Is hysteroscopic surgery risky? 1, injured
(1) Excessive stretching and dilation of the cervix can lead to cervical injury or bleeding.
(2) Uterine perforation. The incidence of uterine perforation in diagnostic hysteroscopy is about 4%. Serious intrauterine adhesion, scarred uterus, excessive forward or backward inclination of uterus, cervical surgery, atrophic uterus and lactation uterus are all prone to uterine perforation.
Sometimes the perforation is not found, and continuing the operation may lead to serious intestinal injury. Perforation often occurs at the bottom of uterus. At the same time, laparoscopic monitoring can reduce perforation. Once perforation occurs, stop the operation, exit the instrument, estimate the perforation, and carefully observe the abdominal pain and vaginal bleeding. Hysteroscopic surgery is risky. The main risks are: 1. Bleeding: The high-risk factors of uterine bleeding include uterine perforation, arteriovenous fistula, cervical pregnancy, cesarean scar pregnancy, coagulation dysfunction and so on. If the lesion is cut too deep, it will easily lead to bleeding when it reaches the vascular layer of uterine muscle wall with 5-6mm submucosa. The treatment plan of bleeding should be determined according to the amount of bleeding, bleeding location, scope and operation type, such as using oxytocin, misoprostol and other uterine contractions, indwelling balloon, etc. 2. Uterine perforation: The high-risk factors causing uterine perforation include cervical stenosis, history of cervical surgery, excessive uterine flexion and deep uterine cavity. Once uterine perforation occurs, find the perforation site immediately, determine whether the adjacent organs are damaged, and decide the treatment plan. If the patient's vital signs are stable, the perforation range is small, and there is no active bleeding and organ damage, oxytocin and antibiotics can be used for conservative observation and treatment; If the perforation is large, it may hurt blood vessels or organ damage, and it should be treated immediately. 3. Over-hydration syndrome: it is a diluted hyponatremia caused by body fluid overload and/or massive absorption of perfusion media. If the diagnosis and treatment are not timely, acute pulmonary edema, brain edema, cardiopulmonary failure and even death will occur quickly. The corresponding treatment measures include oxygen inhalation, correcting electrolyte disorder and water poisoning (diuresis, limiting liquid intake to treat hyponatremia), treating acute left heart failure and preventing lung and brain edema. 4. Others such as gas embolism, infection, intrauterine or cervical tube adhesion, etc. If it happens, deal with it accordingly.
How long can I get pregnant after hysteroscopy? Hysteroscopy is a common examination method in gynecology. Through hysteroscopy, we can know the shape of uterine cavity, endometrium and fallopian tube opening. In the aspect of infertility, hysteroscopy can be used as the examination and treatment of tubal patency test. How long can you get pregnant after hysteroscopy depends on what kind of operation you are doing. For example, hysteroscopic intubation and drainage of fluid suggest that fallopian tubes are unobstructed, and there is no obvious abdominal pain after operation, so ovulation can be measured to get pregnant in the second month. If it is after mediastinal hysteroscopy, it is generally recommended to get pregnant after three months. You need to see what kind of disease hysteroscopy treats, and then you can judge when you can get pregnant. If it is an ordinary cervical polyp operation, pregnancy can be considered for more than 3 months after hysteroscopy. If you have hysteromyoma surgery, you need to wait for half a year before you can consider pregnancy. Some operations will be more traumatic, so the recovery time will be relatively long, and it will take longer to get pregnant. We can consider starting some pregnancy preparation work 3 months after hysteroscopy, such as supplementing folic acid tablets properly and improving diet and exercise. After 3 months of pregnancy, you can arrange a trial pregnancy during ovulation.