This is an automatically translated article.
The article was professionally consulted with Specialist Doctor II Lai Thi Nguyet Hang - Obstetrician and Gynecologist - Department of Obstetrics and Gynecology - Vinmec Ha Long International General Hospital.When detecting a foreign body in the uterus through ultrasound, hysteroscopy, and tubal imaging, the patient will usually be prescribed hysteroscopy to remove the foreign body. Foreign bodies may be IUD fragments left in the uterine cavity.
1. Indications and contraindications for hysteroscopy to remove foreign bodies
Removal of foreign bodies in the uterus by hysteroscopy is usually indicated in cases where the patient has a foreign body in the uterus such as: Broken fragments of the IUD,...Hysteroscopy to remove the foreign body Contraindicated in case of uterine foreign body but the patient has indicated hysterectomy.
Bệnh nhân cắt tử cung không được chỉ định soi tử cung lấy dị vật
2. Steps to perform hysteroscopy to remove foreign body
Hysteroscopy to remove foreign bodies is a method that is less painful and has few complications. This method is performed according to the following hysteroscopy steps:Step 1: Sterilize diagnostic and surgical hysteroscopy instruments, laparoscope instruments. Step 2: Full body examination, specialist assesses co-morbidities and advises patients on risks, complications, and complications of surgery. Step 3. Ask the patient to go to the toilet and instruct the patient to lie in a gynecological position to relieve pain in the whole body. Step 4: Disinfect the patient's genital area. Then, catheterize and save the catheter; insert a vaginal valve or speculum; Cervical pair with Pozzi forceps Step 5: Release the cervix and then probe the uterine cavity with a measuring tape. Step 6: Insert the hysteroscope into the uterus and inflate the uterine cavity with CO2 gas or a solution such as: physiological saline, glucose 5% mannitol, sorbitol, dextran. Step 7: Observe the entire uterine cavity for foreign bodies. After locating the foreign body, a tool will be used to remove the foreign body. Step 8: Re-examine the uterus to ensure that there are no foreign bodies and that the uterine cavity is intact.
3. Follow-up after the procedure
After performing hysteroscopy to remove foreign bodies, the patient should note:Monitor pulse, blood pressure is stable Check for vaginal bleeding within a few hours after the procedure; Repeat ultrasound in a few months to confirm the removal of the foreign body. Vinmec International General Hospital is a reliable address to perform diagnostic hysteroscopy and biopsies for women when experiencing problems related to gynecological diseases.
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