What is hysteroscopy?

Hysteroscopy has found an unwavering place in modern gynecological practices and is used in the diagnosis and treatment of many pathologies. The use of hysteroscopy will increase with the developments in energy modalities and hysteroscope technologies.

hysteroscopywhy?

Hysteroscopy is the examination of the vagina, uterine canal and inside of the uterus with the help of a telescope, light source and a camera. In addition to being used for diagnostic purposes, hysteroscopy can also be used in the treatment of some conditions.

usedfields:

For diagnostic purposes (examination of the area where the embryo will attach within the scope of infertility, for diagnosis and treatment in irregular bleeding, for diagnosis and treatment in postmenopausal bleeding)

Removal of polyps for the uterus

Removal of cervical polyps

cutting of the intrauterine veil

Opening of intrauterine adhesions

Intrauterine cauterization in excessive, refractory bleeding

Removal of intrauterine fibroids (more than 50% of the fibroid should be in the uterus)

Permanent sterilization (ESSURE)

Importantwarning:

Today, hysteroscopy is available in almost every center. In patients over 35 years of age with bleeding, tissue sampling from the uterus (abortion) is required. Since the doctor cannot see the inside of the uterus in blind abortions, the complaints may not go away after the abortion. The patient may need to undergo repeated abortions. For this reason, the problem that causes bleeding can be directly seen and treated by looking into the uterus with a camera (by performing a hysteroscopy) in the surgery. Abortion can be performed for tissue diagnosis. In this way, patients who had hysteroscopy + abortion were significantly less likely to need abortion again than those who had only blind abortion.

hysteroscopyThings to do before:

There is no special procedure related to the hysteroscopy procedure. You should not eat or drink anything in the 8-hour period before the procedure (Smoking should not be allowed. Medicines such as blood thinners (aspirin, Clexan, etc.) should never be taken. If these drugs have been taken within 1 week, the doctor should be informed. Before the operation, your doctor should ask for a sedative for insomnia due to anxiety. For example, 5 mg Diazem tablet in the evening before the procedure allows you to spend the night well.

Wear comfortable clothes on the way to the hospital. Make-up should not be applied. Any lipstick or nail polish should be removed. Jewelry such as rings and earrings should not be brought. If there are drugs that you use routinely, they should be brought together. It is useful to take a shower or bath the day before the procedure.

On or before you arrive at the hospital, your doctor will ask you to read and sign the consent form. Click here for the hysteroscopy consent form.

If you are applying to the operating room as an outpatient before the hysteroscopy procedure, you usually enter the daily surgery section. Here, you will be dressed in a surgical suit and taken to the surgery room with the help of a stretcher. Here, an intravenous catheter is inserted by the anesthesia technician, usually over your arm or hand. Within the principles of safe surgery called time-out, your name, the name of your doctor and the surgical procedure to be performed are said loudly. Then the anesthesiologist will give you drugs to sleep and relax you. You will not feel any pain during the surgery. A deep sleep takes place.

hysteroscopyWhat to do after:

After the hysteroscopy procedure, you stay in the recovery room for about 3-4 hours. Afterwards, you can usually go home. If your doctor has not recommended any antibiotics, there is usually no need for antibiotics after surgery. Some painkillers can be taken (Medicines containing paracetamol can be taken 3 times a day).

Liquid foods should be taken for the first 12 hours (Fruit juices, ayran, etc.). If nausea and vomiting do not occur, solid foods are started. In case of nausea, vomiting or swelling in the abdomen, you should inform your doctor. You can take a bath 48 hours after the surgery.

hysteroscopyadverse events that may occur during

Hysteroscopy must be performed by experienced, experienced hands who have received special training in this regard. Although anesthesia-related adverse events are rare because you are receiving anesthesia, they can happen. The uterus may be perforated. Excessive bleeding and infection may occur. If there is a fluid input-output problem, situations such as difficulty in breathing may occur.

Importantwarning:

Chills, fever (38.3 degrees and above under the armpit), excessive swelling in the abdomen, inability to pass gas, inability to urinate, inability to make stool, nausea and vomiting, excessive pain in the abdomen, foul-smelling vaginal discharge, etc. In such cases, you should inform your doctor.

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