Today, modern medicine and the latest technology can eliminate the many problems that arise in the female body. Particular attention is paid to the reproductive system. Those representatives of the weaker sex who despaired of giving birth decades ago can now endure and give birth to a baby. Two procedures have become a breakthrough in gynecology - laparoscopy and hysteroscopy. They can run simultaneously or sequentially. Also, these manipulations are independent of each other. Laparoscopy of the uterus is very different in technique from hysteroscopy. It is these two procedures that will be discussed further.
From the article you will learn how hysteroscopy differs from laparoscopy. We will also talk about the main indications for manipulation. Separately, it is worth mentioning the reviews of women and doctors.
What is hysteroscopy?
Hysteroscopy is a minimally invasive operation. It is heldamong women who are sexually active. Manipulation is carried out using a special device - a hysteroscope. During the study, the woman is in a state of sleep. Local anesthesia is rarely used. In this case, the patient hears and sees everything, but does not feel.
Hysteroscopy is an operation that is performed exclusively within the walls of a hospital. At the time of the procedure, the woman is on the gynecological chair. A dilator and a special tube with a sensor, at the end of which there is a microcamera, are inserted into the cavity of the cervical canal. The doctor can use this equipment to control the processes occurring inside the reproductive organ. Under pressure, the uterus expands, and the specialist can examine every centimeter of it. If necessary, during the diagnosis, doctors can take a small piece of tissue for a more thorough examination. Also, if a polyp is found, it can be removed immediately. The procedure allows you to eliminate some anomalies in the development of the uterus, for example, synechia.
Indications for hysteroscopy
The described procedure has its indications. There are two types of manipulation: diagnostic hysteroscopy, during which the reproductive organ is examined from the inside, and operational. In the second case, during the manipulation, the doctor performs surgical treatment. Most often, minimally invasive intervention is needed for the following indications:
- anomalies in the development of the uterus (formation of synechiae, septum);
- neoplasms on the mucous membrane of the reproductive organ (polyp,fibroids);
- endometrial hyperplasia and adenomyosis;
- remains of the fetal egg in the cavity of the muscular organ or incomplete abortion;
- heavy bleeding or breakthrough periods;
- infertility or frequent miscarriages;
- several failed in vitro fertilization attempts;
- womb enlargement for unknown reasons.
Before the procedure, a woman must be tested. This includes a swab for the purity of the flora and an analysis for infections, a blood test for the presence of hepatitis, syphilis and HIV. Additional diagnostics are also carried out, which are necessary before the use of anesthesia.
Consequences of using a hysteroscope
What feedback do you have about the study? This manipulation in a short time has become so popular that now almost every fourth representative of the weaker sex of reproductive age is undergoing diagnostic intervention. After the procedure, the woman should remain under the supervision of doctors for some time. If necessary, she is given antibiotics and anesthetics. In the absence of surgery, the patient can go home in a few hours. However, if the doctor performed the treatment, then everything will depend on the individual characteristics of the organism and the course of the procedure.
Female patients report that there may be slight bleeding from the genital tract for several days after a hysteroscopy. Usually they end on their own and do not require the use of additional medications. Also, some patients feel discomfort andminor pain. Doctors do not recommend having sexual intercourse within two weeks after the manipulation.
The advantage of hysteroscopy is that after it, the doctor can determine the cause of the problem with maximum accuracy and prescribe the correct treatment.
What is laparoscopy?
Laparoscopy of the uterus is a study that is performed through the abdominal cavity. Manipulation is always carried out with the help of anesthesia and a ventilator. Laparoscopy and hysteroscopy differ in that in the first case we can talk about surgical intervention, while the study described above refers to minimally invasive.
