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Hysteroscopic Surgery

A minimally invasive procedure used to view and treat problems inside the uterus using a thin camera (hysteroscope).

Hysteroscopic Surgery


Hysteroscopy is a minimally invasive procedure that allows the doctor to examine the inside of the uterus for diagnosis and treatment of various gynecological conditions. It is commonly used to evaluate abnormal uterine bleeding.


The procedure is performed using a hysteroscope, a thin, lighted tube inserted through the vagina and cervix into the uterus. This enables direct visualization of the uterine cavity, and images can be recorded for further evaluation.


Hysteroscopy can be diagnostic (to identify problems) or operative (to treat conditions).


Why is Hysteroscopy Done?


Hysteroscopy is recommended for:

  • Evaluating abnormal uterine bleeding or severe cramping

  • Diagnosing infertility or repeated miscarriages

  • Detecting uterine adhesions (Asherman’s syndrome)

  • Identifying polyps or small fibroids

  • Assessing the uterine lining (including for endometrial cancer


Benefits of Hysteroscopy


Compared to more invasive procedures, hysteroscopy offers:

  • Shorter hospital stay

  • Faster recovery

  • Minimal post-procedure pain

  • Reduced need for pain medications

  • Avoidance of hysterectomy in some cases

  • Avoidance of open abdominal surgery

Procedure Overview


Hysteroscopy may be performed as an outpatient procedure or during a short hospital stay. The general steps include:

  • The patient is prepared and given a hospital gown

  • The bladder is emptied before the procedure

  • The vaginal area is cleaned with an antiseptic solution

  • The hysteroscope is gently inserted through the vagina and cervix into the uterus

  • The uterine cavity is examined for abnormalities

  • Images or videos may be recorded, and biopsy samples may be taken if required

  • If treatment is needed (e.g., removal of fibroids or polyps), instruments are inserted through the hysteroscope

  • The hysteroscope is removed after completion

Safety & Complications


Hysteroscopy is a safe procedure with a low risk of complications. With advancements in medical technology and surgical expertise, complication rates have significantly reduced over time.

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