What are the sequelae of hysteroscopic electrosurgical resection?

The female uterus is very fragile. If you don't pay attention to maintenance, it will induce many uterine diseases. The traditional treatment of this disease will cause great harm to the human body. With the continuous development of medical technology, the emergence of hysteroscopic electrosurgical resection has brought great convenience to patients. Patients can directly undergo surgery through hysteroscopy, and the recovery time is also very fast. So what are the sequelae of hysteroscopic electrosurgical resection?

First, what are the sequelae of hysteroscopic transurethral resection? Injury. Excessive stretching and dilation of the cervix may cause cervical injury or bleeding. Uterine perforation. The rate of uterine perforation during diagnostic hysteroscopy is about 4%. Severe intrauterine adhesions, scarred uterus, excessive anteversion or retroflexion of the uterus, after cervical surgery, atrophic uterus, and lactating uterus are all prone to uterine perforation. Sometimes the perforation is not detected and the surgical procedure continues, which may cause serious intestinal damage. Perforation often occurs at the fundus of the uterus. Laparoscopic monitoring can also reduce the incidence of perforation. Once perforation occurs, the operation should be stopped, the instrument should be withdrawn, the perforation situation should be estimated, and abdominal pain and vaginal bleeding should be carefully observed.

Second, a 5 mm perforation of a scope has no obvious sequelae, whereas a perforation during hysteroscopic surgery requires consideration of laparotomy or laparoscopy. Especially caution should be exercised when perforating due to electrocoagulation devices and lasers used in recent years. During transhysterectomy, the heat energy conduction may damage the intestines attached to the surface of the uterus, or the electrocoagulator may perforate into the abdominal cavity and burn the intestines, ureters and bladder. During hysteroscopic transurethral resection, laparoscopic monitoring can assist in clearing the bowel, confirming that the bladder is empty, and reducing the occurrence of complications. Fallopian tube catheterization under hysteroscopy may damage the uterine horns, carbon dioxide gas distension of the uterus may cause hydrosalpinx rupture, and gas may enter the broad ligament to form emphysema.

What are the side effects of hysteroscopic transurethral resection? There is usually a small amount of vaginal bleeding after hysteroscopy, which usually stops within a week. Hysteroscopic surgery may cause excessive bleeding due to excessive cutting, poor uterine contractions, or incomplete hemostasis during the operation. Bleeding can be stopped with an electrocoagulator or by compression with a Foley catheter for 6 to 8 hours. There is usually a small amount of vaginal bleeding after hysteroscopy.