What is cold knife hysteroscopy? In a broad sense, it belongs to non-energy instruments, and in a narrow sense, it is surgical scissors used under hysteroscopy. The surgical forceps are not charged, and the cold knife is compared with the traditional electrode which uses electric energy to generate heat energy.
Indications of cold knife hysteroscopy: 1 endometrial polyp 2. Submucous myoma 3. Uterine mediastinum 4. Abnormal uterine bleeding. Intrauterine devices are incarcerated. Foreign body in girl vagina 7. Cesarean scar diverticulum 8. Tubal intubation and drainage
Contraindications of cold knife hysteroscopy: 1 acute stage of heart, liver and renal failure 2. Acute stage of reproductive tract infection.
What role does cold knife hysteroscopy have?
1. Hysteroscopy can be used for diagnosis, treatment and follow-up of patients with infertility and intrauterine diseases.
As we all know, the uterus is the cradle of babies, and it is impossible to conceive a fetus because the uterine cavity is damaged. Among them, intrauterine adhesion is one of the most common causes of infertility. What causes intrauterine adhesions? It is usually caused by painless abortion, medical abortion, curettage and some gynecological operations, and the basal layer of endometrium is destroyed, resulting in adhesion of uterine wall, scar formation and thinning of endometrium. How to diagnose intrauterine adhesions? It can be judged according to clinical symptoms: less menstrual flow, dysmenorrhea, infertility and so on. Auxiliary examination: three-dimensional ultrasound and MRI, in which hysteroscopy is the gold standard for diagnosis. Treatment: 1. In recent years, cold knife hysteroscopy is the first choice. The advantages of cold knife hysteroscopy are: no electrothermal damage, which can better protect the growth of endometrium. Secondly, with the miniaturization and refinement of cold knife hysteroscopy equipment, there is no need for traditional preoperative cervical preparation and uterine expansion, and the uterine expansion with normal saline greatly reduces the surgical complications and the operation is safer!
Preoperative photos of severe intrauterine adhesions
Note: the operation of intrauterine adhesions is the key, and comprehensive treatment is needed after operation. A balloon and a intra-uterine device are placed in the uterine cavity to support the uterine cavity. Combined with anti-adhesion gel and estrogen drugs, endometrium can grow better.
Can you understand tubal patency under hysteroscopy?
Note: When inserting Meilan liquid into fallopian tube, we can know whether the fallopian tube is unobstructed according to the resistance of injecting Meilan liquid and whether the liquid is countercurrent. When the fallopian tube is blocked, the uterine dilation fluid will appear blue due to the reflux of methylene blue.
Note: Medical treatment is needed after polypectomy.
Note: Patients with abortion and drug abortion are advised to use cold knife hysteroscopy to protect endometrium.
Note: the majority of women with abnormal menstruation see a doctor in time! ! !
What preparations should be made before hysteroscopy?
1. Timing: Perfect examination of normal menstruation is enough, and hysteroscopic tubal drainage is generally within 5 days of normal menstruation.
Under special circumstances, it is necessary to be guided by a specialist according to the condition.
2. What should I pay attention to before hysteroscopy? No sex for three days before operation, and fasting for 6 hours before operation.
3. Does hysteroscopy hurt? How long will the operation take? Diagnostic hysteroscopy does not need anesthesia, while hysteroscopy diagnosis and treatment need intravenous anesthesia at the same time, which is painless. The operation time usually ranges from ten minutes to half an hour.
4. Does hysteroscopic surgery need to be accompanied by family members? If you need anesthesia, you need to be accompanied by a member of your immediate family.
Cold knife hysteroscopy diagnosis and treatment center address: 1. The Second People's Hospital of Anhui Province is located at No.868/KLOC-0, Dangshan Road, North Second Ring Road, Hefei.
2. outpatient service of cold knife hysteroscopy diagnosis and treatment center of Anhui second people's hospital: 2 nd floor of building a.
3. Ward of cold knife hysteroscopy diagnosis and treatment center of the Second People's Hospital of Anhui Province: 23rd floor, Building C.
4. Contact information: Director Zhou Jing's telephone number: 13856478398 (WeChat with the same number)
Director Su Ling Tel: 139650848985