Remove endometrial polyp .Hysteroscopy - Causes, Symptoms and Treatment .MF .
Hysteroscopic endometrial polyposis picture:
Abnormal mucous formation, projecting above the surface and the associated leg or its base.They look in the form of single or multiple formations of irregular round or oval, rising above the general level of the mucous.Base polyps can be thick, but it is always smaller diameter than the body of the polyp.The surface is smooth or fold polyps.By color polyps in most cases differ from the surrounding mucosa.They are usually pale pink with a grayish or yellowish tinge and considerably lighter than the surrounding endometrium, which allows to distinguish polyps from mucosal folds.Often on the surface of the polyp at the general pale background of its surface is well defined vascular pattern.The uneven development of the vasculature may cause eating disorders of individual sections of the polyp that hysteroscopic manifested in the form of spots of dark purple or bluish-purple color.
When using the washing method of hysteroscopy may be noted that the polyps under
in the diagnosis and treatment of endometrial polyps hysteroscopy plays a special role, as it allows not only to clarify the localization of these pathological entities, but also aiming to make their removal.In addition, more importantly, it also allows you to check the completeness and efficiency of the removal of polyps.
Technique endometrial polyp removal:
After the diagnostic phase of hysteroscopy and endometrial polyps detection of small endometrial polyps are removed, producing a sharp curettage curette.Curette curettage when held freely, capturing her fingers like the pen or shackles.Introducing the curette to the uterine fundus output it back to the internal os by clicking on the wall of the uterus and endometrium scouring.Repeated movements mucosa removed from the bottom, front, rear and side walls of the uterine cavity.Scraping of the uterus is removed curette, deriving it from time to time from the uterus, but not with every movement in the direction of the uterine mouth.Upon detection of polyps of the mucous body and cervix produce separate scraping.In the beginning at the same time produce a scraping cervical mucous, without going over the internal os, then scrape the mucous membrane of the uterus to the walls.
After scraping scraping and removal of the uterus produces a control hysteroscopy.
Introducing the hysteroscope into the uterus, producing a consistent inspection of the uterine cavity walls, particularly careful in places polyp detection.Making sure that the polyps are removed, the procedure is terminated.
Upon detection of polyps or the remaining parts in the uterus again produce sighting scraping, followed by a control hysteroscopy.
When a large endometrial polyp, if necessary, make further expansion of the cervical canal to number 13-15 Gegara expander.After further expansion of the cervical canal into the uterine cavity is introduced forceps to remove the polyp, a polyp grab them by turning the curling around its own axis in one direction, spun polyp and remove it from the uterus.When the control hysteroscopy carefully inspect the place of attachment of the polyp, when detecting residues of the base of the polyp removal produce their curette.Remove large endometrial polyp can also use scissors flexible hysteroscope.Hysteroscope this is applied to the base of the polyp, scissors, introduced in the operating channel of the hysteroscope, under visual control cut off the leg of the polyp.Then introduced into the operating channel of the hysteroscope forceps, fix them under visual control polyp and remove it from the uterus.
Operation is similar to the abortion takes place under general anesthesia so it does not hurt - after removal of the polyp is precisely the ability to get pregnant but if you do not delete - the pregnancy is not possible.If left untreated there is a danger of degeneration into cancer.
removal of endometrial polyps is carried out in phase I menstrual cycle.