What is distension medium?
A uterine distending medium is used to allow a global view of the endometrial cavity. Carbon dioxide and low viscosity fluids are the most frequently used distending media. Each medium has advantages and disadvantages, including specific safety concerns.
Why does the uterine distention fluid have to be closely monitored during hysteroscopy?
These procedures require distention media to ensure optimal visualization throughout the procedure. Vigilant monitoring of fluid is essential during procedures to accurately measure fluid deficit and ensure the safety of the patient.
What is hysteroscopy DD C?
D&C (Dilation and Curettage) with Hysteroscopy are procedures that are performed together, these procedures are used to: Diagnose or treat abnormal bleeding from the uterus, such as heavy or long menstrual periods or bleeding between periods Remove polyps or fibroid Find out whether a woman has cancer of the uterus.
What instrument is used for hysteroscopy?
Hysteroscopy is done using a hysteroscope, a thin, lighted tube that is inserted into the vagina to examine the cervix and inside of the uterus. An operative hysteroscopy can be used to remove polyps, fibroids and adhesions.
What is uterine distention?
Distention of the uterine cavity was achieved when the intrauterine perfusion pressure reached a median of 40 mm Hg (range 25-50 mm Hg). Fluid with the same viscosity as normal saline will distend the uterine cavity at a pressure of approximately 40 mm Hg, lower than we measured previously.
What are the complications of a hysteroscopy?
Some possible complications of hysteroscopy may include:
- Infection.
- Bleeding.
- Pelvic inflammatory disease.
- Tearing of the uterus (rare) or damage to the cervix.
- Complications from fluid or gas used to expand the uterus.
What is fluid overload in hysteroscopy?
Known complications include uterine perforation, massive bleeding, and fluid overload [1]. Fluid overload can occur because of continuous infusion of fluid media for distending the uterus and can be accompanied by severe complications, such as pulmonary edema, hyponatremia, hypo-osmolarity, and cerebral edema.
Is d and c same as hysteroscopy?
A D&C (dilatation and curettage) is a procedure where the opening of the uterus (called the cervix) is widened and the lining of the uterus is scraped away. look for growths ■ end an incomplete miscarriage. A hysteroscopy is a procedure that allows your doctor to see inside your uterus and make a diagnosis.
What is the CPT code for hysteroscopy with dilation and curettage?
58558
If a biopsy is obtained, a polyp removed or a dilatation and curettage (D&C) performed during a hysteroscopy, use 58558 Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D&C.
What is the CPT code for hysteroscopy?
58555
Hysteroscopy can be used to diagnose or treat a problem. Abnormal uterine bleeding is one of the most common reasons to perform a diagnostic hysteroscopy. Report this using CPT code 58555 Hysteroscopy, diagnostic (separate procedure).
What is diagnostic hysteroscopy?
A hysteroscopy is a commonly used diagnostic tool that gives the physician a clear view of the inside of the uterus. Diagnostic hysteroscopy is a minimally invasive procedure that diagnoses problems of the uterus, such as: Uterine Fibroids. Uterine Polyps.
What causes uterine Overdistension?
Overdistended uterus. This is when the uterus is larger than normal because of too much amniotic fluid or a large baby. Multiple-baby pregnancy. High blood pressure disorders of pregnancy.
https://www.youtube.com/watch?v=hLr_hP_Y6FM