Hysteroscopy is done using hysteroscope, a thin, lighted tube that is inserted into the vagina to examine the cervix and inside of the uterus. Hysteroscopy can be either diagnostic or operative.
Diagnostic hysteroscopy is used to confirm results of tests, such as hysterosalpingography (HSG). HSG is an X-ray dye test used to check the uterus and fallopian tubes.
Hysteroscopy surgery involves placing a small telescopic instrument within the uterine cavity and examining the cavity. Scar tissues, polyps or small fibroid tumours can be removed through this process. This procedure has fewer surgical risks than a hysterectomy and is viable option to hysterectomy for purposes stated like stopping or reducing menstrual flow or for removing small fibroids or polyps while preserving a young woman’s fertility.
Laparoscopic-assisted vaginal hysterectomy
In this procedure, a small incision is made in navel and abdomen and detaching it from the upper attachments of the uterus or ovaries before completing the procedure to satisfy the purpose of the surgery. Then LVAH is performed. Using this technique, perhaps 75-80% of abdominal hysterectomies can be done through a vaginal approach.
Typical hospital stay for this surgery is around 24 to 48 hours and convalescence can be as little as 2-4 weeks.
If there is a septum in a 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 into halves and prevents from successfully carrying a pregnancy.
Uterine Balloon Ablation
This makes it possible to destroy the uterine lining when a woman suffers from an excessive menstrual flow. This is an advanced version of a hysteroscopy endometrial ablation or “roller ball surgery”. While the “Rollerball” is done under general anesthesia or regional block (spinal or epidural), this is an outpatient procedure.
Hospitalization is not necessary, except in rare instances. Mostly patients need 4-5 days off work following this surgery. Though some individuals return to work within 24 hours of surgery.