Surgical Hysteroscopy in Málaga
Hysteroscopic surgery
What is hysteroscopic surgery?
The hysteroscopic surgery o o surgical hysteroscopyis a minimally invasive procedure that uses a small hysteroscope to view and perform treatments inside the uterus.
The hysteroscope is inserted through the vagina and reaches into the uterus. A camera attached to the end of the hysteroscope transmits the image of the uterus to a screen, allowing the gynaecologist to make a diagnosis and in many cases solve the problem with endoscopic instruments designed for that purpose.
The Pérez Bryan Gynaecology Clinic in Málaga offers its patients in its gynaecology unit the possibility of performing hysteroscopic surgery, which allows many uterine problems to be solved by means of a procedure with minimal complications and rapid recovery compared to procedures performed by laparoscopy or conventional surgery.
The surgical hysteroscopya provides a safer and more effective alternative to traditional open surgery by eliminating the need for an abdominal incision or access through the abdominal wall. The benefits of hysteroscopic surgery include faster recovery, less pain, fewer complications and shorter hospital stays.
Indications for hysteroscopic surgery
The main medical indications for performing hysteroscopic surgery are:
Removal or correction of common injuries such as:
- Uterine polyps or endometrialesPolyps can grow into the uterine cavity, where they can interfere with embryo implantation and cause infertility or abnormal bleeding. These polyps can be diagnosed through abdominal ultrasound or hysterosalpingography.
- Fibroids / Uterine fibroidsFibroids, which may be intracavitary or submucosal, growing within the uterine cavity can cause infertility, recurrent miscarriage, abnormal bleeding and severe menstrual pain. Fibroids can be resected into small fragments that are sent to the pathology laboratory for diagnosis. The uterus is left with a normal appearance after surgery, which greatly improves the likelihood of a successful pregnancy.
- Adhesion release, adhesions are scar tissue within the uterine cavity that can occur after curettage, uterine surgery or as a result of infection and can hinder pregnancy.
- Uterine septum is a congenital malformation of the uterus, which divides the uterine cavity into 2 compartments or horns by an elongated ridge of fibrous tissue or septum.
- Treatment of abnormal uterine bleeding.
Removal of the intrauterine device (IUD) when it is mobilised or the threads for its removal are not found in the cervix.
- Obtaining specific tissue samples or biopsies.
How is hysteroscopic surgery performed?
The best time for the hysteroscopy surgical is during the first week after the menstrual period.
Prior preparation involves routine preoperative laboratory tests and fasting before the procedure. Whether or not anaesthesia is required, whether local or general, depends on each individual case, which is a decision between the doctor and the patient, and is made during the consultation. The anaesthesia in these cases is short-acting, which favours rapid recovery.
To perform the procedure it is sometimes necessary to increase the opening of the cervix, for which special dilators are used. The hysteroscope is then inserted through the vagina and cervix into the uterus. Saline is usually instilled through the hysteroscope to expand the uterus and make it easier to see inside.
Patients who receive a local anaesthetic can usually go home shortly after the procedure. Those receiving regional or general anaesthesia require a longer observation period before discharge, but are usually able to go home the same day.
Recovery after hysteroscopic surgery
Recovery after surgery is carried out for a period of no more than 3 hours in a special environment in the hospital until the anaesthetic used wears off.
There may be pain in the hours or days following hysteroscopic surgery, which is usually mild. It is also normal to have a scant bloody discharge for a few days after surgery, so you should use sanitary pads instead of tampons and avoid sexual intercourse or strenuous physical exercise for two weeks after surgery.
It is possible to eat and drink normally. You can resume normal activities within 24 hours after surgery.
Risks of hysteroscopic surgery
In general, a hysteroscopic surgery will only be carried out if the benefits are believed to outweigh the risks.
A hysteroscopy surgery is a fairly safe procedurebut there is a small risk of complications. The risk is higher for women undergoing hysteroscopic surgery than for diagnostic hysteroscopy.
Some of the main risks associated with hysteroscopic surgery are:
- Accidental injury to the uterus: this is rare, but may require antibiotic treatment in hospital or, in rare cases, another operation to repair it. It occurs in less than 1% of cases.
- Accidental injury to the cervix: this is rare and can usually be easily repaired.
- Excessive bleeding during or after surgery, in 3% of cases.
- infection of the uterus, which can usually be treated with a short course of antibiotics.
- Feeling faint: this affects 1 in 200 women undergoing hysteroscopy without anaesthesia or when only local anaesthesia is used.
Pérez Bryan Gynaecological Clinic in Malaga, has highly trained specialists in Hysteroscopic surgery and we can offer the advantages of this type of procedure to all patients who require it.
We are committed to providing high quality care to all our patients.
Do not hesitate to contact us and we will be happy to help you..