Hysteroscopic Surgery

Hysteroscopy is an endoscopic procedure used to view the uterine cavity and treat conditions such as intrauterine adhesions, uterine fibroids (when inside the cavity), endometrial polyps, or uterine developmental abnormalities (congenital defects).

 

Hysteroscopic Surgery for Fibroids is most often done on an "outpatient" basis under general anesthesia. It takes about 60 minutes to complete the procedure which is followed by a few hours of recovery time. Hysteroscopic myomectomy involves inserting a hysteroscope through the vagina and the cervix into the uterus. Hysteroscopes are thin enough to fit through the cervix with minimal or no dilation. Since the instruments are inserted through the cervix, no abdominal incisions are needed. The hysteroscope is a thin, telescope-like instrument that allows the doctor to view the fibroids. A resectoscope, which is a hysteroscope fitted with a wire loop that uses high-frequency electrical current to cut or coagulate tissue, is then inserted to remove the fibroids. The loop is placed around the fibroid, electrical energy passes through the loop and the fibroid is cut loose. The fibroid can then be removed through the vagina.

 

Most patients are back to normal activities within two days.

 

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