In recent years, the fairer sex has increasingly faced with various pathologies. The reason for this may be promiscuous sex life, lack of childbirth at a certain age, hormonal abnormalities, improper lifestyle, and so on. Many diseases have to be treated operatively. Of course, every woman is afraid to get to the table of the surgeon. Especially when it comes to the future of its reproductive function. This article will focus on a procedure called hysteroresectoscopy. What it is will be described below. It is also worth mentioning the conditions and methods of conducting such an operation.
Minimally invasive treatments for gynecological diseases
In recent decades, minimally invasive surgical interventions have gained great popularity. Hysteroresectoscopy also refers to these. The operation allows to reduce the treatment time in the hospital and recover faster after all procedures. When applying the minimally invasive treatment method, microscopic instruments are used. Most often, the surgeon controls them autonomously. At the same time, control is carried out using special optical devices.
Minimally invasive treatment is not always used. Before this, the doctor must carefully evaluate all the risks. Sometimes it is impossible to carry out such a manipulation. In this case, a conventional laparotomy is prescribed.
Pros of the procedure
A minimally invasive treatment method avoids the occurrence of many complications. So, with abdominal surgery, the patient always has an adhesive process in the pelvic area. Some women feel pronounced symptoms of such a pathology, while others more easily tolerate the presence of adhesions.
Using the tools in an autonomous way avoids major injuries. Women should no longer worry that ugly and large scars will remain on their body. Using this technology leaves only small and inconspicuous scars.
The main advantage of a minimally invasive treatment method is that a woman should remain in the hospital for a minimum amount of time. After some interventions, the patient can go home in a few hours. However, the time of the procedure itself may slightly increase. All due to the fact that the doctor does not have direct access to the affected area and works “blindly”.
Cons of the procedure (possible complications)
The minimally invasive method of treating gynecological diseases has several disadvantages. However, they are insignificant in comparison with the described advantages. Among those, we can distinguish:
- the risk of damage to neighboring organs with the introduction of instruments and optics;
- bleeding that leads to the need for a laparotomy;
- the ability to remove the pathology is not completely;
- joining infections and so on.
It must be remembered that abdominal surgery can lead to the same consequences. That is why, when choosing a particular treatment method, it is worth considering all the risks and advantages.
Hysteroresectoscopy: what is it?
This manipulation is one of the minimally invasive procedures. It is performed within the walls of the hospital. However, in some cases, a woman can go home in a few hours.
In most cases, preliminary anesthesia of the body is necessary during the procedure called hysteroresectoscopy. What it is? Anesthesia is called the use of anesthesia. It can be local, general or epidural. It all depends on the complexity of the pathology, the desire of the patient and the capabilities of the clinic.
Hysteroresectoscopy today allows you to treat many diseases that a few decades ago required the complete removal of the genital organ or dissection of its walls. This manipulation is increasingly used by modern clinics and young specialists. Perhaps in a few years, uterine hysteroresectoscopy will become one of the most common manipulations and will be prioritized by laparotomy and laparoscopy.
Indications for manipulation
So, you got acquainted with the concept of hysteroresectoscopy (what is it). Now it’s worth finding out who is assigned this manipulation. The main indications for the intervention are the following conditions:
- fusion of the walls of the genital organ caused by genetic abnormalities or inflammatory diseases;
- the formation of adhesions inside the uterus for various reasons;
- fibroid treatment;
- neoplasms that appear on the walls of the uterus (papillomas, cysts, tumors);
- some pathologies of the cervical canal and so on.
Before manipulation, the doctor always assesses the risks. In some cases, laparoscopy or laparotomy is still preferred.
Contraindications for manipulation
Not all patients can have a hysteroresectoscopy of the uterus. Contraindications for the operation include the following situations:
- infectious diseases of the pelvic organs, in particular the genital organ;
- bleeding of unknown etiology;
- severe pain in the abdominal cavity associated with pathology;
- some heart, liver, and kidney diseases;
- pregnancy;
- colds and so on.
All of the above contraindications can be divided into absolute and conditional. Some of them categorically prohibit the use of this method of treatment. Others allow the use of a resectoscope after some correction.
