Is it serious to have hysteroscopy and laparoscopy performed together?

Performing hysteroscopy and laparoscopy together is considered a significant procedure. Clinically, when hysteroscopy and laparoscopy are performed simultaneously, it is referred to as combined hystero-laparoscopic surgery. This combined approach is generally used when there are intrauterine lesions, especially in conjunction with pathologies involving the uterine body and bilateral adnexal regions. It is particularly beneficial for patients with infertility.

Combined hystero-laparoscopic surgery is primarily used to diagnose or treat various gynecological conditions, including uterine fibroids or endometrial cancer, and is a commonly employed technical approach. It is typically indicated for women with tubal obstruction who require surgical lysis of tubal adhesions. The procedure is also suitable for individuals experiencing long-term infertility, allowing simultaneous examination via both hysteroscopy and laparoscopy. Under laparoscopic monitoring, a hysteroscopic tubal flushing procedure can be performed to assess tubal patency and evaluate the condition of the endometrium.

After combined hystero-laparoscopic surgery, patients should rest in bed for approximately one week and avoid strenuous physical exercise or heavy physical labor. Sexual intercourse and tub bathing should be avoided for one month. Patients should follow medical advice regarding appropriate oral antibiotics to prevent infection and return to the hospital for follow-up appointments as scheduled.