Hysteroscopy during fallopian tube surgery

Hysteroscopic laparoscopy has many advantages in the treatment of many uterine diseases, such as no need for open surgery, less pain during the operation, good recovery, no impact on the ovaries, etc. Therefore, it is favored by many patients with uterine diseases. Today we will introduce the operation process of hysteroscopic laparoscopy in detail.

1. Anesthesia: Anesthesia for hysteroscopy and laparoscopy should be based on the length of the operation, the difficulty of the surgical treatment, and the patient's physical condition to select the best anesthesia method, anesthetic drugs, and testing contents. The commonly used anesthesia methods are: epidural block anesthesia, intravenous anesthesia, and general anesthesia.

2. Posture: Lithotomy position

3. Basic method to clean, disinfect and sterilize private parts and vagina. The private area is covered with a sterile test towel.

4. Follow up to check the position, size and condition of the uterus. Use a speculum to dilate the vagina and expose the cervix. After disinfecting the cervix with 0.5% iodine, use a cervical clamp to clamp the anterior lip of the cervix and apply traction to disinfect and sterilize the cervical canal. The position and depth of the uterus are explored with a cervical bougie, and the cervix is ​​dilated with a uterine dilator.

5. Connect the instruments, adjust the parameters to the normal range, prepare the distension fluid, i.e. 42℃±3000Ml isotonic saline, and set the distension pressure at 80----120Mmhg, with a flow rate of 200-300mmhg/min. Connect the water seepage hole of the hysteroscope to the uterine distension fluid through the pressure-controlled uterine distension device, connect the optical fiber line to the cold light lamp, turn on the power switch and adjust it to the appropriate color. Fix the limit switch on the hysteroscope at the deep layer of the explored uterine cavity. Empty the bubbles in the scope tube and the connecting tube, insert the hysteroscope into the internal os of the cervix along the uterine cavity, turn on the power of the pressure-controlled uterine distension device, introduce uterine distension fluid under the set pressure, and after the liquid discharged from the hole in the scope is clear, push the scope toward the uterus, and observe after the uterus is fully expanded.

6. Under the television monitoring system, check the posterior, anterior, and outer walls of the uterus, the uterine fundus, the uterine horns, and the bilateral fallopian tube cervical openings in sequence, and perform corresponding surgical treatment under hysteroscopy as needed. During the examination, pay attention to the shape of the uterine cavity and whether there are any abnormalities or changes in the uterus. Finally, carefully observe the internal cervical os and cervical canal when slowly withdrawing the endoscope. After the examination, corresponding surgical treatments can be performed under hysteroscopy as needed, such as uterine wall biopsy, cyst removal, removal of intrauterine foreign bodies, dissolution of intrauterine adhesions, and uterine septum incision.

7. After the operation, turn off the power of all instruments. Record the amount of uterine distension fluid used. And return the equipment to its original position.

I believe that the patients mentioned in this article already have a certain degree of understanding of hysteroscopy. If they really meet the indications for hysteroscopy, they might as well choose this method for treatment. In order to achieve the best treatment effect, patients must know more about the common problems before and after hysteroscopy before and after treatment.