HYSTEROSCOPİC SURGERY

In hysteroscopic surgery, the interior of the uterus is visualized using an optical system, allowing for both diagnosis and treatment of various conditions. This procedure involves the use of an endoscope with an outer diameter of approximately 6-10 mm. Since the uterine cavity is naturally closed, the introduction of fluid is necessary to enable visualization. By introducing fluid under specific pressure, polyps, fibroids, or septa (partitions) within the uterus can be easily identified. Additionally, procedures such as the removal of polyps or fibroids, or the incision of a septum, can be performed simultaneously.

When the procedure is conducted solely for the purpose of visualization and diagnosis, it is referred to as diagnostic hysteroscopy.

Operative Hysteroscopic Surgery

Surgical interventions performed to treat a diagnosed condition are known as operative hysteroscopy.

The indications for hysteroscopy can be summarized as follows:

• Irregular menstrual bleeding
• Postmenopausal bleeding
• Investigation prior to infertility treatment
• Recurrent miscarriages
• Suspicious findings on a previous uterine X-ray (hysterosalpingography [HSG]), such as polyps, fibroids, adhesions, or septa
• Removal or aspiration of ovarian cysts