The harm of hysteroscopic separation of adhesions

It may be because abortion surgery is currently performed within the uterine cavity, and intrauterine surgery is performed more frequently, resulting in many cases of intrauterine adhesions. This is quite painful for female friends, and may even affect future fertility. Hysteroscopy is currently a relatively advanced inspection and treatment technology. It has a relatively fast recovery after surgery and less trauma. It can be used to treat intrauterine adhesions. Many friends are worried that surgery will cause certain harm. So what are the hazards of hysteroscopic separation of adhesions? The following is a detailed introduction.

Intrauterine adhesions are currently recognized as a highly difficult and complicated disease. Even with surgical separation, the chance of re-adhesion is extremely high. Hysteroscopic surgery is a minimally invasive surgery that causes some damage to the uterus.

Risks of hysteroscopy.

Hysteroscopy is a new, minimally invasive gynecological diagnostic and treatment technology. It is a fiber-light endoscope used for intrauterine examination and treatment. If it is not performed properly, complications such as perforation, bleeding, and infection may occur.

Complications of hysteroscopy: 1. Injury (1) Excessive traction and dilation of the cervix may cause cervical injury or bleeding. (2) Uterine perforation: The uterine perforation rate of diagnostic hysteroscopic surgery is about 4%. The American Society of Gynecologic Laparoscopists recently reported that the uterine perforation rate of surgical hysteroscopy is 13.0%. Severe intrauterine adhesions, scarred uterus, excessive anteversion or retroflexion of the uterus, after cervical surgery, atrophic uterus, and lactating uterus are all prone to uterine perforation. Sometimes the perforation is not detected and the surgical procedure continues, which may cause serious intestinal damage. Perforation often occurs at the fundus of the uterus. Laparoscopic monitoring can also reduce the incidence of perforation. Once perforation occurs, the operation should be stopped, the instrument should be withdrawn, the perforation situation should be estimated, and abdominal pain and vaginal bleeding should be carefully observed. Perforation of a 5 mm scope has no obvious sequelae, but perforation during hysteroscopic surgery requires consideration of laparotomy or laparoscopy. Especially caution should be exercised when perforating due to electrocoagulation devices and lasers used in recent years. Fallopian tube catheterization under hysteroscopy may damage the uterine horns, carbon dioxide gas distension of the uterus may cause hydrosalpinx rupture, and gas may enter the broad ligament to form emphysema.