Hysteroresectoscopy - what is it? Minimally invasive method of treatment of gynecological diseases

In recent years, the fairer sexmore and more often have to deal with various pathologies. The reason for this can be a promiscuous sex life, a lack of delivery at a certain age, hormonal abnormalities, a wrong lifestyle and so on. Many diseases must be treated promptly. Of course, every woman is afraid to get on the surgeon's desk. Especially when it comes to the future of her reproductive function. In this article we will talk about a procedure called hysteroresectoscopy. What it is, will be described below. Also worth mentioning about the conditions and ways of conducting such an operation.

Minimally invasive methods of treatment of gynecological diseases

In recent decades, great popularityreceived minimally invasive surgical interventions. These include hysteroresectoscopy. The operation allows to reduce the time of treatment in a hospital and to recover faster after all procedures. When using a minimally invasive method of treatment, microscopic instruments are used. Most often, the surgeon controls them autonomously. At the same time, special optical devices are monitored.

Minimally invasive treatment is not appliedalways. Before this, the doctor must carefully evaluate all risks. Sometimes it is impossible to carry out such manipulation. In this case, the usual laparotomy is prescribed.

Pros of the procedure

A low-invasive treatment method avoidsthe occurrence of many complications. So, in a cavitary operation, the patient always has a soldering process in the pelvic area. Some women experience pronounced symptoms of this pathology, while others more easily tolerate the presence of adhesions.

Using tools offlineallows to avoid large injuries. Women no longer have to worry about the fact that on their body will remain ugly and large scars. The use of this technology leaves only small and inconspicuous scars.

The main advantage of minimally invasive treatmentit becomes that a woman should remain in the hospital for a minimum amount of time. After some interventions the patient can go home in a few hours. However, the time of the procedure itself may increase somewhat. All due to the fact that the doctor does not have direct access to the patient site and is working "blindly".

The disadvantages of the procedure (possible complications)

A small invasive method for the treatment of gynecological diseases has a number of shortcomings. However, they are insignificant in comparison with the described advantages. Among them are:

• risk of damage to neighboring organs when instruments and optics are introduced;
• bleeding, which leads to the need for a laparotomy;
• the possibility to remove the pathology is not complete;
• joining infections and so on.

It must be remembered that a cavitary operation can lead to the same consequences. That is why when choosing a particular method of treatment, it is worth considering all risks and pluses.

Hysteroresectoscopy: what is it?

This manipulation is one of minimally invasive procedures. It is performed within the walls of the hospital. However, in some cases, a woman can go home in a few hours.

In most cases, a preliminaryanesthesia of the body during a procedure called hysteroresectoscopy. What it is? Anesthesia is called the use of anesthesia. It can be local, general or epidural. Everything depends on the complexity of the pathology, the patient's desire and the possibilities of the clinic.

Hysteroresectoscopy today allows you to treatmany diseases that a few decades ago required the complete removal of the genital organ or the dissection of its walls. This manipulation is increasingly used by modern clinics and young specialists. Perhaps in a few years the hysteroresectoscopy of the uterus will become one of the most common manipulations and will be more important than laparotomy and laparoscopy.

Indications for manipulation

So, you got acquainted with the conceptHysteroresectoscopy (what is it)? Now it is worthwhile to find out who is assigned such manipulation. The main indications for intervention are the following:

• fusion of the walls of the genital organ caused by genetic abnormalities or inflammatory diseases;
• formation of adhesions within the uterus for various reasons;
• treatment of fibroids;
• neoplasms that appeared on the walls of the uterus (papillomas, cysts, tumors);
• some pathologies of the cervical canal and so on.

Before manipulation, the doctor always evaluates the risks. In some cases, laparoscopy or laparotomy still prevails.

Contraindications for manipulation

Not all patients can undergo hysteroresectoscopy of the uterus. Contraindications for the operation include the following situations:

• infectious diseases of the pelvic organs, in particular of the genital organ;
• bleeding of unclear etiology;
• the strongest abdominal pain associated with pathology;
• certain diseases of the heart, liver and kidneys;
• pregnancy;
• colds and so on.

