Modern gynecological endoscopy

Modern gynecological endoscopy


The use of modern gynecological endoscopy (glass fiber diagnostic and therapy) in the hospital of Várlapota.

The conservative therapy for gynecological bleeding disorders and myoms without stumper surgery.

The significance of hysteroscopy

During the hysteroscopy the inner surface of the uterus is screened (diagnostic hysteroscopy). These examinations are achieved more and more often. There are two reasons for this phenomenon: first the number of myoms is increasing, secondly the operation can be performed much easier than before. Due to the modern endoscopic machines and the advance of one-day surgery there is a constantly increasing demand for this intervention.

Unfortunately in Hungary only a few clinical units perform operative hysteroscopy in larger amount, which mean the end solution for bleeding disorders.

With a ultrasound examination (2D,3D,4D,5D) the surface of the uterus is imaged but in most of the cases a direct screening is needed in order to properly explain the source of a disease.

The hysteroscopy can either be diagnostic or operative: the mutation found during the intervention can either be removed or taken to histology.

Those patients who are highly adviced for hysteroscopy can be divided into two groups:

There are women with sterility problems in one of the groups. Unfortunately sterility is increasing. There can be several reasons in the background, therefore nowadays it is even more recommended to let being properly screened before planning a baby. Hence this examination is even more becoming a part of sterility screening.

We get information about mutation inside the uterus, about malformation of the womb or about eventual coalescence. During the hysteroscopy the openings of the oviducts become visible but unfortunately this examination does not give information about their permeability.

The hysteroscopy can be completed by laparoscopy, whereby the permeability of the oviducts is examined by glass fiber optic through the abdominal wall.

In case of the other group an ultrasound test refers to the need of hysteroscopy. A quite frequent mutation is the non-cancenrous myom, which affects 50-60% of women. The polyp counts to a common mutation among female patients. The most common symptom is the recurring blood disorder, which cannot be solved by the frequently used fractional curettage, at most of the clinics it is repeated several times (even 5-8 times). Unfortunately this intervention does not stop the blood disorder.

If complaints occure another time a final hysterectomy is adviced. In Hungary more than 10.000 wombs are removed because of blood disorder or myome.

Patients are less familiar with the possibility of medication for reducing the myom and the bleeding. We provide a medication for 3 months, in most of the cases an eventual anaemia can be improved as well. The hysteroscopic removal of the endometrium, polyp, myom comes after the medication.

In the St. Donatus Hospital of Várpalota these glass fiber suregries are accomplished under modern circumstances of the XXIth century. The eventual medications or screenings prior the interventions are achieved within the ambulant care. Patients are operated in short anaesthesia, 12-24 hours after the procedures patients can leave accompanied the hospital. After 1-2 days of rest they can even go back to work.

The results of hysteroscopy interventions (myome and endometrium remova) in our hospital show that in 80-90% of the cases patients suffering from blood disorders and myome could avoid further abdominal operations (hysterectomy).

Sometimes the contraceptive within the uterus cannot be removed for certain reasons. The operative hysteroscopy provides good help in this case as well. If the ultrasound examination provides a doubtful picture, whereby the cause of the disorder cannot be explained hysteroscopy can be used for histology.

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Szent Donát Hospital

8100 Várpalota Honvéd u 2-3




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