Hysteroscopy with separate diagnostic curettage

Hysteroscopy is the leading method in today's endoscopic gynecology.

When hysteroscopy of the uterus, do not expand the uterine neck. The procedure is virtually painless.

During the hysteroscopy, a sterile liquid enters the uterine cavity, stretching the walls of the uterus and allowing a full inspection of all its membranes.

Scraping of the uterine cavity is a procedure during which special internal medical instruments remove the inner shell of the uterus, the so-called endometrium.

Accordingly, diagnostic curettage of the uterine cavity is carried out in order to establish an accurate diagnosis of a disease, for which it is necessary to make a histological( or other) study. The meaning of this operation is the scraping of the mucous walls of the uterus.

There is also a therapeutic curettage of the uterus. It is performed with a therapeutic purpose: the remaining parts of the fetal egg or pathological neoplasms on the mucosa are removed.

Hysteroscopy with separate diagnostic curettage

Before performing an endometrial scraping operation, the rectum and bladder of the patient must be released.

Genital spine and perineal skin before the procedure are treated with ethyl alcohol( 70%) and iodine solution( 1%).However, with a high threshold of sensitivity in some women, this is allowed not to be done.

Further, the vagina is expanded by mirrors, and the cervix is ​​fixed with forceps.

Then, after mucosal treatment, begin to carry out anesthesia. For this purpose, a solution( 1-2%) of adrenaline with lidocaine is injected into the cervix. The injection is carried out at different points located along the perimeter of the treated zone.

Then probing the uterine cavity.

For hysteroscopy - diagnostic curettage, the uterine cervix canal is opened with expander No. 7, although it is possible to use expanders and a larger diameter if necessary( Nos. 10-12).

The cervical canal can be opened with a special tip connected to the vibro-massage machine. The curettes for scraping can also be of different sizes.

As after any operation on internal organs, after diagnostic curettage, too, bleeding may open, which quickly stops with special clamps.

Experienced specialists-gynecologists carefully select the entire instrumentation for each specific procedure.

After diagnostic curettage, the test material from the surgical tray is transferred to gauze for washing from the blood, and then placed in a glass vessel and poured with a solution of ethyl alcohol( 96%) or a formaldehyde solution( 10%). Prepared in this way, the scraping is sent to the laboratory for further histological investigation.

The material container shall contain:

• the date of the transaction;
• last name of the patient;
• age of the patient;
• day of the menstrual cycle;
• the conclusion of the clinical diagnosis;
• a place of a fence of fabrics.

Contraindications for diagnostic scraping of the uterus

Contraindications are:

• genital tract diseases;
• of kidney, liver, heart disease;
• any infectious diseases.

By using a hysteroscope( optical device), the gynecologist can fully examine the uterine cavity to detect:

• polyps;
• malignant adhesions;
• adhesions;
• submucosal nodes.

Soskob must be obtained in order to conduct his research and clarify the diagnosis.

Hysteroscopy with separate diagnostic curettage can be performed not only to clarify the diagnosis, but also for some medical purposes:

• extraction of the old intrauterine device;
• cryodestruction of polyps;
• excision adhesions.

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