Laparoscopic Hysteroscopy Procedure in India

Hysteroscopy is a technique to look directly inside the womb (uterus). It may be done because ofabnormal uterine bleeding, postmenopausal bleeding, miscarriage or subfertility. A thin telescope called a hysteroscope is passed through the neck of the womb (cervix) into the cavity of the womb itself. Sterile water is put in via the hysteroscope to separate the walls of the womb and allow visualisation of the inside of the uterus. The hysteroscope is generally attached to a TV screen and photographs can be taken.

Hysteroscopy can be done either with or without general anaesthetic. If performed without anaesthetic the hysteroscopy is generally carried out in an environment very similar to the outpatient suite. Sometimes there can be mild discomfort like period pain, which should settle down within a couple of hours. A biopsy (a sample of tissue) of the lining of the womb may be taken and sent to the laboratory to be looked at under a microscope.

The whole procedure is likely to take about 10-15 minutes, although sometimes extra procedures such as the removal of a polyp may be necessary and could make it last a bit longer.

HYSTEROSCOPIC SURGERY

Hysteroscopic surgery involves inserting a telescope into the uterus. It enables more precise diagnosis and treatment of women with irregular vaginal bleeding and may be recommended to diagnose and treat the following:

• Endometrial polyps (over growth of the lining of the uterus)
• Submucous fibroids (small lumps of muscle)
• Abnormal endometrial thickening

A Hysteroscopy involves a light, general anaesthetic and lasts approximately 20 minutes. You will need someone to drive you to and from Hospital and are generally in Hospital for no more than two hours.  Most women take the next day off work and can expect a blood stained discharge for up to one week.

The risks related to this surgery are low and complications uncommon.

To view some before and after images of Hysteroscopy procedures.

Endometrial Resection is a Hysteroscopic procedure that is used as an alternative to Hysterectomy to treat women with heavy periods (menorrhagia).

Hysteroscopic Resection–

Hysteroscopic resection is a technique which is used as conservative treatment for women with menstrual symptoms. It is often performed instead of a hysterectomy (removal of the womb). Initially a narrow telescope (a hysteroscope) is introduced through the cervix to examine fully the cavity, then by passing electrical current through a small loop placed inside the hysteroscope the lining of the womb is removed (shaved-off).

Hysteroscopic resection also allows removal of fibroids that grow inside the uterus and that cause heavy menstrual bleeding, uterine septum (a thick band of tissue inside the womb) that may cause miscarriages, and intrauterine adhesions (cling film inside the womb) that cause infertility, absence or very light periods and pelvic pain.

Sometimes it is necessary to take a course of tablets or to have one or more injections before the procedure. This approach helps to reduce the thickness of the lining of the womb and the diameter of fibroids and make the operation more successful. Hysteroscopic resection of either the endometrium (lining of the womb) or of fibroids is usually performed under a light general anaesthetic. The complications of such procedure are rare. They include perforation of the uterus which may lead to injury to the bowel and/or to the bladder, infection, bleeding and excessive fluid absorption. The whole procedure may take between 20 and 45 minutes. No overnight hospital stay is generally required. Normal activities can be resumed after 5-7 days.

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