Earlier diagnosistakes treatment that is more effective
Graduate doctor at UnB
Specialist in Gynecology and Colposcopy
Post-Graduation in Orthomolecular Practice in Medicine (PUC)
Extensive academic training in Brazil and abroad
Adept of Integrative Medicine
More than 25 Years Dedicated to the Care of Women
Hysteroscopy is a minimally invasive intervention that can be used to diagnose and treat many intrauterine and other problems such endocervical polyps. Hysteroscopic polypectomy, myomectomy, and endometrial ablation are just a few of the commonly performed procedures
There are two types of videohysteroscopy:
Diagnostic videohysteroscopyis performed in the office and allows only visualization of the uterine cavity. In this procedure the lesion is identified but not treated.
New generations of ultrasound equipment accurately detect changes in the uterine cavity. At the moment Dr. Ana Luiza Riosbelieves that a transvaginal or pelvic ultrasound performed in the period immediately after menstruation is sufficient to identify changes within the cavity.
This simplifies medical conduct with these patients because diagnostic hysteroscopy is no longer necessary, which is a very painful procedure in most cases.
Surgical videohysterectomy in addition to locating and identifying the lesion, the treatment is also performed (polyp, myoma, etc.). The patient cured the disease most of the time.
Having the appropriate ultrasonographicreport, the surgical videohysteroscopyis performed. It is the modern medical practice “see and treat” in a single time diagnosis and treatment without pain for the patient and with resolution of the illness. In the case of detection of malignant pathologies (cancer), confirmed by the biopsy performed in the surgical videohysteroscopy, other complementary treatments will be necessary.
What types of procedures?
Hysteroscopy polypectomy is performed in all cases they are present in the uterus cavity causing pain and bleeding. It is the most common indication for Videohisteroscopy.
Hysteroscopic myomectomy may be indicated in submucousmyomas less than 5 cm in diameter that present more than half of their volume occupying the endometrial cavity and are causing symptoms (bleeding or infertility).
On the other hand, endometrial ablation consists of the removal or destruction of the endometrium, aiming at reducing menstrual bleeding in patients presenting with menorrhagia. It should be performed in patients who do not wish to become pregnant (although it is not a safe method of contraception) and can prevent hysterectomy in some patients.
What are the preoperative preparations?
Physical examination and blood routine.
The patient attends the office the day before surgery for the preparation of the uterine cervix for facilitating the entry of the equipment and the full success of the procedure
What are the possible complications?
Complications are few if the indicated technique and appropriate materials, medications and monitoring are used. Uterine perforation may occur during dilatation of the cervical canal, during penetration of the hysteroscope, or even in the procedure itself. In this case the procedure is interrupted.Important injuries to the uterine wall, vessels or abdominal organs are investigated. This research can be performed through laparoscopy or laparotomy.
What are the contraindications?
The contraindication for performing surgical hysteroscopy isif the patient can notreceive anesthetic sedation