Hysteroscopic Procedures

A hysteroscopy is a minimally invasive surgical procedure for viewing the cavity of the uterus by inserting a visualizing scope through the vagina and into the cervical opening. Hysteroscopy allows visualization of the inside of the uterus, including the openings to the Fallopian tubes, as well as direct examination of the cervix, cervical canal, and vagina. It is usually done under anesthesia in an operative set-up.

Diagnostic Hysteroscopy with Fractional D&C Рthis involves inserting the hysteroscope camera to view the inside of the uterus for the purpose of performing a biopsy on the lining of the uterus . This is usually done in cases of abnormal uterine bleeding or when there is a suspected mass in the uterus for biopsy.

Hysteroscopy, Polypectomy – this involves inserting the hysteroscope inside the uterus to visualize the inside cavity to locate the polyp so it may be removed by either scraping or using a hot wire.

Operative Hysteroscopy – this involves the use of an operative scope and a fluid distention media in performing the following:

  • Hysteroscopic Polypectomy – use of an operative scope to resect a polyp
  • Hysteroscopic Myomectomy – using an operative scope to resect myomas located inside the cavity of the uterus , called submucous myomas
  • Hysteroscopic Resection of Uterine Septum – there are women with developmental abnormalities in their uterus where there may remain a septum inside the uterus , causing infertility or recurrent pregnancy loss. This septum may be resected hysteroscopically to unify the cavity of the uterus.
  • Hysteroscopic Resection of Uterine Adhesions – Some women may develop intrauterine adhesions (IUA), synechia, or Asherman syndrome from obstetrical or nonobstetrical instrumentation of the uterus or infection of the urogenital tract leading to Abnormal Uterine Bleeding, Infertility, or Recurrent Pregnancy Loss. These adhesions may be removed with an Operative scope.
  • Hysteroscopic Removal of Foreign Body – some women may have a retained or fragmented intrauterine device which may be removed hysteroscopically.

 

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