Hysteroscopy surgery involves placing a small telescope instrument within the uterine cavity and examining the cavity. Scar tissues, polyps or small fibroid tumours can be removed without difficulty. This procedure has fewer surgical risks than a hysterectomy and provides an option to hysterectomy for stopping or reducing menstrual flow or for removing small fibroids or polyps while preserving a young woman’s fertility.
Laparoscopic assisted vaginal hysterectomy
This procedure starts by making small incisions in the navel and abdomen and freeing up the upper attachments of the uterus or ovaries before completing the procedure as a vaginal hysterectomy. Using this technique, perhaps 75-80% of abdominal hysterectomies can be converted to a vaginal approach. Typical hospital stays are 24-48 hours and convalescence can be as little as 2-4 weeks.
If you have a septum in your uterus, the doctor can guide a tool into the uterus to remove the septum. A septum is a tissue inside the uterus that divides the uterus in half and may be preventing you from successfully carrying a pregnancy.
Uterine Balloon Ablation
This makes it possible to destroy the uterine lining when a women suffers from excessive menstrual flow. This is an advance over a hysteroscopy endometrial ablation or “roller ball surgery”. While the “Roller ball” is done under general anesthesia or regional block (spinal or epidural), this is the outpatient procedure. Hospitalization is not necessary, except in rare instances. Most patients take 4-5 days off work following their surgery, although some individuals have returned to work within 24 hours.