During laparoscopy, a special complex device called a laparoscope is used. With the help of small incisions, the surgeon inserts instruments into the woman's peritoneum. A camera is inserted in the navel area. It is she who transmits to the screen everything that happens in the patient's stomach. Also, before the introduction of instruments, the abdominal cavity is filled with a special gas. The woman's belly inflates, lifting the upper wall. This is necessary so that the review is maximum and there is no danger of damaging neighboring organs. Laparoscopy and hysteroscopy differ not only in the technique of intervention, but also in the duration of the operation. So, for laparoscopy, it takes from 30 minutes to several hours. It all depends on the complexity of the operation. Hysteroscopy can be done in 10-20 minutes.
Indications for holdingLaparoscopy
Manipulation can be planned and emergency. Laparoscopy is also therapeutic and diagnostic. It is worth noting that in any case, it is necessary to pre-examine the woman. For this, blood and urine tests are taken, an ultrasound of the genital organs is performed, and a consultation with a therapist and a cardiologist is obtained. Of course, if we are talking about the life of the patient, then all these studies fade into the background. Doctors take as many tests as possible. Indications for the study will be the following situations:
- infertility and ectopic pregnancy;
- ovarian dysfunction (polycystic);
- dense ovarian capsule;
- endometriosis and suspicion of it;
- neoplasms of a malignant or benign nature;
- adhesions in the abdominal cavity or in the fallopian tubes;
- myoma of the outer lining of the uterus;
- uterine perforation and so on.
After Laparoscopy
According to women, after the operation, the recovery process takes a long time. First, within a few hours, the patient moves away from anesthesia. After that, the woman can, with the permission of the doctor, get up. However, this is very difficult to do. The possibility of leaving the medical facility on the same day is out of the question. Usually hospitalization lasts from 3 to 7 days. It all depends on the speed of recovery of the body.
After the procedure, the woman needs to remove the stitches. This must be done within 2 weeks. You also need to take care of the scars and process them.antiseptic. You can return to your usual life and sports activities no earlier than in a month.
Hysteroscopy or laparoscopy: which is better?
This question often arises among the fairer sex. However, doctors cannot unambiguously answer it. Laparoscopy and hysteroscopy are two completely different procedures. One can never replace the other. So, for example, during hysteroscopy, the doctor can take a piece of the endometrium for analysis or remove the remains of the fetal egg from the uterus. With laparoscopy, such actions cannot be carried out, since the instruments are located in the peritoneum and do not enter the reproductive organ.
During laparoscopic surgery, it becomes possible to dissect adhesions, remove a cyst from the ovary, excise an ectopic pregnancy. All these pathologies cannot be eliminated with the help of a hysteroscope alone. That is why it will not be possible to say exactly which study is better. Laparoscopy and hysteroscopy are often performed simultaneously. In this case, it is not necessary to use anesthesia several times, and the doctor has a lot of opportunities to thoroughly study the problem and eliminate it.
Laparoscopy and hysteroscopy: patient reviews
Women say that when applying for the services of doctors of paid medicine, the simultaneous implementation of these manipulations is much cheaper. If we are talking about public institutions, then there are a lot of advantages of disposable hysteroscopy and laparoscopy.
- You can immediately take all the tests and not run several times to the doctors. After all, most conclusions are valid for a month.
- Possibility of using one anesthesia. It is worth noting that the anesthetics used adversely affect the he alth of the fairer sex.
- When all problems are eliminated at once, the woman gets a more effective result from the treatment.
Representatives of the weaker sex say that when carrying out the procedures described above (according to indications) and supplementing with conservative treatment, the effect is noticeable almost immediately. The cycle is restored, disturbing symptoms disappear. Women who wish to give birth with a good outcome of the operation can start planning pregnancy for the next cycle.
Conclusion
In modern gynecology, the concepts of "hysteroscopy" and "laparoscopy" are inextricably linked. Also, during both studies, metrosalpingography can be performed. This is a study of the condition of the fallopian tubes in a woman. Often it is required for infertility and adhesive process. For more information about interventions, please contact your doctor. Good luck to you!
