Diagnostic Hysteroscopy D & C
Under general anaesthetic, the cervix is extended so that there is sufficient room for a telescope to be passed into the womb. Fluid is then introduced into the womb to fill it, so the doctor has a more unobstructed view of what is going on inside. By using a telescope, the inside of the womb is checked to see if there is anything adverse, then the fluid is drained away.
When collecting cells, the wall of the womb is scraped. This sample is sent to Pathologists who will examine the cells under a microscope. Elimination of abnormalities like fibroids, ovarian cysts or polyps, will also be carried out. Removal of the uterine lining may also occur.
General Risks Of A Procedure
- Small areas of the lungs may collapse, increasing the risk of chest infection. This may need antibiotics and physiotherapy.
- Clots in the legs (deep vein thrombosis or DVT) with pain and swelling. Rarely part of this clot may break off and go to the lungs which can be fatal.
- A heart attack because of strain on the heart or a stroke. (Very Rare)
- Increased risk in obese people of chest infection, heart and lung complications and thrombosis.
- Increased risk in smokers of chest infections, heart and lung complications and thrombosis.
Risks Of This Procedure
- Haemorrhaging that may be so severe that a blood transfusion may be required. On rare occasions, further surgery has also been needed.
- Perforation of the womb – due to the instruments used to extend the cervix or from the telescope (1:50 to 1:100 women). A perforated womb will not typically cause any lasting problems. On very rare occasions, it can lead to peritonitis, extensive haemorrhaging or an injured bowel, which may require the womb to be removed or the bowel repaired. As a result of either, an extended hospital stay will ensue. If the bowl needs repairing, a stoma is created in the colon and brought out onto the stomach where a colostomy pouch is attached. This enables the waste to drain down into the pouch.
- It is uncharacteristic that the procedure cannot be completed because the inside of the cervix is too narrow. If the condition persists, additional surgery will be required.
- Uterus infection. Substantial bleeding, painful cramps, discharge and high temperatures can result in a uterus infection. The infection could have an impact on the tubes and create issues when trying to fall pregnant. Antibiotics are prescribed as a cure for the infection.
Following a D&C (hysteroscopy), you can expect the following:
- Mild vaginal discharge or haemorrhaging, which may continue for a couple of days to several weeks.
- Cramps in the lower abdominal region which may last for a few days.
Typically, on the same day as your operation, you will be sent home. During the days following the operation, you will need to take time to rest. You will be unable to work.
You Must Tell Your Doctor If You Have:
- Intense bleeding/discharge
- Increasing pain
- High temperature (fever)