Teknik Histeroskopi

Oleh :

dr.Giovanny Azalia Gunawan

Teknik histeroskopi dilakukan dengan posisi pasien litotomi dan diawali dengan insersi spekulum ke dalam vagina untuk visualisasi. Ostium serviks kemudian didilatasi dan histeroskop diinsersi melalui kanal serviks menuju kavum uterus. Histeroskop memiliki sumber cahaya dan kamera untuk visualisasi kavum uterus. Visualisasi dapat dibantu dengan gas atau cairan tertentu untuk distensi uterus.[7]

Persiapan Pasien

Setelah dokter melakukan anamnesis, pemeriksaan fisik, dan pemeriksaan penunjang untuk menentukan diagnosis (atau diagnosis kerja) dan menyingkirkan kontraindikasi, dokter menjelaskan indikasi perlunya histeroskopi pada pasien, langkah prosedurnya, dan kemungkinan komplikasinya. Edukasi yang adekuat diperlukan sebelum meminta informed consent.[7-9]

Referensi

3. Carugno J. Moore JF. Hysteroscopy. Treasure Island: StatPearls Publishing. 2020. https://europepmc.org/article/NBK/nbk564345
6. Yen CF, et al. Effectiveness and Appropriates in the Application of Office Hysteroscopy. Journal of the Formosan Medical Association. 2019;118(11):1480-1487.
7. Yeh JS. Diagnostic Hysteroscopy. Medscape. 2021. https://emedicine.medscape.com/article/1848258-overview#a9
8. Crochet JR. Operative Hysteroscopy. Medscape. 2021. https://emedicine.medscape.com/article/1848467-overview#a8
9. Orlando MS, et al. Implementation of Office Hysteroscopy for the Evaluation and Treatment of Intrauterine Pathology. Obstetrics & Gynecology. 2022;140(3):499-513.
10. Liu X, et al. Equipment and Instruments for Hysteroscopy. Practical Manual of Hysteroscopy. 2022. https://doi.org/10.1007/978-981-19-1332-7_2
11. Tsonis O, et al. The History of Hysteroscopy as an Endoscopic Method. GinPolMedProject. 2023;18(2):1-6.
12. Feng L. Distention Medium in Hysteroscopy. Practical Manual of Hysteroscopy. 2022. https://doi.org/10.1007/978-981-19-1332-7_6
13. Vitale SG, et al. Updates in Office Hysteroscopy: A Practical Decalogue to Perform a Correct Procedure. Updates in Surgery. 2020;72:967-976.
14. Park MG, et al. Hysteroscopic Management of Intrauterine Disorders: Polypectomy, Myomectomy, Endometrial Ablation, Adhesiolysis, and Removal of Uterine Septum. Clinical Reproductive Medicine and Surgery. 2022. https://doi.org/10.1007/978-3-030-99596-6_20
15. Budden A, et al. The Diagnosis and Surgical Approach of Uterine Septa. Journal of Minimally Invasive Gynecology. 2018;25(2):209-217.
16. Belinga E, et al. Diagnostic Therapeutic and Prognostic Aspects of Uterine Synechiae Managed by Hysteroscopy in the Gynecological Endoscopic Surgery and Human Reproductive Teaching Hospital. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2018;7(1):56-62.
17. Gupta N, et al. Complications During Hysteroscopy for Gynecological Procedures: Prevention is Better than Cure!. Korean J Anesthesiol. 2020;73(1):79-80.
18. Gupta S. Complications of Hysteroscopy. Manual of Fertility Enhancing Hysteroscopy. 2018. https://doi.org/10.1007/978-981-10-8028-9_12
19. Manchanda R, et al. Complications of Hysteroscopy and Management. Hysteroscopy Simplified by Masters. 2021. https://doi.org/10.1007/978-981-15-2505-6_26

(Konten ini khusus untuk dokter. Registrasi untuk baca selengkapnya)

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