What is Hysteroscopy

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Hysteroscopy is a minimally invasive surgical procedure for viewing the inside of the uterus. Hysteroscopy is performed by inserting a visualizing scope through the vagina and into the cervical opening. Hysteroscopy allows visualization of the inside of the uterus, including the openings to the Fallopian tubes, as well as direct examination of the cervix, cervical canal, and vagina. Hysteroscopy performed for both diagnosis or also for treatment (therapeutic).

Hysteroscopy is one of several procedures that your doctor may recommend to evaluate or treat abnormalities of the uterus or cervix. Since hysteroscopy examines the lining and interior of the uterus, it is not suitable for evaluating problems within the muscular wall or on the outer surface of the uterus. There are a number of different sizes and types of hysteroscopes available, depending upon the type of procedure that is required. Some hysteroscopes are combined with instruments that allow surgical manipulation and removal of tissues if necessary. Hysteroscopy may be performed in a day surgery center

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Cause Hysteroscopy

Among the most common reasons for a hysteroscopy are periods that are longer or heavier than normal, or bleeding between periods. You may need a hysteroscopy for:

Among the most common reasons for a hysteroscopy are periods that are longer or heavier than normal, or bleeding between periods. You may need a hysteroscopy for:
•    Abnormal Pap test results
•    Abnormal uterine bleeding
•    Bleeding after menopause

•    Diagnose the cause of infertility or repeated miscarriages
•    Examine and remove uterine scarring, polyps, or fibroids
•    Find and remove displaced IUDs (intrauterine devices)
•    Place small birth control inserts into the fallopian tubes
•    Removal of a small tissue sample (biopsy)
•    Removal of endometrial lining

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Symptoms Hysteroscopy

Hysteroscopy may be recommended as one step in the evaluation of a number of gynaecological problems, including:

Risk Hysteroscopy

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  • Women should expect to experience light vaginal bleeding and some cramping after the hysteroscopy procedure.


    Some cramping may be felt during the procedure, depending upon the type of anesthesia. Complications of hysteroscopy are rare and include perforation of the uterus, bleeding, infection, damage to the urinary or digestive tract, and medical complications resulting from reactions to drugs or anesthetic agents. Other rare complications are fluid overload or gas embolism (when gas bubbles enter the bloodstream) from the distending medium used in the procedure.

Advantage of hysteroscopy Treatment

Advantage of Hysteroscopy Treatment over the Traditional Surgical Procedure.

Specifics Hysteroscopy Surgery Open Surgery
Cuts And Wounds   No   Yes
Pain   Painless   Painful
Recurrence   No   Yes
Diet Restrictions   No   Yes
Rest After Surgery   Can Resume Work   1-2 Month Rest
Invasive   Minimum   Large

Treatment Hysteroscopy

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Diagnostic Hysteroscopy

Diagnostic hysteroscopy is used to diagnose problems of the uterus. Diagnosing uterine abnormalities based on symptoms can be challenging, since symptoms can be similar for different conditions. Seeing inside your uterus via hysteroscopy helps doctor to make a definitive diagnosis. Doctor may recommend a diagnostic hysteroscopy if you have:

 

  • Heavy menstrual bleeding
  • Irregular menstrual cycles
  • More than two consecutive miscarriages
  • Difficulty conceiving

The most common reason for a diagnostic hysteroscopy is irregular bleeding. A complete diagnostic hysteroscopy should take approximately 10-15 minutes. Recovery after diagnostic hysteroscopy is prompt. Patients can return to their usual diet and activities later that operative day. Some mild postoperative bleeding is normal and typically stops within 2-3 days.

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Operative Hysteroscopy

Operative hysteroscopy is used to correct an abnormal condition that has been detected during a diagnostic hysteroscopy. If an abnormal condition was detected during the diagnostic hysteroscopy, an operative hysteroscopy can be performed at the same time, by inserting small instruments through the hysteroscope to avoid the need for a second surgery. Because no open incisions are involved, hysteroscopy is safe and offers a shorter recovery time, shorter hospital stay than other procedures. Operative hysteroscopy can treat:

  • Removal of polyps. Polyps cause bleeding and can contribute to infertility. A hysteroscopy polypectomy allows your doctor to remove the polyps without doing invasive surgery.
  • Removal of fibroid tumors PELVINIC, perform a hysteroscopy ablation to remove your fibroids.
  • Reduction of heavy menstrual bleeding Hysteroscopy can help identify the cause of heavy bleeding, Endometrial ablation is one procedure in which the hysteroscope along with other instruments, is used to destroy the uterine lining in order to treat causes of heavy bleeding.
  • IUD removal A hysteroscopy allows the doctor to locate the IUD and determine the best way to remove it.
  • Removal of adhesions. Uterine adhesions are bands of scar tissue that can form in the uterus and may lead to changes in menstrual flow as well as infertility. Hysteroscopy can help your doctor locate and remove the adhesions.
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Surgery

A number of different methods for anesthesia and pain control may be used, depending upon the individual situation. Sometimes, hysteroscopy using narrow-diameter hysteroscopes that do not require dilation of the cervical opening can be performed without anesthesia. In other cases, a local anesthetic can be applied topically or given by injection. In certain cases, a general anesthetic may be recommended.

