Is uterine adhesion a minor surgical procedure?

Hysteroscopic surgery for intrauterine adhesions is considered a minor surgical procedure.

Hysteroscopic surgery is a minimally invasive procedure performed using a hysteroscope—an advanced diagnostic and therapeutic instrument for evaluating and managing intrauterine conditions. It enables clear visualization of various intrauterine anatomical changes, facilitating accurate diagnosis.

Using hysteroscopy, clinicians can directly visualize intrauterine lesions, precisely sample suspicious tissue for pathological examination, and achieve accurate, timely, comprehensive, and intuitive diagnoses—including early detection of malignancies. Hysteroscopic tubal cannulation allows assessment of tubal patency and effective treatment of interstitial tubal obstruction. Furthermore, hysteroscopic resection of endometrial tissue, submucosal myomas, endometrial polyps, uterine septa, intrauterine adhesions, and removal of intrauterine foreign bodies offers excellent therapeutic outcomes—without laparotomy, with minimal trauma, reduced blood loss, less discomfort, and rapid recovery.

Preoperative evaluations include infectious disease screening (hepatitis B surface antigen, HIV, HCV, RPR), liver and renal function tests, electrocardiogram (ECG), routine blood and urine tests, coagulation profile (four parameters), and vaginal discharge examination. Hysteroscopic surgery is optimally scheduled between days 3 and 7 after the cessation of menstruation. Sexual intercourse should be avoided for three days before or after menstruation, or for three days prior to surgery. Mild bladder distension before surgery is recommended to facilitate intraoperative ultrasound monitoring.