Is hysteroscopic polyp removal painful?

Hysteroscopic surgery is a relatively advanced surgical method nowadays. If this method is used to remove polyps, the wound will become smaller, which will also make the recovery speed faster. However, hysteroscopic surgery is not suitable for everyone. If the patient already has infertility and uterine bleeding, try not to choose this surgical method for treatment.

1. Frequent uterine bleeding, including excessive menstrual flow, frequent menstruation, prolonged menstruation, irregular uterine bleeding, etc.

2. Infertility and recurrent spontaneous abortion: Based on a comprehensive and systematic evaluation of both men and women, the intrauterine causes are explored and corrected.

3. If B-ultrasound, hysterosalpingography or curettage examination indicates abnormalities or suspicions in the uterine cavity, hysteroscopy can be used to confirm, verify or exclude them.

4. Patients with adhesions in the uterine cavity or foreign bodies remaining in the uterine cavity, the latter including fetal bone fragments, etc.

5. For patients suspected of endometrial cancer and its precancerous lesions, hysteroscopy, localized biopsy and histopathological evaluation can help with early diagnosis and timely treatment.

6. If the patient is appropriately selected and well prepared before surgery, some hysteroscopic surgeries can replace or improve traditional treatment methods.

7. Application of hysteroscopic diagnosis and treatment technology in family planning clinical and scientific research:

(1) IUD positioning and removal;

(2) Its role in the diagnosis and treatment of induced abortion and its complications;

(3) Research on hysteroscopic tubal sterilization.

8. Application in follow-up and scientific research

9. Diagnosis of intrauterine adhesions.

10. Evaluate abnormal uterine cavity echoes and space-occupying lesions detected by ultrasound examination.

Bleeding

There is usually a small amount of vaginal bleeding after hysteroscopy, which usually stops within a week. Hysteroscopic surgery may cause excessive bleeding due to excessive cutting, poor uterine contractions, or incomplete hemostasis during the operation. Bleeding can be stopped with an electrocoagulator or by compression with a Foley catheter for 6 to 8 hours.

Infect

The infection rate is low. Knowing the indications and contraindications, using antibiotics appropriately before and after surgery, and strictly disinfecting instruments can avoid the occurrence of infection.

Complications of uterine distension

Excessive absorption of distending fluid is a common complication during uterine distension, which often occurs during hysteroscopic surgery and is related to excessive distension pressure and a large area of ​​endometrial damage. The pressure during uterine distension can be maintained at 100 mmHg (13.3 kPa). Excessive pressure is not conducive to clear vision, but instead causes fluid to flow into the abdominal cavity through the veins or fallopian tubes and be absorbed in large quantities.

If the operation lasts too long, it may easily lead to excessive absorption, resulting in excessive blood volume and hyponatremia, causing a series of systemic symptoms, and in severe cases, death. Using carbon dioxide as a uterine inflation medium can lead to serious complications or even death if the inflation speed is too fast. Currently, a dedicated inflation device is used, and the inflation speed is controlled at 100ml/min to avoid the occurrence of complications. Carbon dioxide uterine distension causes postoperative shoulder pain, which is caused by carbon dioxide stimulating the diaphragm.