What is Hysteroscopy?
It is the name of the non-complex method that allows direct endoscopic examination of the inside of the uterus through the cervix canal and, if necessary, biopsy or surgical intervention. Hysteroscopy in general; It consists of three basic parts: lens system, metal case and lens. This method, which is performed by expanding the inside of the uterus using liquid through a camera-monitor system with a cold light source, is known as a method that has minimal side effects and causes minimal discomfort.
Hysteroscopy performed for diagnostic purposes (diagnostic hysteroscopy) In addition to being an organ-preserving surgical method, it also has a minimal spreading effect. Complication rates are quite low.
What is Operative Hysteroscopy?
Operative hysteroscopy; It is the standard diagnosis and treatment method for uterine lining diseases. It is the method used in the surgical removal of cell growths (polyps) and benign tumors (myomas) extending from the inner wall of the uterus to the uterine cavity, in the removal of intrauterine adhesions, and in the treatment of congenital intrauterine anomalies (such as septum). O
Healing Stages After Hysteroscopy
1) Wound Healing
Every surgical operation causes a tissue trauma and is accompanied by This brings about the healing process of trauma. This process begins to occur within 3 hours following tissue damage. Clotting occurs within 12 hours. With the development of tissue damage, the repair process begins on the 2nd or 3rd day. Healing begins in 3 or 5 days and is completed in 3 or 4 weeks. In this process, tissue damage heals simultaneously everywhere.
2) Stages of Adhesion Formation
Adhesion is the disruption of the normal physiological healing process. In fact, adhesion that occurs during the healing process of tissues cannot be defined as abnormal healing. Adhesions may occur as a result of cutting mechanical or thermal damage, or they may develop due to radiation. It may also occur as a result of contamination (infection), desiccation, abrasion, or blood and foreign body reaction. In fact, we can say that adhesion is the result of tissue damage that occurs as a result of all these reasons. But it can be done According to research, it has been revealed that tissue damage experienced due to these reasons alone does not cause tissue damage. In this case, the body may be insufficient to prevent the formation of adhesion in cases of trauma or infection caused by chemical, physical or insufficient blood flow (ischemia).
On the 1st-3rd days of the process, the factors required for blood clotting and cell regeneration. It begins to form and affects the body with an increasingly stronger mechanism. Thus, by the 4th day, the reticulated, threadlike structure formed by blood clotting is replaced by the collagen structure. By the fifth and tenth days, the collagen structure becomes fully organized.
3) Adhesion Formation and Clot Dissolving Treatment
When there is a wound in the human body, the wound There are various biological signals that regulate the communication of the body with all other mechanisms and the interaction between different cell types. However, when these signals occur clearly and synchronously, a normal tissue healing process is possible. These signals are formed and spread by enzymatic dissolution and the effect of locally released clot-dissolving activities, allowing the process to return to normal before adhesion develops in the days following the injury. In fact, after the hysteroscopic surgical procedure, if the treatment that dissolves the blood clotting in our body is not carried out well enough, it causes a tendency to adhesion formation. For this reason, clot dissolving treatment, adhesion barrier gels, are at a point that both prevents adhesion formation and therefore provides healing after the hysteroscopic surgical procedure.
4) Biological Signals Necessary for Wound Healing
4) Biological Signals Necessary for Wound Healing
strong>Injury occurring in any part of our body can only occur with biological signals that occur in that area and provide clear communication with the cells throughout the body. These signals ensure that complications that may occur or necessary cell renewal are carried out quickly and accurately. For a normal tissue healing process to occur, the formation of these biological signals in the tissue must occur optimally, clearly and synchronously. Any interruption, distortion or disruption in the formation of biological signals Excessive formation may cause damaged tissue not to heal or adhesion to occur in that area. On the 7th day after trauma, the effects of proteins on the wound become visible along with these signals.
5) Establishment of Adequate Blood Flow
After hysteroscopy, the healing process is at its best. The important factor is the blood flow that must occur in the area where the wound is located. Ischemia is a condition that means insufficient blood flow to enable cells to continue their functions. In other words, the lack of adequate blood flow for the cells to renew themselves and maintain their functions actually means the emergence of many factors that will make the healing process difficult. The tissue where sufficient blood flow is not provided does not break down the coagulation and even reduces the coagulation destruction occurring in the neighboring tissues. In addition, lack of sufficient blood flow is defined as the first factor that stimulates adhesion formation. Therefore, we can say that preventing ischemia formation can also prevent adhesion formation.
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