6. hysteroscopy
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This document discusses hysteroscopy, which is a minimally invasive surgical procedure that allows visualization of the cervical canal and uterine cavity through a hysteroscope. It provides information on the history of hysteroscopy, different types of hysteroscopes, distension media used, techniques for performing hysteroscopy, indications for diagnostic and therapeutic hysteroscopy, contraindications, and potential complications. The document is authored by Dr. Chaduvula Suresh Babu from the Department of OBGYN at GIMSR in Visakhapatnam, India.
![ It is a procedure in which cervical canal and
uterine cavity is visualised through a scope
called Hysteroscope.
An important minimally invasive surgery
[MIS]
Combination of Laparo and Hysteroscopy is
called ‘ Pelvicoscopy’.](https://image.slidesharecdn.com/6-200323081040/85/6-hysteroscopy-2-320.jpg)
6. hysteroscopy
- 1. Dr.Chaduvula Suresh Babu Professor Department of OBGYN GIMSR Visakhapatnam, AP, India
- 2. It is a procedure in which cervical canal and uterine cavity is visualised through a scope called Hysteroscope. An important minimally invasive surgery [MIS] Combination of Laparo and Hysteroscopy is called ‘ Pelvicoscopy’.
- 3. 1869 – Pantaleoni 1970 – Improvement in optic system, availability of distension media 1980- 1990 – office hysteroscopy 2014 – Steffano Bettocchi – from Italy invented latest and safe techniques
- 4. Rigid Hysteroscope Flexible Hysteroscope Contact Hysteroscope Micro Hysteroscope
- 9. 1. Carbondioxide 2. Normal Saline 3. 1.5 % Glycine 4. Hyskon 5. 5% Dextrose 6. Ringer lactate
- 10. Monopolar or Bipolar energy source depending which type of media you are using
- 11. Xenon or Halogen light - elicits cold light
- 13. Postmenstrual or Preovulatory Emdometrium will be thin Bleeding will be less
- 14. Diagnostic: 1. Endocervical study 2. Uterine Malformations 3. Asherman syndrome 4. Uterine septum 5. Sub-mucus fibroid 6. Sub-mucu polyp 7. Postmenopausal endometrial biopsy 8. Misplaced IUCD 9. Contraception 10. Falloscopy 11. Endometrial TB 12. AUB 13. Cancer staging – endometrial 14. Preinvasive lesions from endocervix
- 22. Therapeutic: 1. Myomectomy 2. Polypectomy 3. Tubal canulation 4. Tubal Sterilization 5. Endometrial Ablation – TCRE, roller ball coagulation 6. Septal resection 7. Metroplasty 8. Asherman syndrome – Adhesiolysis 9. Retrieval of misplaced IUCD 10. IVF – insemination 11. Ballonoplasty
- 23. 1. Acute pelvic Infection 2. Pregnancy 3. Allergic to Glycine 4. Scarred Uterus 5. Uterus larger than 12 weeks 6. Cervical stenosis 7. During menstruation
- 24. 1. Vasovagal shock 2. Anaesthesia complications 3. Perforation 4. Fluid overload 5. Electrical Injury 6. Incomplete entry 7. Incomplete diagnosis 8. Incomplete surgery 9. Allergy to Glycine 10. Hyponatremia and coma due to Glycine toxicity 11. Gas or Air embolism 12. Organ Injury 13. Bleeding 14. Sepsis 15. Hematometra
- 25. Entry through Fimbria by laparoscopy
- 26. Entry of cornual end by hysteroscopy
- 27. Thank You All