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Everything you need to know about surgical hysteroscopy

Surgical hysteroscopy is a minimally invasive surgical procedure that allows treating pathologies of the uterine cavity that cause infertility or symptoms such as heavy uterine bleeding or bleeding outside the menstrual cycle.

Find out how long a hysteroscopy lasts, as well as all kinds of questions related to the test.

What is hysteroscopy?

Hysteroscopy consists of introducing a 3-mm camera through the cervix into the uterine cavity.

Hysteroscopy is used to visualize the features of the endometrium, the inner layer that lines the uterine cavity. Hysteroscopy can be performed for diagnostic purposes or to treat some type of uterine pathology such as polyps, fibroids and malformations; what is called surgical hysteroscopy.


How long does surgical hysteroscopy last?

The answer to how long a hysteroscopy takes is between 30 and 60 minutes. The duration will depend on the complexity of the pathology to be resolved.

The removal of a polyp is usually the fastest procedure, while the removal of a large fibroid or the repair of a uterine malformation are usually the longest procedures.

The first step is the partial dilation of the cervix in order to introduce the camera together with the surgical instruments. In total, they usually do not have a diameter greater than 4 mm in diameter. After that, the camera is introduced together with a liquid to expand the uterine cavity and thus visualize the entire surface of the endometrium.

Now that you know how long surgical hysteroscopy lasts, it’s time to learn about other related issues.

It may interest you: What is endometriosis?

What is the recovery and what care must be taken after a surgical hysteroscopy?

Surgical hysteroscopy is a minimally invasive procedure, of short duration and without incisions. Therefore, recovery is very fast where women can return to their usual activity in a short period of time.

Patients go to an anesthetic recovery room after the procedure. There, 60 minutes after surgical hysteroscopy, they are offered fluids to confirm adequate oral tolerance and rule out nausea and vomiting after anesthesia.

If the patient feels comfortable, and has not had nausea or vomiting, she can return home accompanied by a family member or close friends 2-3 hours after the procedure.

What type of anesthesia is used for surgical hysteroscopy?

Surgical hysteroscopy is performed under general anesthesia. This is usually deep sedation rather than intubation typical of longer, more invasive surgical procedures.

How many rest days are needed for a surgical hysteroscopy?

Once at home, the patient can gradually recover her daily activity as much as the discomfort allows. Usually, 24 hours after surgical hysteroscopy, patients lead their lives as normal.

For this reason, after a surgical hysteroscopy, rest is not necessary. The only specific restriction that exists in this regard is to have a sexual abstinence during the following 15 days after the surgical hysteroscopy.

→ You are interested in: Postoperative care after surgery

What complications can occur after surgical hysteroscopy?

Surgical hysteroscopy is a procedure that has a very low possibility of complications, both during the surgery itself and after it.

In some circumstances, however, operative hysteroscopy can present minor postoperative genital bleeding that usually subsides over the next 3 to 5 days.

Pelvic pain may present in the following 24 hours and is usually of minor magnitude; Oral analgesics are usually enough to relieve it.

What circumstances should be alerted to go to the emergency room?

As previously stated, although surgical hysteroscopy is a procedure with a low possibility of complications, the patient would have to go to the emergency room for the following symptoms that could rarely occur:

Fever > 38ºC.
Abdominal pain that does not subside with oral pain relievers.
Persistent genital bleeding of more than a period.

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