AMVI Hospital
Operative hysteroscopy procedure at AMVI Hospital
Laparoscopic Surgery

OperativeHysteroscopyinHyderabad

Written & medically reviewed by Dr. Shaivalini Kamarapu
MBBS · MS (Obstetrics & Gynaecology) · Fellowship in Reproductive Medicine · 20+ years of clinical experience

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Whatisoperativehysteroscopy?

Hysteroscopy is a procedure in which a thin, lighted telescope with a small camera is passed through the cervix into the uterus, allowing the doctor to see the uterine lining directly. It can be used purely to look and diagnose, or — as operative hysteroscopy — to treat what's found in the same session.

Operative hysteroscopy is a minimally invasive gynaecological procedure that inserts an endoscopic lens through the cervix into the endometrial cavity, allowing the surgeon to directly treat a range of intrauterine conditions without any external incision.

Whenishysteroscopyindicated?

Submucous (internal) fibroids
Scarring (adhesions)
Endometrial polyps
Uterine septa and other congenital malformations
Abnormal gynaecological bleeding
Infertility
Locating and repositioning a misplaced IUD

Whyishysteroscopycarriedout?

Exploring the cause of abnormal bleeding or severe cramping

Investigating the reason behind repeated miscarriages

Examining the uterine openings to the fallopian tubes, sometimes with a dye test to check for tubal blockage

Finding and removing small polyps or fibroids

Pinpointing abnormalities in the uterine lining for sampling and biopsy

Techniquesused

The electrode is only activated once it begins moving toward the cervix, for controlled precision

Adjusting the generator's settings lets the surgeon coagulate, cut, or vaporise tissue depending on the electrode used

Extra care is taken cutting the myometrium, especially near the corners and cervix, where it's thinner

The distension medium used to expand the uterus for visibility depends on the energy type — saline for bipolar energy, an electrolyte-free medium for monopolar energy

Fluid balance is monitored closely throughout the procedure for patient safety

Whattoexpectafterward

Cramping similar to menstrual period pain

Some vaginal spotting for a few days

Regular activity can usually resume within one or two days

Sexual intercourse should be avoided for a few days, or as long as bleeding continues

Possiblecomplications

Infection of the uterus or fallopian tubes

Injury to the uterus or surrounding organs

Allergic reactions

Bleeding

Contact your doctor immediately if you notice

Heavy bleeding
Severe pain in the lower abdomen
Fever
Chills