Hysteroscopic Tubal Cannulation in Bangalore

Hysteroscopy

Hysteroscopy is performed approximately half the time for the diagnosis of infertility. It is generally best performed in the postmenstrual proliferative phase. Different locations for hysteroscopy include the office, surgery center, or hospital operating room. Different media include CO2 gas, Sorbitol, glycine, Mannitol/Sorbitol mixture, 5% dextrose in water, or 32% Dextran-70. Endoscopes can range from 2 mm in size to 6.5 mm in size. The choice of location, medium, and instrumentation depends on the availability of facilities and resources, the anticipated diagnosis, and the surgical plan. The optimum approach involves one which has a high probability of resolving the clinical issue at hand, with the major difference in approach depending on whether or not operative intervention will be required, safety, and cost. 

Adjunctive procedures such as hysterosalpingography and sonohysterography can be of significant help in identifying the patient who requires hysteroscopy, and the best hysteroscopic approach for that patient given the clinical conditions.

The uterine tube (fallopian tube) carries an egg from the ovary to the uterus. Unless a biological abnormality, surgery, or ectopic pregnancy caused the loss of one tube, women should have two uterine tubes in their bodies.

Fallopian tube cannulation is a surgical procedure aimed at treating women with subfertility (difficulty conceiving a pregnancy) with proximal tubal occlusion (blockage in the part of the fallopian tubes closest to the womb).

Fallopian tube obstruction is a major cause of female infertility. Blocked fallopian tubes are unable to let the ovum and the sperm fuse, thus making fertilization impossible.

WHEN IS HYSTEROSCOPY SUGGESTED?

Hysteroscopy procedure is suggested when a woman has abnormal periods, i.e. either her periods are too heavy, or the length of her cycle is too long that means if she is bleeding more frequently, or bleeding less regularly and if she bleeds in between her periods. So, the indication of doing hysteroscopy can be summarised as:

1. If a woman is having abnormal Periods.
2. If she is bleeding after Menopause.
3. To diagnose the presence of fibroids, polyps or scar tissues.
4. It can also help to determine any kind of uterine malformation.
5. Recurrent miscarriages.
6. If a biopsy is suggested.
7. As a part of an Infertility workup.
8. To locate the position of an Intrauterine Device (IUD).
9. In case of abnormal Pap smear test.
10. To perform sterilisation as a part of birth control.

TYPES OF HYSTEROSCOPY

Hysteroscopy can be either diagnostic or operative.

DIAGNOSTIC HYSTEROSCOPY – As the name suggests it is done to diagnose uterine problems. To confirm the diagnosis of the problem, a diagnostic hysteroscopy is recommended after an HSG (hysterosalpingography) test. The procedure takes approximately 30 minutes to perform and is usually done on a day-care basis. This procedure can help identify abnormalities in the uterine cavity like:

• Uterine Fibroids
• Uterine Polyps
• Uterine adhesions
• Any malignant mass

RISK ASSOCIATED OR SIDE-EFFECTS OF HYSTEROSCOPY

Any medical procedure will have some risk associated with it. The complications that can arise after a hysteroscopy procedure are:

1. You may have a problem with the anaesthesia given.
2. Though very rare, there may be tearing or damage to your cervix.
3. You may contract an infection of the uterus or fallopian tubes after the procedure.
4. Bleeding may occur, and there might be a uterine perforation.
5. You may face a problem with the carbon dioxide gas or saline solution that was inserted. Excessive fluid absorption by the body may cause nausea and vomiting,.
6. The hysteroscope could damage the nearby organs like the ovaries, bladder or bowels.
7. You could develop a Pelvic Inflammatory Disease.

RECOVERY AFTER HYSTEROSCOPY

 
Patients who have undergone hysteroscopy complain of mild nausea, dizziness and uterine cramping which can be managed well with pain medications. Some patients may have light spotting for a day or two. If carbon dioxide gas was used, then one can have shoulder pain. Patients can go home the same day after the procedure if local anaesthesia was given and resume regular activity within 48 hours. In case of general anaesthesia, and if there is a history of reaction to anaesthesia, then a doctor may keep you under observation for a day.

It is our current practice to always evaluate the uterine cavity through either hysterosalpingogram, sonohysterography, or hysteroscopy in the infertile patient, the patient with recurrent pregnancy loss, and in all patients prior to in vitro fertilization.

The recent development of falloposcopy should dramatically increase the utilization of falloposcopy in evaluation of pelvic status in the infertile patient. The optimum diagnostic and treatment paradigm for this new technology is evolving.

For More data Contact Us:

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Email: altiushospital@yahoo.com | endoram2006@yahoo.in

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Gynecologist in Bangalore | IVF Treatment Center in Bangalore | Fibroid Uterus Removal in Bangalore | Best Uterus Removal Surgery in Bangalore | Gynecology Hospitals in Bangalore | Pelvic Floor Dysfunction Treatment in Bangalore | IVF Treatment Center in Rajaji Nagar | Laparoscopic Treatment in Bangalore