Hysteroscopy should not be performed if a woman is pregnant or has an active pelvic infection.
•    An instrument called a speculum is then inserted into the vagina to open it wider, before the hysteroscope is put in. To help the doctor to see the lining of the uterus more clearly, a carbon dioxide gas or fluid is pumped through the hysteroscope into the uterus. The amount of fluid introduced will be monitored closely throughout the procedure.
•    As the hysteroscope is moved gently through the uterus, images of the tissue and the openings of the fallopian tubes are displayed on a screen.
•    During a diagnostic hysteroscopy, doctors will observe the images and look for problems.
•    An operative hysteroscopy will use the hysteroscope as a surgical tool, for example, to remove fibroids.
•    If sterilization is being performed, small implants are placed inside the fallopian tubes.
•    If a biopsy is needed, a small instrument is passed through the hysteroscope to extract a sample of tissue.
•    The procedure can take up to 30 minutes, but may only take between 5 and 10 minutes, if it is being used to diagnose a condition or investigate symptoms.
•    While a hysteroscopy is not usually painful, the woman may experience cramps while it is being carried out.

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Aftercare

 •    Most women feel able to go about their normal activities the following day, and some even go back to work the same day. If a general anesthetic is used, a few days of rest might be advisable.

•    Some spotting or bleeding may occur in the days following the procedure, and the woman can expect pain like cramping, similar to period pains. These symptoms are normal.
•    A woman is advised to avoid sex for a week or until any bleeding has stopped, to reduce the risk of infection.

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World's most advaned hysteroscopy surgery for Hysteroscopy

Pelvic Care specializes in providing the best treatment for Hysteroscopy. With our own team of doctors, we deliver personalized care according to your medical needs. Our easy admission to discharge process and tate of art infrastructure ensures a hassle free experience.

Why Pelvinic Care for Hysteroscopy?

Our team of experts is dedicated to offering excellent care to enhance your quality of life through a holistic healing approach and physical therapy. As a specialised one-stop daycare surgical solution, we take pride in dealing with various types of Proctological ailments with utmost attention and care.

Patient Care

Pelvinic is a specialized, team-based approach to support and care for individuals. We strive to provide a home-like environment and the best treatments for our patients for quick recovery. We offer customized services and personal attention to our patients who come for medical treatment and care. Our patient coordinator will receive reports on your condition and all the necessary information to continue your care following your discharge. Our belief is empowering and motivating you to lead a healthy life. Make the right decision today to become a healthier you tomorrow!

Experience

Our team of doctors, surgeons, and other healthcare professionals have been educated, trained and are widely experienced in their particular specialty.With India’s growing population, our doctors have a wider exposure to treating ailments and diseases and therefore are more skilled in providing the right treatments. Our doctors have a vast experience of over 50000 surgeries and are trained in the use of latest diode Laser technology.

Advance Technology

PELVINIC  incorporates the latest technology and medical equipment in patient care that helps the doctors diagnose diseases and treat patients effectively and efficiently.We focus on developing treatment plans as per each patient’s strengths, weaknesses, variety of motions and potential functioning. Our team is equipped with the latest painless techniques that lead to 100% customer satisfaction.

Facilities

Pelvinic hospital offers the complete range of medical and surgical specialties to treat anal diseases under one roof, with highly experienced doctors, paramedical staff and state-of-the-art infrastructure.Our surgical daycare centre is ranked among the best of the best in Delhi (NCR). As we are the first-ever surgical daycare centre for pelvic disorders, we provide early mobilization, a home-like environment for quick recovery and preoperative investigations for our patients.

What We Do?

From giving OPD appointment to diagnose and prescribe surgery, Preoperative test to day-surgery to recovery stay and postoperative and diet instructions, we ensure to give our best of all to our patients without compromising at any stage of the treatment that too at a very cost-effective rate.
•    We have a dedicated staff to ensure your daycare stay is comfortable and hassle-free. our staff will provide you with all the necessary assistance required such as appointment, priority admission, billing and discharge assistance like detailed summary of the hospitalisation including health problems, examination findings, treatment given and procedures performed.
•    The contact details of the treating doctor and staff will be shared so that you and your medical practitioner can keep in touch with him/her post procedure.