All of the above contraindications can bedivided into absolute and conditional. Some of them categorically forbid the use of this method of treatment. Others allow the use of a resectoscope after some correction.

How is the procedure performed?

During manipulation, theHigh-tech methods for monitoring the operation of devices. At the very beginning of the procedure, the woman is injected with an anesthetic. After this, the patient falls asleep (with general anesthesia) or ceases to feel pain (with local or epidural anesthesia). Next, the doctor begins to introduce instruments.

First, the cervical canal and cervixthe uterus. A resectoscope is inserted into the cavity of the genital organ. This device is equipped with a special camera, which displays the image on a large monitor, and the instruments necessary for the operation. The doctor controls the entire process that takes place in the cavity of the genital organ.

Immediately after the introduction of the device is feda small amount of solution. This fluid improves visibility and allows you to stretch the walls of the uterus a little. Thanks to this, the treatment will be carried out more qualitatively.

Removal of the polyp in the uterus

This operation is performed in the following way. After the introduction of the device, the doctor discovers a pathological formation. All available tools are sent to it and work begins. Using a device that looks like a curette, a polyp is cut along with the leg. After this, the base is coagulated. Most often, laser or drugs are used for this.

Removal of the polyp in the uterus occurs quickly and without any consequences. Many clinics guarantee no relapse with proper therapeutic correction after the procedure.

Treatment of fibroids

Hysteroresectoscopy of myoma became one of thesaving procedures for women who want to have a baby. If before the treatment of pathology was used laparotomic and laparoscopic method, which required the dissection of the walls of the genital organ, then with the development of technology everything changed. This manipulation allows you to avoid incisions on the uterus, which lead to the formation of a scar. Most of the fairer sex after the manipulation successfully nurture children and give birth alone.

During the procedure, cutting occursmyomatous node with a small depression. After that, the damaged surface is treated. Also, during work, the doctor has the opportunity to carefully inspect the remaining cavity of the genital organ. Perhaps, small nodules will be found, which are immediately removed. This avoids a second operation.

Treatment of uterine pathologies

If there is a septum in the body cavity orspikes are formed, then the device detects them and produces a dissection. This manipulation allows you to assess the condition of the walls of the organ and, if necessary, to correct other pathologies.

A few decades ago, the septum inthe uterus did not retire. Women with this education, bearing a child, were at risk. Now everything has changed. With the development of medicine, representatives of the weaker sex can not only eliminate the disease, but also prevent its relapse.

Postoperative period

Like any other operation, it causeshysteroresectoscopy of excretion. However, they do not last long. If, after laparotomy, which requires dissection of the uterine walls, bleeding can last up to two weeks, then after hysteroresectoscopy, excretions are observed for only a few days. This avoids massive bleeding and infection of the wound.

After the procedure, the woman goes to the ward,where he comes to his senses. The action of anesthesia is short, and within a couple of hours the patient can go home. Only in some (more severe) cases, the representative of the weaker sex remains in the hospital for several days.

After hysteroresectoscopy, you mustto conduct treatment. Depending on the pathology, it can be antibacterial, antimicrobial, immunomodulating and hormonal. If the patient wishes to conceive a child, it is worth informing the doctor. In this case, a softer therapy is chosen, which does not exclude the possibility of pregnancy.

Patient's opinions

Hysteroresectoscopy reviews have onlypositive. Women say that manipulation allows not only to remove pathology, but also to conduct additional studies. All materials received during the operation are sent for histology. Based on the diagnostic results, a more accurate diagnosis is made, which allows to prescribe the correct treatment.

Also, patients note that it is quitean expensive procedure called hysteroresectoscopy. The price of manipulation in a private clinic can vary from 10 to 50 thousand rubles. In public medical institutions, treatment is free of charge, but currently not all hospitals have the right equipment and qualified specialists in this field.

Summing up and a small conclusion

You now know what ishysteroresectoscopy. If you want to bring your health back to normal and avoid a long stay in the hospital, a rehabilitation period and scars in the abdomen, then this manipulation will help you. Contact your doctor and ask them to tell you about the possibility of the procedure in the walls of your hospital. Be healthy and do not be ill!