Hysteroscopy is a surgery which is minimally invasive. In this method, a tiny telescope called a hysteroscope is inserted into the uterus through the cervix. The instrument lets the surgeon see the inside of the uterine wall. He sees the uterine wall on a video monitor. He then inspects the uterine cavity to look for any abnormality like an intrauterine scarring. The shape and the lining of the uterus are then checked to look for any polyps, or fibroids. The opening of the fallopian tube is also checked by this method.
Performing Hysteroscopy surgeries
A general anaesthesia is first given and then a hysterescope is inserted into the uterus using a salt or a sugar solution. This helps in distending the uterus and lets the surgeon see the uterine cavity. After the uterine cavity is inspected many instruments are inserted using the hysterscope and this helps to treat the uterine fibroids, polyps and heavy menstrual bleeding.
The benefit of doing a hysterectomy is that the recovery time is quick and most of the patients are discharged on the same day. This causes no wound in the abdomen and thus the pain post operation is minimal and there are no wound infections.
The gynaecologist may inspect the uterus lining and then look for an intrauterine pathology such as polyps and fibroids that may be the cause of heavy bleeding. The activity is also assessed for women who may have difficulty in getting pregnant. The other conditions that are checked by this method are:
- Endometrial or cervical polyps removal
- Fibroid removal
- Endometrial lining biopsy
- Checking fallopian tube opening
- Intrauterine adhesion removal
- IUCD removal
There could be some cardio-pulmonary problems that can get aggravated because of general anaesthesia. The procedure can also be performed with a local anaesthesia or an epidural. The anesthesiologist can help in choosing the best and the safest method.
Uterine scarring is where bands of fibrous scar tissues get formed within the uterus. These scar tissues affect the functioning lining of the uterus and this can, in turn, affect fertility.
The uterus has three layers which are the serosa or the outer layer, myometrium or the muscular layer in the middle and the endometrium which is the inner layer. The inner layer is the one that a woman sheds once a month during her menses. This is also the place where the embryo implants and then grows into a pregnancy.
Uterine scarring is caused because of a trauma in the lining. When there is a uterine procedure then the rate of scarring is the highest. The scarring can be caused because of a surgery like dilation and curettage for a pro-abortion or a caesarean section.it can also be caused because of an inflammation or an infection like endometritis or any other infections like tuberculosis.
The uterine scarring can cause symptoms like Asherman Syndrome. This causes a light period or no period. The scar tissue can cause cyclic pelvic pain from the menstrual blood that gets trapped in the uterus. This could lead to a loss of a pregnancy or an inability to conceive.