For submucosal leiomyoma prolapsing from the vagina, the size or the thickness of the tip is not limited.
(2) Contraindications
a. Scarred cervix, which cannot be adequately dilated.
b. Those with excessive uterine flexion, where the hysteroscope cannot enter the uterine fundus.
c. Acute stage of reproductive tract infection.
d, Acute stage of heart, liver and kidney failure.
e. Those who have no good psychological tolerance for postoperative bleeding symptom relief, but the myoma can recur.
(3) Postoperative precautions
a. A small amount of bleeding and fluid discharge within 2 months after surgery is normal.
b. Prohibition of intercourse for 2 months.
c. Regular outpatient review.
4.Hysteroscopic endometrial polyp removal (TCRP)
(1) Indications
Removal of symptomatic endometrial polyps, except for malignant polyps.
(2) Contraindications
a.Cervical scar, cannot be fully dilated.
b.Uterine flexion is too large and the hysteroscope cannot enter the uterine fundus.
c. Acute stage of reproductive tract infection.
d. Acute stage of heart, liver and kidney failure.
5.Hysteroscopic hysterectomy for longitudinal septum (TCRS)
(1) Indications Symptomatic complete and incomplete longitudinal uterine septum.
(2) Precautions
a. There may be some lower abdominal pain for 1-3 days after surgery. Take two weeks of postoperative rest and use antibiotics prophylactically.
b. The IUD placed in the uterine cavity should be removed two months after surgery, and hysteroscopy should be performed at the same time to understand the situation in the uterine cavity, and if necessary, the residual longitudinal septum (>1 cm) should be cut again.
c. Abstain from intercourse for 8 weeks after surgery.
d. Apply artificial cycle therapy for 3 months after surgery.
6.Hysteroscopic colectomy
Indications Patients with symptomatic uterine adhesions.
7.Hysteroscopic intrauterine foreign body removal (TCRF)
Common foreign bodies in the uterine cavity include: IUD, embryonic material, fetal bone, retained sutures, etc.
8.Hysteroscopic cervical electrodesiccation (TCRC)