Comprehensive Guide to Hysteroscopic Surgery What Is Hysteroscopy? Hysteroscopy is a precise procedure that allows direct visualization of the uterine cavity and the openings of the fallopian tubes. Using a thin camera (hysteroscope), the physician can simultaneously diagnose and treat various uterine conditions, including polyps, fibroids, congenital uterine abnormalities, retained products of conception, intrauterine adhesions, and other structural abnormalities. In addition to diagnostic purposes, hysteroscopy may be used for therapeutic interventions such as removal of intrauterine lesions, endometrial scratching, correction of congenital uterine anomalies, and treatment of structural abnormalities affecting fertility or uterine function. Ideal Timing Hysteroscopy is usually performed 1 to 5 days after the end of menstruation, when the endometrial lining is thin and visualization of the uterine cavity is optimal. Preoperative Preparation Please follow the instructions below according to the type of procedure recommended by your physician. If Your Procedure Is Planned Without Anesthesia When the planned procedure is expected to be well tolerated (such as diagnostic hysteroscopy, endometrial scratching, or removal of small polyps), hysteroscopy may be performed without anesthesia. However, if the patient experiences discomfort or is unable to tolerate the procedure, the anesthesiologist may administer anesthesia as needed. For this reason, fasting is mandatory even for hysteroscopy procedures initially planned without anesthesia. Required Preparations 1. Fasting You must arrive fasting on the day of the procedure. 2. Preparation the Night Before The use of Betadine vaginal gel on the night before the procedure is mandatory. 3. Pre-Treatment Medications Doxycycline Capsules • Begin taking Doxycycline one day before the procedure. • Take one capsule every 12 hours with plenty of water. • Continue the medication for three days after the procedure unless otherwise instructed by your physician. Diazepam Tablets (2 mg) • Take one 2 mg tablet approximately 30 minutes before bedtime on the night before the procedure. If Your Procedure Requires General Anesthesia or Is Combined with Laparoscopy For your safety, the following instructions must be strictly followed: 1. Diet On the evening before surgery, consume only a very light dinner (such as soup). 2. Complete Fasting From midnight onward, do not eat or drink anything, including water, chewing gum, or candy. 3. Sedative Medication Take one 2 mg Diazepam tablet at bedtime on the night before surgery, as prescribed by your physician. Important Instructions for All Patients The following instructions apply to all patients regardless of the type of procedure: Companion Requirement • Your spouse must accompany you on the day of the procedure. • Original identification documents of both spouses must be brought to the center. Arrival Time • Please arrive at the center at 7:30 AM, fasting. Appearance • Do not wear makeup, nail polish, jewelry, or accessories on the day of the procedure. Required Documents • Bring all laboratory results and medical records. • Bringing your HSG (Hysterosalpingography) images and reports is particularly important. Notification • If you develop a cold, fever, or decide to cancel the procedure, please notify the center in advance. • To coordinate your procedure date, please contact the center from the first day of your menstrual cycle. Telephone: 021-23562000 Postoperative Care Diet • Follow a liquid diet on the first day after the procedure. • You may resume your regular diet beginning on the second day. Sexual Activity • Avoid sexual intercourse for five days after the procedure. Spotting • Mild spotting or light vaginal bleeding during the first few days after the procedure is considered normal. Warning Signs (Immediate Contact Required) Please contact the center immediately if you experience any of the following: • Heavy vaginal bleeding • Severe abdominal pain • Fever Additional Treatment • If your physician has prescribed hormonal therapy for the treatment of intrauterine adhesions or uterine septum correction, complete the full course of treatment exactly as instructed (one or two treatment cycles as prescribed). Pathology Results • If a biopsy or tissue sample was obtained during the procedure, please collect the pathology report from the outpatient clinic when it becomes available.
What Is Hysteroscopy?
Hysteroscopy is a precise procedure that allows direct visualization of the uterine cavity and the openings of the fallopian tubes. Using a thin camera (hysteroscope), the physician can simultaneously diagnose and treat various uterine conditions, including polyps, fibroids, congenital uterine abnormalities, retained products of conception, intrauterine adhesions, and other structural abnormalities. In addition to diagnostic purposes, hysteroscopy may be used for therapeutic interventions such as removal of intrauterine lesions, endometrial scratching, correction of congenital uterine anomalies, and treatment of structural abnormalities affecting fertility or uterine function.
Ideal Timing Hysteroscopy is usually performed 1 to 5 days after the end of menstruation, when the endometrial lining is thin and visualization of the uterine cavity is optimal. Preoperative Preparation
Please follow the instructions below according to the type of procedure recommended by your physician. If Your Procedure Is Planned Without Anesthesia When the planned procedure is expected to be well tolerated (such as diagnostic hysteroscopy, endometrial scratching, or removal of small polyps), hysteroscopy may be performed without anesthesia. However, if the patient experiences discomfort or is unable to tolerate the procedure, the anesthesiologist may administer anesthesia as needed. For this reason, fasting is mandatory even for hysteroscopy procedures initially planned without anesthesia.
Required Preparations
1. Fasting
You must arrive fasting on the day of the procedure.
2. Preparation the Night Before
The use of Betadine vaginal gel on the night before the procedure is mandatory.
3. Pre-Treatment Medications
Doxycycline Capsules
• Begin taking Doxycycline one day before the procedure. • Take one capsule every 12 hours with plenty of water. • Continue the medication for three days after the procedure unless otherwise instructed by your physician.
Diazepam Tablets (2 mg)
• Take one 2 mg tablet approximately 30 minutes before bedtime on the night before the procedure. If Your Procedure Requires General Anesthesia or Is Combined with Laparoscopy
For your safety, the following instructions must be strictly followed:
1. Diet
On the evening before surgery, consume only a very light dinner (such as soup).
2. Complete Fasting
From midnight onward, do not eat or drink anything, including water, chewing gum, or candy.
3. Sedative Medication Take one 2 mg Diazepam tablet at bedtime on the night before surgery, as prescribed by your physician.
Important Instructions for All Patients
The following instructions apply to all patients regardless of the type of procedure:
Companion Requirement • Your spouse must accompany you on the day of the procedure. • Original identification documents of both spouses must be brought to the center.
Arrival Time • Please arrive at the center at 7:30 AM, fasting.
Appearance • Do not wear makeup, nail polish, jewelry, or accessories on the day of the procedure. Required Documents • Bring all laboratory results and medical records. • Bringing your HSG (Hysterosalpingography) images and reports is particularly important.
Notification • If you develop a cold, fever, or decide to cancel the procedure, please notify the center in advance. • To coordinate your procedure date, please contact the center from the first day of your menstrual cycle. Telephone: 021-23562000 Postoperative Care
Diet • Follow a liquid diet on the first day after the procedure. • You may resume your regular diet beginning on the second day.
Sexual Activity • Avoid sexual intercourse for five days after the procedure. Spotting • Mild spotting or light vaginal bleeding during the first few days after the procedure is considered normal. Warning Signs (Immediate Contact Required)
Please contact the center immediately if you experience any of the following: • Heavy vaginal bleeding • Severe abdominal pain • Fever
Additional Treatment • If your physician has prescribed hormonal therapy for the treatment of intrauterine adhesions or uterine septum correction, complete the full course of treatment exactly as instructed (one or two treatment cycles as prescribed).
Pathology Results • If a biopsy or tissue sample was obtained during the procedure, please collect the pathology report from the outpatient clinic when it becomes available.