This video demonstrate Hysteroscopy is the inspection of the uterine cavity by endoscopy with access through the cervix. It allows for the diagnosis of intrauterine pathology and serves as a method for surgical intervention known as operative hysteroscopy. In this video Dr R K Mishra, Director World Laparoscopy Hospital is giving lecture about hysteroscopy.

Hysteroscopy is a minimally invasive surgical procedure that allows visualization of the inside of the uterus using a hysteroscope, a thin, lighted tube with a camera and lens attached to it. Hysteroscopy can be used for diagnostic or therapeutic purposes, such as to diagnose and treat conditions like abnormal uterine bleeding, uterine fibroids, endometrial polyps, and uterine septum.

During a hysteroscopy, the patient is placed under anesthesia, and the hysteroscope is inserted through the cervix and into the uterus. A fluid management system is used to inflate the uterus with fluid, which helps to visualize the inside of the uterus and remove any debris or tissue that may be present.

If a diagnostic hysteroscopy is being performed, the surgeon will carefully examine the inside of the uterus for any abnormalities or signs of disease. If a therapeutic hysteroscopy is being performed, the surgeon may use various instruments to remove tissue, such as polyps or fibroids, or to destroy the lining of the uterus, such as with an endometrial ablation device.

Hysteroscopy is generally considered a safe procedure, but as with any surgical procedure, there are some potential risks, such as bleeding, infection, and injury to the uterus or other surrounding organs. It is important for healthcare providers to carefully select patients for hysteroscopy and to follow proper training and maintenance protocols to ensure safe and effective use of the instruments. Patients should also be aware of the potential risks and benefits of the procedure and should discuss any concerns with their healthcare provider.
 

Here is a general step-by-step procedure for diagnostic or therapeutic hysteroscopy:

1. Anesthesia: The patient is placed under anesthesia, either general anesthesia or local anesthesia with sedation.

2. Positioning: The patient is positioned on the examination table in a way that allows the surgeon access to the vagina and cervix.

3. Cervical dilation: The cervix is dilated using a series of dilators, which allows the hysteroscope to be inserted into the uterus.

4. Hysteroscope insertion: The hysteroscope, a thin, lighted tube with a camera and lens attached to it, is inserted through the cervix and into the uterus.

5. Uterine distension: A fluid management system is used to distend the uterus with fluid, which allows the surgeon to visualize the inside of the uterus.

6. Inspection: The surgeon carefully examines the inside of the uterus for any abnormalities or signs of disease. If a therapeutic hysteroscopy is being performed, the surgeon may use various instruments to remove tissue, such as polyps or fibroids, or to destroy the lining of the uterus, such as with an endometrial ablation device.

7. Instrument removal: Once the procedure is complete, the instruments are removed from the uterus.

8. Post-procedure care: The patient is monitored in a recovery area and may be discharged home the same day or kept overnight for observation.

It is important to note that the specifics of the procedure may vary depending on the individual patient and the reason for the hysteroscopy. The surgeon may also use additional instruments, such as graspers or biopsy forceps, during the procedure. Patients should discuss the details of the procedure with their healthcare provider and ask any questions they may have.