How long does hysteroscopy take?

Hysteroscopic surgery is a common gynecological surgery. Most of these surgeries are used to treat cervical diseases, or women also need hysteroscopy for blood sampling during abortion. Although it is a minimally invasive surgery, it can also cause pain in women, and they also need a certain amount of time for care after the surgery, otherwise it is likely to cause vaginal infection. So how long does a hysteroscopic surgery take?

How long a hysteroscopic surgery takes depends on the specific circumstances. Generally speaking, hysteroscopic surgery is mainly used to treat endometrial polyps, uterine cavity residues after incomplete abortion or medical abortion, and endometrial adhesions. For these three diseases, hysteroscopic treatment is a very commonly used method. However, the specific duration of the operation depends on the severity and difficulty of the disease. Generally speaking, hysteroscopic surgery requires speed, because water intoxication is likely to occur if the surgery takes too long, so the surgery is usually controlled within about half an hour, and usually no longer than an hour. Because the time is too long, the chance of water poisoning will be very high, so the risk will be higher. So he is very strict about time.

The duration of hysteroscopic surgery is as follows:

1. Single polyp: 5-10 minutes of electroresection and preparation time;

2. Severe intrauterine adhesions: Laparoscopic assisted monitoring is required, which takes 30-60 minutes;

3. Multiple uterine fibroids: Suitable for type 0, type I, type II, and even type III submucosal uterine fibroids. Type III takes > 1 hour, requires high technical skills, and is not suitable for beginners.

During surgery, the pressure of the distended uterus causes fluid to enter the blood through the open blood vessels and dilute the blood, which can easily lead to water intoxication, i.e. hyponatremia. During long surgeries, the anesthesiologist should be reminded to monitor electrolytes and perform blood gas analysis at all times so that problems can be discovered and dealt with in a timely manner to prevent the occurrence of complications. If complications occur, the operation should be terminated immediately.