How is the procedure performed?
During the manipulation, high-tech methods for monitoring the operation of devices are used. At the very beginning of the procedure, an anesthetic is administered to the woman. After this, the patient falls asleep (with general anesthesia) or ceases to feel pain (with local or epidural anesthesia). Next, the doctor proceeds with the introduction of devices.
First, the cervical canal and cervix expand. A resectoscope is inserted into the cavity of the genital organ. This device is equipped with a special camera that displays the image on a large monitor, and the necessary tools for the operation. The doctor controls the entire process that occurs in the cavity of the genital organ.
Immediately after the introduction of the device, a small amount of solution is supplied. This fluid improves visibility and allows you to slightly stretch the walls of the uterus. Thanks to this, the treatment will be carried out more efficiently.
Removal of the polyp in the uterus
This operation is performed as follows. After the introduction of the device, the doctor discovers a pathological formation. All available tools are sent to him and work begins. With the help of a device that looks like a curette, a polyp is cut together with a leg. After this, coagulation of the base is mandatory. Most often, a laser or drugs are used for this.
Removal of the polyp in the uterus occurs quickly and without any consequences. Many clinics guarantee the absence of relapse with the correct therapeutic correction after the procedure.
Fibroid treatment
Hysteroresectoscopy of fibroids has become one of the rescue procedures for women who want to have a baby. Previously, for the treatment of pathology, the laparotomy and laparoscopic method was used, which required dissection of the walls of the genital organ, but with the development of technology, everything changed. This manipulation allows you to avoid cuts on the uterus, which lead to scar formation. Most of the fairer sex after manipulation successfully bear children and give birth on their own.
During the procedure, the myomatous node is cut off with a small depression. After that, the damaged surface is processed. Also, during work, the doctor has the opportunity to carefully examine the remaining cavity of the genital organ. Perhaps, small nodules will be detected that are immediately removed. This avoids reoperation.
Treatment of uterine pathologies
If there is a septum in the organ cavity or adhesions have formed, then the device detects them and makes a dissection. Such a manipulation allows you to assess the condition of the walls of the organ and, if necessary, carry out the correction of other pathologies.
A few decades ago, the septum in the uterus could not be removed. Women with such an education, bearing a child, were at risk. Now everything has changed. With the development of medicine, the fairer sex can not only eliminate the disease, but also prevent its recurrence.
Postoperative period
Like any other operation, it causes hysteroresectoscopy of the discharge. However, they do not last long. If after a laparotomy, which requires dissection of the walls of the uterus, bleeding can last up to two weeks, then after hysteroresectoscopy, the discharge is observed for only a few days. This avoids massive bleeding and infection of the wound.
After the procedure, the woman goes to the ward, where she comes to herself. The effect of anesthesia is short-lived, and after a couple of hours the patient can go home. Only in some (more severe) cases does the representative of the weaker sex remain in the hospital for several days.
After hysteroresectoscopy, it is necessary to carry out treatment. Depending on the pathology, it can be antibacterial, antimicrobial, immunomodulatory and hormonal. If the patient wants to conceive a child, then it is worth informing the doctor. In this case, a milder therapy is selected, which does not exclude the possibility of pregnancy.
Patient opinions
Hysteroresectoscopy reviews is only positive. Women say that manipulation allows not only to remove the pathology, but also to conduct additional research. All materials obtained during the operation are sent for histology. Based on the results of the diagnosis, a more accurate diagnosis is made, which allows to prescribe the correct treatment.
Also, patients note that a procedure called hysteroresectoscopy is a rather expensive pleasure. The price of manipulation in a private clinic can vary from 10 to 50 thousand rubles. In state medical institutions, treatment is free, but at present, not all hospitals have the necessary equipment and specialists qualified in this field.
Summary and short conclusion
You now know what a hysteroresectoscopy is. If you want to bring your health back to normal and to avoid a long stay in the hospital, rehabilitation period and scarring in the abdomen, then this manipulation will help you. Contact your doctor and ask about the possibility of carrying out the procedure within the walls of your hospital. Be healthy and do not get sick!