What is operative hysteroscopy?
The technique of hysteroscopy has also been expanded to include operative hysteroscopy. Operative hysteroscopy can treat many of the abnormalities found during diagnostic hysteroscopy at the time of diagnosis. The procedure is very similar to diagnostic hysteroscopy except that operating instruments such as scissors, biopsy forceps, electocautery instruments, and graspers can be placed into the uterine cavity through a channel in the operative hysteroscope. Fibroid tumors, scar tissue (synechiae or adhesions), and polyps can be removed from inside the uterus. Congenital abnormalities, such as a uterine septum, may also be corrected through the hysteroscope. • What is hysteroscopic tubal cannulation? A relatively new method for treating proximal tubal obstruction (cornual blocks, where the tubes are blocked at the utero-tubal junction) is that of hysteroscopic tubal cannulation. Many studies have shown that this kind of block is often because of mucus plugs or debris which plug the tuba
Hysteroscopy is a procedure that allows a visual examination of the interior of the uterus and is performed by inserting a long, slender instrument directly into the uterus via the cervix. The diagnostic procedure usually takes a few minutes. An operative hysteroscopy allows the gynecologist to remove abnormal tissue such as polyps, fibroids that protrude into the uterine cavity or scar tissue. It is performed under general anesthesia and generally takes between 30 to 60 minutes to perform depending on the extent of the surgery required. The patient is sent home after 1 to 2 hours in recovery and may resume full activites by the following morning.
