Hysteroscopy steps pictures

Hysteroscopic surgery is one of the new items of gynecological examination. It uses an optical fiber speculum inserted into the uterine cavity to observe the physiology and clinical manifestations of the cervical canal, internal cervical os, endometrium and bilateral fallopian tube ostia, so as to facilitate the visual and accurate sampling of diseased tissues and send them for pathological examination. In addition, surgical treatment under hysteroscopy can also be performed directly. So, what is the whole process of hysteroscopic surgery?

The whole process of hysteroscopic surgery

1. The examiner takes the lithotomy position, disinfects the private parts and vagina, spreads a sterile test towel, exposes the cervix with a vaginal speculum, disinfects the vagina and cervix again, clamps the cervix with a cervical clamp, uses the probe to grasp the depth and position of the uterine cavity, and dilates the cervix to a size half the diameter of the sheath outside the scope. Connect the liquid uterine distension pump and adjust the working pressure to the minimum reasonable uterine distension working pressure. After the gas in the perfusion tube is discharged, dilate the cervix with 5% glucose solution. Under the guidance of the hysteroscope, slowly insert it into the uterine cavity according to the axial diameter of the cervical canal, clean the blood in the uterine cavity until the liquid is calm, adjust the liquid flow, make the uterine cavity pressure reach the required working pressure, and the uterine cavity and cervical canal can be clearly identified by intrauterine expansion.

2. Observe the uterine cavity: First observe the panoramic view of the uterine cavity, the uterine fundus, the anterior, posterior, left and right walls of the uterine cavity, and the openings of the fallopian tubes on both sides; observe the internal cervical os and cervical canal during the entire withdrawal process. Withdraw the hysteroscope from the cervical canal.

3. Intrauterine operations: Short-term, simple surgical operations can be performed immediately after diagnosis, such as intrauterine incarceration, easily removable intrauterine polyps, and endometrial puncture biopsy.

It should be noted that the examination requires an empty stomach in the morning, so friends who go to the hospital for examination should pay attention. Test results usually don't come out so quickly, so if conditions permit you can stay in the hospital, and the specific situation will be based on the hospital physical examination or doctor's diagnosis. One of the main advantages of staying in the hospital is that doctors can understand the patient's condition at any time, and then make arrangements at any time once the test results come out.