What is distension medium?

What is distension medium?

A uterine distending medium is used to allow a global view of the endometrial cavity. Carbon dioxide and low-viscosity fluids are the most frequently used distending media. Each medium has advantages and disadvantages, including specific safety concerns.

Why does the uterine distention fluid have to be closely monitored during hysteroscopy?

These procedures require distention media to ensure optimal visualization throughout the procedure. Vigilant monitoring of fluid is essential during procedures to accurately measure fluid deficit and ensure the safety of the patient.

Is a D&C the same as a hysteroscopy?

A D&C (dilatation and curettage) is a procedure where the opening of the uterus (called the cervix) is widened and the lining of the uterus is scraped away. look for growths ■ end an incomplete miscarriage. A hysteroscopy is a procedure that allows your doctor to see inside your uterus and make a diagnosis.

Which solution is used to distend the uterus during a hysteroscopy?

CO2 or a fluid (eg, such as saline) is inserted through the hysteroscope into the uterus to distend it and clear away blood and mucus. The amount of fluid used is carefully monitored throughout the procedure.

What fluid do you use for hysteroscopy?

The use of isotonic fluid in operative hysteroscopy is considered safer as fluid absorption does not cause hyponatraemia. However the exact volume of normal saline absorption that is safe is not known.

What are the side effects after a hysteroscopy?

You may have cramping and vaginal bleeding for a day or two after the procedure. Report fever, severe abdominal pain, or heavy vaginal bleeding or discharge. You may have gas in the digestive tract and pains from the gas given during the procedure. This can last for about 24 hours.

What are the complications of a hysteroscopy?

Some possible complications of hysteroscopy may include:

• Infection.
• Bleeding.
• Pelvic inflammatory disease.
• Tearing of the uterus (rare) or damage to the cervix.
• Complications from fluid or gas used to expand the uterus.

Is gas used during hysteroscopy?

Embolism during operative hysteroscopy can be either air (atmospheric air) or gas (ingress of insufflating gas such as carbon dioxide or smoke generated during electrothermal procedure). Multiple fatal and nonfatal cases of embolism have been reported in the past with incidence of 10–50%.

What should I avoid after hysteroscopy?

Personal Care: During surgery your cervix was dilated to allow for instruments to be used inside the uterus. To prevent bacteria from entering this area, do not use anything vaginally for two weeks – no tampons, no douching, no intercourse.

What happens after a hysteroscopy and D&C?

After these procedures, you are likely to have a backache or cramps similar to menstrual cramps. Expect to pass small clots of blood from your vagina for the first few days. You may have light vaginal bleeding for several weeks after the D&C. If the doctor filled your uterus with air, your belly may feel full.

Is hysteroscopy considered surgery?

Hysteroscopy is considered minor surgery and usually does not require an overnight stay in the hospital. However, in certain circumstances, such as if your doctor is concerned about your reaction to anesthesia, an overnight stay may be required.

What is the minimum pressure required for uterine distention during hysteroscopy?

DISTENSION MEDIA IN HYSTEROSCOPY Dr Mandeep Bhandal 2. Uterine distention mediumUterine cavity- a potential spaceMinimum pressure – 30 mmHg to separate uterine walls – 45-80 mmHg to expand uterine cavity, rarely >100 mmHgMAP ~ 100 mmHg 3.

What is the best medium for uterine distention?

Uterine distention medium Choice depends on the type of procedureTYPESGASEOUS CO2LIQUID Electrolytic NS, Ringer lactate Non-electrolytic Hyscon (32% dextran 70) Glycine Sorbitol Mannitol 4.

What are the contraindications to hysteroscopy?

Absolute contraindications to hysteroscopy are few. They include active pelvic infection, prodromal or active genital herpes, and confirmed cervical or endometrial cancer.   Moderate vaginal bleeding is a relative contraindication to hysteroscopy. However, adequate visualization for the procedure may be achieved with copious irrigation.

What is hysteroscopy and how does it work?

Hysteroscopy involves inserting a rigid or flexible hysteroscope through the cervical canal into the uterus and then using distending media to allow for complete visualization of the endometrial cavity. The type of distending media is selected based on the type of energy that will be used.