Hysteroscopic Surgery

• Minimal Invasiveness
  The main advantage of the hysteroscopic approach is that it does not require surgical incisions in the abdomen. Access is achieved naturally through the vagina and cervix, which significantly reduces the risk of complications and recovery time.
• Faster Recovery
  Patients who undergo hysteroscopic procedures show significantly faster recovery compared to traditional surgery. Most women can return to their daily activities within a few hours.
• Reduced Pain
  The absence of incisions means significantly reduced postoperative pain. The majority of women do not feel pain, while some patients report feeling only mild discomfort, similar to menstrual cramps.
• High Accuracy
  The hysteroscope offers excellent optical resolution, allowing the surgeon to accurately identify and treat pathological conditions.

• Polyps
  Endometrial polyps are benign growths of the endometrium that can cause abnormal vaginal bleeding or may transform into malignancy. Hysteroscopic polyp removal is a simple and effective procedure often performed in outpatient settings.
• Fibroids
  Submucosal fibroids are benign tumors that develop in the uterine wall and protrude into the endometrial cavity. Hysteroscopic myomectomy offers excellent results with minimal complications.
• Endometrial Adhesions
  Intrauterine adhesions or synechiae can cause infertility. Hysteroscopic division of adhesions can restore normal uterine anatomy.
• Uterine Septum
  A uterine septum is a congenital anomaly that can affect fertility. Hysteroscopic correction is the treatment of choice for this condition.
• Abnormal Bleeding
  Abnormal uterine bleeding that does not respond to medication therapy can be treated with hysteroscopic endometrial ablation.

• Anesthesia
  Most hysteroscopic procedures are performed under general anesthesia, although simpler diagnostic hysteroscopies can be done with local anesthesia.
• Insertion of the Hysteroscope
  The hysteroscope is carefully inserted through the cervix.
• Distention of the Uterine Cavity
  For optimal visualization, the uterine cavity is distended using special fluids.
• Therapeutic Intervention
  Once the pathology is identified, the surgeon uses special microsurgical instruments for its removal or correction.

• Immediate Postoperative Period
  Patients remain under observation for a few hours after the procedure. Most women can be discharged the same day.

Although hysteroscopic surgery is considered very safe, there are certain rare complications that patients should be aware of.

• Uterine Perforation
  Perforation of the uterine wall is a rare but serious complication that may require additional surgical treatment.
• Infection
  Infections are extremely rare and usually easily treated with antibiotics.
• Hemorrhage
  Severe bleeding is rare but can occur especially in procedures for large myomas.

Technological Innovations

The continuous evolution of technology has led to even more accurate and safe hysteroscopic systems. Modern hysteroscopes feature high-resolution cameras and improved lighting systems.

Robotic Hysteroscopy

The integration of robotic technology into hysteroscopic surgery offers even greater precision and control.

Hysteroscopic surgery is the gold standard treatment for many gynecological conditions. Its advantages compared to traditional surgery are undeniable, offering women a safe, effective, and less invasive therapeutic option.

Women facing gynecological problems that can be treated hysteroscopically should discuss this therapeutic option with their doctor, as it offers a modern and extremely effective solution with minimal invasiveness and rapid recovery.

The selection of the appropriate therapeutic approach must always be made in collaboration with an experienced gynecologist surgeon who specializes in hysteroscopic surgery. Careful evaluation of each case and individualized therapeutic approach ensure the best possible results for each patient.

Kostis Nikolopoulos applies advanced laparoscopic techniques with a focus on safety and effectiveness.

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