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Complete video of the entire process of hysteroscopic embryo retrieval procedure

Apr 03, 2023 Source: Cainiu Health
Dr. Lv Aiming
Introduction
Hysteroscopic embryo removal is a new type of abortion procedure. Under intravenous anesthesia, a hysteroscope is first used to determine the location of the gestational sac, followed by insertion of a suction cannula for uterine aspiration. The procedure must be performed at a正规 hospital, and the operation proceeds as follows: the patient lies on the operating table in the lithotomy position; an anesthesiologist administers general anesthesia, while the surgeon performs routine disinfection of the patient's perineal area and drapes the surgical field.

Transcervical embryo retrieval under hysteroscopy is a new type of abortion procedure. Under intravenous anesthesia, a hysteroscope is first used to locate the gestational sac, followed by insertion of a suction cannula to perform uterine aspiration. This procedure must be performed at a正规 medical facility, and the specific steps are as follows:

1. The patient lies on the operating table in the lithotomy position. An anesthesiologist administers general anesthesia, while the surgeon performs routine disinfection of the perineal area and drapes the field.

2. After anesthesia takes effect, a vaginal speculum is inserted to open the vaginal canal and fully expose the cervix. A cervical clamp is then used to grasp the cervix for further disinfection.

3. A uterine sound is inserted into the uterine cavity to determine its depth and size, followed by dilation of the cervical os using dilators.

4. Once adequate cervical dilation is achieved, the hysteroscope is introduced into the uterine cavity. Under direct visualization via the hysteroscopic lens, the implantation site of the gestational sac is identified, and the sac along with decidual tissue is removed using suction.

After surgery, patients are advised to maintain a light diet and avoid spicy or irritating foods. Sexual intercourse should be avoided for one month following the procedure.

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Is the hysteroscopy procedure painful?
In general, the level of discomfort during a hysteroscopy varies among individuals. Most people can tolerate the procedure, while a few may experience significant discomfort. If you are concerned about pain, it is recommended to communicate fully with your doctor beforehand and choose an appropriate pain relief method. Additionally, staying relaxed and cooperating with the procedure can further reduce discomfort. Mild abdominal pain or slight bleeding after the examination is usually normal.
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Dr. Zhang Lu
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Is hysteroscopy harmful to the body?
In general, whether hysteroscopy causes harm to the body depends on the specific circumstances. If the procedure is performed strictly according to the operational guidelines and post-procedure care is followed as directed by a physician, there is generally no harm. However, if the procedure is performed improperly or post-operative care instructions are not followed, it may cause harm to the body.
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Dr. Zhang Lu
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What should be noted before undergoing hysteroscopy?
Before undergoing hysteroscopy, it is important to choose an appropriate time, avoid sexual intercourse, maintain local hygiene, complete necessary examinations, and avoid taking medications without medical guidance. For patients with regular menstrual cycles, hysteroscopy is generally scheduled 3–7 days after the completion of menstruation, when the endometrium is thinner and provides a clearer view of the uterine cavity.
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Dr. Zhang Lu
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Is anesthesia required for hysteroscopy?
Whether anesthesia is required for hysteroscopy mainly depends on the type of examination. Painful hysteroscopy is usually performed without anesthesia and is suitable for patients with good pain tolerance. In contrast, painless hysteroscopy requires anesthesia, which can be administered in various ways, including local medication and injection. This approach is suitable for patients with low pain tolerance.
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Dr. Zhang Lu
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What is the optimal time for hysteroscopy?
It is recommended to perform hysteroscopy between days 1 and 10 after the completion of menstruation, when the endometrium is thin and there is minimal mucus, making it easier to observe the uterine morphology and any abnormalities. At this time, bleeding has mostly stopped or only slight spotting remains, thus minimizing the risk of increased bleeding during the procedure and avoiding interference with the examination results.
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Dr. Zhang Lu
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Is hospitalization required for hysteroscopy?
In general, whether a hysteroscopy requires hospitalization depends on the specific circumstances. If the patient is in good health and only requires a simple hysteroscopy, hospitalization is usually not necessary. However, if the patient has severe diseases or requires concurrent treatment, hospitalization may be needed. After the procedure, it is advisable to maintain a light diet and consume more fresh fruits and vegetables.
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Dr. Zhang Lu
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What issues can be detected through hysteroscopy?
Under normal circumstances, hysteroscopy can usually detect endometrial polyps, submucosal uterine fibroids, intrauterine adhesions, uterine malformations, blocked fallopian tube openings, and other issues. Hysteroscopy is an invasive procedure that may cause certain physical discomforts, such as vaginal bleeding and abdominal pain. Prior to undergoing hysteroscopy, patients need to adequately prepare.
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Dr. Zhang Lu
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How long should sexual intercourse be avoided before hysteroscopy?
Hysteroscopy is typically advised to be preceded by a 3-day period of sexual abstinence to reduce the risk of infection and ensure the accuracy of the examination results. Since hysteroscopy is an invasive procedure, sexual activity before the exam may increase the risk of infection, thereby affecting the examination outcomes. Additionally, it is important to avoid taking baths or swimming too soon after the procedure.
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Dr. Zhang Lu
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