endometrial polyp resection

Endometrial polyps can occur at any age, often manifested as excessive menstrual flow, irregular menstrual cycle, a small amount of vaginal bleeding before or after menstruation, gynecological examinations are often found without abnormalities, easily misdiagnosed as dysfunctional uterine bleeding. It is a common cause of abnormal uterine bleeding and infertility. The usual treatment is ultrasound examination, diagnostic curettage or pathological diagnosis after hysterectomy, but the rate of missed diagnosis is high. Hysteroscopy is able to examine the endometrium under direct vision. A diagnostic method for physiological and pathological changes. Hysteroscopy has been clinically proven as the gold standard for the diagnosis and treatment of intrauterine lesions. Hysteroscopic direct resection (TCRP) is the only method that can visualize the polyposis and remove it from its roots for the diagnosis and treatment of intrauterine Membrane polyps have opened up new avenues. Treating diseases: endometrial polyps Indication 1. Symptomatic endometrial polyps, which are ineffective after conservative treatment; 2. The uterus is less than 10 weeks pregnant and the uterine cavity depth is <12 cm; 3. Exclude malignant lesions of the cervix and endometrium; 4. The operation time was selected 3 to 7 days after the menstruation. Preoperative preparation Regular preoperative examination and preparation, and slowly insert the seaweed expansion rod into the cervical canal 12 hours before the operation to help the cervical dilatation, and then fill a small gauze in the vagina. Due to intraoperative anesthesia, fasting water was 6 h before surgery. Surgical procedure The patient took the bladder lithotomy position, routinely flushed, disinfected the surgical field, paved the towel, catheterized, took out the small gauze and seaweed expansion stick in the vagina, clamped the anterior lip of the cervix, and explored the depth of the uterine cavity and expanded the cervical canal with Hegar to 10.5~11.5 No., placed into the hysteroscopy, clear the number, size, root pedicle of the polyps, under the hysteroscopy under the ring electrode electric cut polyp base, complete removal of polyps, sent pathological test. The scope of surgery included polyps and 0.5 cm tissue around it to prevent recurrence, reaching depth to the basal layer and 1 to 2 mm superficial muscle layer, and coagulation to stop bleeding.

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