Hysterscopy is a new gyecological clinical technique. There are three kinds of abnormalities in the uterine cavity. Cervical canal or uterine vegetations, cavity deformity and cavity adhesion. The following is the application of endometrial resection in hysteroscopy
Transcervical resection of endometrium
1. Indications
(1) Abnormal uterine bleeding, exclusion of malignancy
(2) 8~9 weeks pregnant, uterine cavity 10~12cm
(3) Infertility requirements
2.Contraindications
(1) Patients with acute or tractus genitalisz tract infections.
(2) Patients with severe heart, lung, liver, kidney and other organ
(3) Those patients with excessively narrow uterine cavity or narrow cervix.
(4) Those patients with cervical scar cannot expand sufficiently
3. Operation
(1) Anesthesia
(2) Lithotomy position, conventional disinfection towel
(3) Available B-ultrasound monitoring or not
(4) 5% Glucose solution
(5) Electric cutting current power 80w, Electric coagulation current power 80w
(6) Preprocess: The uterine lining is too thick and the uterus can be sucked first
(7) Endometrial removal sequence:fundus of uterus,uterine orifice
(8) Removal of 2-3mm below the full thickness of the endometrium
(9) Submit for inspection: Intimal debris removed for histological examination
(10) Check up after surgery
4. Caution and Warning
(1) Insufficiency of the uterine cavity and poor vision which make perforation during the surgery.
(2) uterine perforation: Please stop the operation immediately, check abdominal features, then B-ultrasound to observe whether there is free fluid around the uterus