Our Doctor

Dr. Meenakshi Banerjee

MS, FMAS, MRCOG

Dr. Meenakshi is an Advanced Gynae Laparoscopic & Hysteroscopic Surgeon practicing in Delhi NCR for more than 15 years. After completing her MS in Obstetrics & Gynaecology from the prestigious T N Nair Medical College, Mumbai, one of the premier medical institutes in India. She got the training in Basic Laparoscopic skills from Mumbai for a period of 3 years and advanced Laparoscopic training from New Delhi. She is at present working in Rainbow Hospital, New Delhi as a Senior Consultant, in the dept. of Obstetrics and Gynaecology. Her previous assignments were with MAX hospital Saket and Batra hospital New Delhi. She is credited with performance of more than 4000 Gynaecological surgeries. Dr. Meenakshi is working in Delhi NCR as a Gynae endoscopic surgeon, Infertility specialist. Dr. Meenakshi is one of the BEST GYNAE LAPAROSCOPIC SURGEON in Delhi/NCR. Her experience in Difficult TLH (Total Laparoscopic Hysterectomy) & LAPAROSCOPIC MYOMECTOMY are commendable. Dr.Meenakshi has a special interest in Fertility Enhancing Laparoscopic surgeries and majority of the patients get pregnant after the surgery without a need of IVF. Her experience in Infertility management including Polypectomy, Endometriosis lesions, Adhesiolysis, Tubal Cannulation, Ovarian drilling, sub mucous leiomyomas, uterine septa and intrauterine adhesions, misplaced or embedded foreign bodies. She has vast experience in all types of hysteroscopic surgeries. She has trained numerous young aspirants in Hysteroscopy techniques and is a firm believer of the fact that if one knows good Hysteroscopy techniques then numerous uterus removal surgeries can be prevented.

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Patient Testimonial

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Dr Renuka

New Delhi

Dr Renuka, a Dentist by profession was having problems in having baby owing to large uterine fibroid. She consulted Dr Meenakshi and taking her treatment helped her become a proud mother of a sweet little kid. She not only got the benefits of normal delivery but also chose to become a member of proud Pelvinic family.

Patient from Afghanistan

Afghanistan

Smiles of patients are saying all. Patient from Afghanistan specially arrived at PELVINIC to convey her appreciation to our Gynaecologist Dr Meenakshi Banerjee for her satisfactory surgical treatment for Uterine Fibroid.

Ms xxx from Afghanistan

Afghanistan

Suffering from chronic Pelvic pain, Ms xxx from Afghanistan was even advised to undergo multiple surgeries even spine surgery. She decided to consult Dr Meenakshi Banerjee (gynecologist) and was rightly diagnosed to have PID. With right diagnosis and right medications her problems met with complete cure.

Mrs. Rajnitam

Noida

Mrs. Rajnitam, 35 years of age was diagnosed to have abdominal wall tumor 3 years after she underwent Cesearian section. MRI findings and pain related to that tumor was very disturbing for her. She was operated for removal of abdominal wall tumor with minimal invasive technique. The tumor turned out to be non cancerous and she recovered fast from the surgery.

Frequently Ask Question

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Can hysteroscopy be performed during period?

The hysteroscopy cannot be performed during your menstrual cycle or if you may be pregnant. The best time to perform this procedure is within 7 days after your period ends. ... There are no restrictions on activity or diet before the hysteroscopy unless otherwise instructed by your doctor.

How is the Resectoscope different than a regular hysteroscope?

The resectoscope has been used for male prostate surgery for over 50 years.   It has been modified so it can be used inside the uterus.  The resectoscope is a hysteroscope with a built in wire loop (or other shape device) that uses high- frequency electrical current to cut or coagulate tissue.  The resectoscope has revolutionized surgery inside the uterus.

What is Operative Hysteroscopy?

During diagnostic hysteroscopy the hysteroscope is used just to observe the endometrial cavity (inside of the uterus.)  During operative hysteroscopy a type of hysteroscope is used that has channels in which it is possible to insert very thin instruments.  These instruments can be used to remove polyps, to cut adhesions, and do other procedures.  With the development of better and smaller instruments, I find that I am able to remove some polyps in addition to doing other procedures that used to require a full operating room.  In many situations, operative hysteroscopy may offer an alternative to hysterectomy.

Isn’t this too painful to do in the office?

By being very gentle, and using local anesthesia, there is usually minimal discomfort during hysteroscopy.  Most women are able to get up and return to their normal activities immediately.   If someone is very anxious, it is possible to give a short acting narcotic intravenously.  This makes it very unlikely that the procedure will be uncomfortable. 

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