 Medical
information
Hysteroscopy and laparoscopy
Hysteroscopy uses an endoscope that can be inserted into the uterus via the vagina. No incision to the cervix or uterus is needed. For laparoscopy, the endoscope is inserted into the abdomen through a small cut made in the abdomen or navel.
Hysteroscopy: A hysteroscope is used to
inspect the inside walls of the uterus. Hysteroscopy may be
performed alone or in combination with laparoscopy. This procedure
may be used to see:
- the length and width of the uterus
- an abnormality in the anatomy of the uterus
- fibroids (non-cancerous tumours composed of fibrous tissue)
- polyps (non-cancerous tumours of the lining of the uterus)
- cancer of the endometrium (lining of the uterus).
Laparoscopy: A laparoscope is used to inspect
the abdominal and pelvic cavities, as shown in the bottom
figure. Laparoscopy may be performed alone or in combination
with hysteroscopy. Surgery to treat many gynaecological conditions
can be performed safely and effectively during laparoscopy.
Compared to laparotomy (surgery through a larger incision in the abdomen), laparoscopy has significant benefits, which include:
- smaller and less visible scars
- less pain and discomfort during recovery
- usually a quicker recovery after surgery and an earlier return to daily activities.
Recovery after hysteroscopy or laparoscopy
Hysteroscopy: initially, bloodstained fluid may drain from
the vagina following the procedure. A small amount of vaginal
bleeding for a few days is normal, but it should be no more
than the flow of a normal period. It should stop completely
within 14 days. Some women have cramps, which are similar
to period cramps.
Laparoscopy: After your operation, you may experience some
symptoms that may last for several days:
- tiredness
- muscle pain
- mild nausea
- pain or discomfort at the site of the incisions
- pain in one or both shoulders that may extend into the neck This is thought to be caused by the carbon dioxide gas used during the procedure. This main may last for a few days. Lying down can often help to improve it.
- Cramps similar to period cramps
- A little vaginal discharge or bleeding for a few days
- A sensation of swelling in the abdomen.
Expect to remain off work for about three days.
The information above is reproduced from 'HYSTEROSCOPY
AND LAPAROSCOPY - a guide for Women', published by the Royal
Australian and New Zealand College of Obstetricians and Gynaecologists
and Mi-tec Medical Publishing. The complete pamphlet is available
from your doctor.
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