Minimally Invasive Surgery
Hysteroscopy is a simple procedure to visualize the cervical canal and the inside of the uterus using a thin, lighted, flexible tube designated a hysteroscope. The device is inserted through the vagina and can be used as a diagnostic, as well as a therapeutic tool. The procedure can be performed without a local anesthetic, especially if it is used for diagnostic procedures only. Local anesthetic if used, is usually to remove a polyp, fibroid, adhesions or for biopsy.
This procedure is performed under general anesthesia to check tubal patency by transcervical injection of methylene blue dye. This procedure remains the “gold standard” for the accurate assessment of tubal patency. Visualization of the pelvic cavity by laparoscopy is necessary to ascertain tubal patency, adnexal adhesions, and ovarian mass. Some abnormalities like lysis of adhesions, salpingectomy, ovarian cystectomy, cauterization or vaporization of endometriotic implants) can be treated at the time of the diagnostic procedure itself.