The resectoscopic surgery allows the effective treatment of manygynecological endouterine diseases (polyps, myomas, septa, etc.), especially if they have large dimensions, with minimally invasive and conservative techniques.
Following the introduction of the operative hysteroscopy (resectoscopy), the invokingof the therapeutic diagnostic uterine curettage (GDR) has become obsolete and would be prejudicial, as it is subject to high rates of failure. The operative hysteroscopy has therefore brought about changes particularly significant in the diagnostic and therapeutic approach to abnormal vaginal bleeding.
Upon examination, the operator uses a hystero-resectoscope that is inserted into the cavity of the uterus, passing through the cervix, allowing the physician to view the specific disease and eventually take action on it. This is also thanks to the possibility of direct visualization of the procedure on a high resolution monitor.
WHAT TYPE OF ANESTHESIA IS USED IN RESECTOSCOPY?
For this type of surgeries, it is advisable to perform a general anesthetic because it is necessary to dilate the cervical canal to include the resector of 9 mm. More rarely, it is sufficient local anesthesia.
WHICH ARE THE DIFFERENCES BETWEEN THE ENDOMETRIAL RESECTOSCOPY AND THE OFFICE HYSTEROSCOPY?
In the case of office hysteroscopy, it is used a hysteroscope of 4 mm, while in case of resectoscopy or operative hysteroscopy, it is used a resectoscope, or an operating hysteroscope of 9 mm that need, for its introduction and its use in the elimination of large submucosal fibroids and endometrial polyps, dilatation of the cervical canal. Which is why in most cases you must perform a local anesthesia or sedation.
WHICH ARE THE ADVANTAGES OF THE RESECTOSCOPY THAN THE CURETTAGE?
Thanks to the operative hysteroscopy, which guarantees high surgical standards, it is respected woman in her physical and psychological integrity since:
it promotes the preservation of the uterus and menstruation (if the woman is of childbearing age)
it does not leave internal or external scars
it saves money on health care costs because it reduces the cost of hospital stay, the "scraping", the number of surgival removal of the uterus and all related expenses such as examinations, days of hospitalization, drugs, etc..
WHICH ARE THE COMPLICATIONS OF THE RESECTOSCOPI SURGERY?
Syndrome due to the intravasation of the liquid medium of distension in the prolonged surgical treatments, where the vascular myometrial bed opens
Uterine perforation, caused typically by the phase of dilation of the cervical canal
Traumatic injuries from dilatation of the cervical canal
IS THE POST-SURGICAL COURSE PAINFUL?
An hour or two after waking, the patient may feel discomfort, usually mild, similar to menstrual pain that will gradually disappera spontaneously or after intake of analgesic.