Application of hysteroscopy
Hysteroscopy is now being widely used in clinical practice and is a new, minimally invasive gynecological treatment technique that plays an irreplaceable role in gynecological diagnosis and treatment. It is an advanced device for diagnosis and treatment of diseases in the uterine cavity, allowing clear observation of various changes in the uterine cavity and making a clear diagnosis.
Because hysteroscopic surgery usually takes only about 10 minutes to complete, the uterine cavity needs to be intubated before the surgery, and after the intubation, the patient can also go home to rest, and anesthesia is needed during the surgery, and the patient can go home after the anesthesia disappears, so this surgery is called “1 day surgery” abroad.
Hysteroscopic surgery has the advantages of no opening, no incision, little trauma and fast recovery, so that women who cannot tolerate open surgery and do not want to remove the uterus and suffer from excessive menstrual bleeding or benign intrauterine lesions can get a chance to cure the disease and recover their health, eliminating many of the disadvantages of open surgery and reducing the sufferers’ pain. This new medical technology shows an epochal change in gynecological surgery, with unlimited vitality and humanistic intentions. Hysteroscopic technology has its own unique position in the field of minimally invasive gynecology because of its own unique advantages!
Indications for hysteroscopic diagnostic examinations.
1. Abnormal uterine bleeding: including excessive menstruation, frequent menstruation, prolonged menstruation, irregular uterine bleeding, postmenopausal uterine bleeding, etc. Uterine cavity examination can exclude the presence of organic lesions in the uterine cavity, such as endometrial polyps, submucosal fibroids, endometrial cancer, etc.
Infertility or habitual miscarriage: the causes of infertility may be uterine adhesions, endometrial tuberculosis, partial fetal bone residue; the causes of miscarriage may be uterine longitudinal septum, bicornuate uterus, loose endometrium and so on. Hysteroscopy may reveal these causes of infertility.
3.Lost or embedded intrauterine device or foreign body residue.
4. Iodine oil imaging of the uterine tubes or ultrasound suggesting uterine abnormalities or lesions.
5. Intrauterine abnormalities are suspected by uterine probe or diagnostic scraping. For example, narrowing, deformation, inequality of the official cavity may suggest myoma, adhesions, etc. Hysteroscopy should be performed to further clarify the diagnosis.
Indications for hysteroscopic surgery.
1.Decomposition of endometrial adhesions.
2. Removal of the intrauterine device embedded in the uterine cavity.
3. Removal of fetal bone and old placenta remaining in the uterine cavity.
4.Treatment of tubal occlusion through hysteroscopic tubal cannulation.
5.For infertility and repeated spontaneous abortions, the causes of intrauterine cavity will be investigated and corrected on the natural basis of comprehensive and systematic evaluation of both men and women.
6.Longitudinal orthopedic uterine septotomy (generally used in combination with laparoscopy).
7.Uterine submucosal myoma excision.
8.Ectomy of endometrium to treat excessive menstruation.
9.Suspected endometrial cancer and its precancerous tissues, the application of hysteroscopic examination and localization biopsy combined with the application of tissue chronic pathological assessment can help early diagnosis and timely treatment.