My watch list
my.bionity.com  
Login  

Hysteroscopy



Intervention:
Hysteroscopy
Hysteroscopy 1898
ICD-10 code:
ICD-9 code: 68.12
MeSH D015907
Other codes:

Hysteroscopy is the inspection of the uterine cavity by endoscopy. It allows for the diagnosis of intrauterine pathology and serves as a method for surgical intervention (operative hysteroscopy).

Additional recommended knowledge

Contents

Method

The hysterocope has an optical system usually now connected to a video system, a light bearing system with fiberoptics, and a channel for delivery of a distention medium. The uterine cavity is a potential cavity, for inspection it needs to be distended. Thus during hysteroscopy either fluid (saline, sorbitol, or a dextrane solution) or CO2 gas is introduced to expand the cavity. After cervical dilation, the hysteroscope is guided into the uterine cavity and an inspection is performed. If abnormalities are found, an operative hysteroscope also has a channel to allow specialized instruments to enter the cavity and perform surgery. Typically hysteroscopic intervention is done under anesthesia, but a diagnostic procedure can be performed without anesthesia with instruments of smaller caliber.

Indications

Hysteroscopy is useful in a number of uterine conditions:

Complications

The most common problem is a uterine perforation when the instrument breaches the wall of the uterus. This can lead to bleeding and to damage to other organs. Distention media also can lead to an embolus or water intoxication.

Variations

A contact hysteroscope is a hysteroscope that does not use distention media. A resectoscope is a variation of a hysteroscope that contains an electric loop to resect a submucous leiomyoma.

 
This article is licensed under the GNU Free Documentation License. It uses material from the Wikipedia article "Hysteroscopy". A list of authors is available in Wikipedia.
Your browser is not current. Microsoft Internet Explorer 6.0 does not support some functions on Chemie.DE