The article was consulted professionally by Dr. Nguyen Chi Quang, Obstetrics and Gynecology Department – Obstetrics and Gynecology Department – Share99 Central Park International Health Hub.
Endoscopy of the uterus is a technique that allows the doctor to observe the inside of the uterus to diagnose and treat abnormal causes of uterus hemorrhage. Today, it is also a common means of access to many other gynecological diseases, for high efficiency.
1. What is a uterus endoscopy?
The uterus is an important breeding agency of a woman, a nesting place of the embryo and a place of adhesion of the cake that nourishes the fetus throughout pregnancy. Without pregnancy, the endo will give birth and peel off as a rule, forming a menstrual cycle.
Endoscopy of the uterus chamber is an image means of learning that helps to examine the inner surface of the uterus with a minimum degree of invasiveness, determining the cause of abnormal vaginal bleeding for many women.
To do this, the doctor uses a metal endoscope inserted through the vagina, cervical and into the uterus. On the tube with a light source and camera, helping to receive and transmit images out, shown on the screen helps many doctors to observe and find abnormalities in the uterus. Not only that, the treatment can also be carried out at the same time thanks to the insertion of intervention instruments, which helps the diagnosis and treatment of diseases by means of endoscopy of the uterus only take place in the same procedure.
Endoscopy of the uterus usually takes 30 to 45 minutes and is performed as an outpatient technique, i.e. the patient does not need to be hospitalized but comes home the same day. This technique burns less painfully so the patient only needs local or spinal anesthesia. Therefore, patients should be scheduled in advance and should not eat for at least 4 to 8 hours before the endoscopy.
2. The role of ovarian endoscopy in the treatment of uterus hemorrhage
Today, as ovarian endoscopy becomes more and more common, the causes of suspected vaginal hemorrhage from the uterus are more clearly identified and treated effectively.
Accordingly, endoscopy of the uterus is in dinhed for the following purposes:
- Locate and assess the causes of uterine hemorrhage , suchas hypothal fibroids or polyps that cause serious anemia complications;
- Diagnosis and treatment of endometrial growth TC
On the other hand, endoscopy of the uterus is used not only for diagnosis, but also for the treatment of abnormal vaginal bleeding diseases derived from the wounds on the surface of the uterus. If during an observational endoscopy detects bleeding lesions, the tissue mass can be interfered with by laser or electric combustion with low voltage current, or by surgical dissection, removal at the same time. In addition, endoscopy is also a tool to guide the doctor to locate to perform endometrialbiopsy , which helps to clearly determine the nature of the wound and plan for follow-up later.
However, in order for endoscopy of the uterus in particular and endoscopic techniques of organs in general to be carried out safely and effectively in detecting and treating diseases, the professional qualifications and experience of the doctor directly perform as well as the facilities system , equipment plays a very important role.
In addition, since endoscopy of the uterus only helps to survey the internal injuries inside the uterus, the limitations of this technique are not suitable for examining or diagnosing diseases that occur in the muscle city or outside the uterus. At the same time, although the endoscope can show images up to the opening of the ovation of the ovation to the uterus cavity, it does not help to directly examine the ovulation ducts.
3. How to conduct an endoscopy of the uterus
Endoscopy of the uterus is conducted only after the causes of a uterus hemorrhage cannot be determined by other means. Accordingly, in order to limit the risks that this technique can bring, the endoscopy needs to be correctly prescribed and not violate the contrain specifying.
The contraintents of ovarian endoscopy are women who are pregnant or have an infection of the appencies, cancer of the uterus or cervical cancer. In addition, narrowing of the cervical opening can cause difficulties or impossible to perform an endoscopy.
Before the endoscopy of the uterus, the patient is examined by gynecology as well as other body systems to ensure that the physical condition can withstand the procedure. After that, when scheduled, the patient is told to fast and clean the body in accordance with the regulations.
Depending on the purpose and health status of each patient, endoscopy of the uterus may be outpatient or require inpatient. Sometimes an endoscopy can be performed in the operating room if it is already planned to be associated with surgery. Therefore, the doctor will advise patients and relatives in detail on how to prepare as well as methods of anesthesia or anesthesia before performing an endoscopy.
3.2. Implementation process
Depending on the suspected pathology, age and number of the patient's child, doctors will choose the size of the endoscope inserted into the uterus through the cervical opening accordingly. This also depends on the purpose of the endoscopy as well as the prediction that intervention techniques will be performed at the same time. In most cases, narrow-diameter endoscopic tubes are often used, and patients only need local anesthesia without anesthesia.
In addition, to facilitate the access process, the patient will be placed a vaginal opening instrument, called a duck beak, and after placing the endoscope in, the uterus chamber will be pumped with an amount of fluid or gas that helps the uterus cavity to stretch, for a favorable and clear collection image. Besides, if the uterus is too firm and close, making it difficult to insert the instrument, the doctor will prescribe drugs that help promote dilation of the cervical.
4. What is post-endoscopic monitoring of the uterus?
If an endoscopy of the uterus is performed outpatiently, the person can go home immediately after the end of the procedure. In case of needing a full-body anesthesia, the patient needs to stay monitored until the effects of the drug are over and a relative is required to be brought back, absolutely not to drive, operate machinery, climb to altitude within 24 hours afterwards.
After an endoscopy of the uterus,most patients experience vaginal bleeding but in very small amounts and can completely return to normal functioning almost immediately. Others still feel pain, needing additional common analgesic drugs such as paracetamol or ibuprofen.
However, if the woman encounters any of the following phenomena, it is advisable to return to the examination early:
- High and prolonged vaginal bleeding;
- Severe abdominal pain;
- Signs of infection, such as fever, cold tremors and purulent, dense, smelly vaginal discharge.
5. Possible complications during endoscopy of the uterus
In general, endoscopy of the uterus is a very safe technique. However, similar to other techniques, uterus endoscopy cannot absolutely avoid risks.
In particular, the most severe is the perforation of the uterus or cervical due to the endoscope, which causes abdominal pain and bleeding into the abdomen. These cases require hem bleeding emergency surgical intervention. In addition, endoscopy of the uterus also has other complications such as severe blood loss due to trauma during intervention or infection … However, it is very rare that the possibility of endoscopy of the uterus can cause life-threatening problems.
In the era of development of medical techniques, endoscopy of the uterus is becoming increasingly popular. This is a useful method that helps diagnose and intervene in a number of diseases that cause abnormal uterus hemorrhages. When there are signs of non-cyclical vaginal bleeding, the woman needs to go to a reliable specialist hospital and be performed an endoscopy as prescribed, helping to detect the disease early and treat it in a timely manner.
Before becoming a Doctor specializing in Obstetrics and Gynecology at Share99 Central Park International Health Hub, Dr. Nguyen Chi Quang worked at Tu Du Health Hub and Ho Chi Minh City University of Medicine and Pharmacy Health Hub. Ho Chi Minh City. Dr. Quang has many years of deep professional experience and strengths in the treatment of obstetric and gynecologic diseases such as:
- Laparoscopic Surgery of Uterine Fibroids
- Laparoscopic surgery of ovarian tumors
- Genital laparoscopic surgery
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Reference source: acog.org; emedicinehealth.com
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