Hystolaproscopy

Hysteroscopy is a procedure that allows your doctor to look inside your uterus in order to diagnose and treat causes of abnormal bleeding , thin lininf of uterus (Endomaterium ), infertility cause or any anatomical problem and also  check  the patency of Fallopian tube.

Laparoscopy  is an operation performed in the abdomen and pelvis through small incision  (usually 0.5–1.5 cm) with the aid of a camera. It can either be used to inspect and diagnose a condition or to perform surgery.

Hystrolaproscopy is combine procedure in which Hystroscopy  and Laperoscopy perform in same setting .

Procedure -In Hystroscopic procedure doctor  uses a thin viewing tool called a hysteroscope. The tip of the hysteroscope is put into your vagina and gently moved through the cervix into the uterus. The hysteroscope has a light and camera hooked to it so your doctor can see the lining (Endomaetrium) on a video screen and  laparoscopy  allows doctors to perform both minor and complex surgeries with a few small cuts in the abdomen to visvelise in side the abdominal cavity or to perform any surgical procedure.

 

Why It Is Done- 

Hystrolaparoscopy can be used for diagnosis, treatment, or both. A diagnostic procedure can sometimes turn into treatment.

Some reasons for diagnostic  Hystrolaparoscopy are:

  • Find the cause of severe cramping or abnormal bleeding. Your doctor can pass heated tools through the hysteroscope to stop the bleeding.
  • See whether a problem in the shape or size of the uterus or if scar tissue in the uterus is the cause of infertility.
  • Look at the uterine openings to the fallopian tube. If the tubes are blocked, your doctor may be able to open the tubes with special tools passed through the hysteroscope.
  • Find the possible cause of repeated miscageage. Other tests may also be done.
  • Find and remove a misplaced intrauterine device (IUD)
  • Find and remove small fibroid or polyps.
  • Check for endometrial cancer.
  • Use heated tools to remove problem areas in the lining of the uterus (endometerial ablation ).
  • Place a contraceptive implant (such as Essure) into the opening of the fallopian tubes as a method of permanent sterilization
  • unexplained pelvic pain
  • unexplained infertility
  • A history of pelvic infection
  • Torsion Overian cyst
  • simple or complex overian cyst
  • PID

Conditions that might be diagnosed using Hystrolaparoscopy include:

  • Endometriosis
  • Septed uterus
  • Blocke fal
  • uterine fibroids
  • Ovarian cysts or tumors
  • Ectopic pregnancy
  • pelvic abscess, or pus
  • pelvic adhesions, or painful scar tissue
  • infertility
  • pelvic inflammatory disease
  • reproductive cancers

How To Prepare

Tell your doctor if you:

  • Are or might be pregnant.
  • Are taking any medicines.
  • Are allergic to any medicines.
  • Have had bleeding problems or take blood-thinners, such as asperin or warfarin).
  • Have been treated for a vaginal, cervical, or pelvic infection in the past 6 weeks.
  • Have any heart or lungs  problems.

Preparation

If the procedure is done in the hospital under general anesthesia, the patient should not eat or drink anything (not evenwater) after midnight the night before the procedure.

Aftercare

Many women experience light bleeding for several days after surgical hysteroscopy. Mild cramping or pain is commonafter operative hysteroscopy, but usually fades away within eight hours. If carbon dioxide gas was used, there may alsobe some shoulder pain. Nonprescription pain relievers may help ease discomfort. Women may want to take the day offand relax after having hysteroscopy.

Risks

Diagnostic hysteroscopy is a fairly safe procedure that only rarely causes complications. The primary risk is prolongedbleeding or infection, usually following surgical hysteroscopy to remove a growth.
Very rare complications include perforation of the uterus, bowel, or bladder. Surgery under general anesthesia causes theadditional risks typically associated with anesthesia.
Patients should alert their health care provider if they develop any of these symptoms:
  • abnormal discharge
  • heavy bleeding
  • fever over 101 °F (38.3°C)
  • severe lower abdominal pain