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    Hysterosalpingography

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    GAURAV
    Hysterosalpingography is a radiological procedure to visualize the uterus and fallopian tubes by introducing radio-opaque dye through the cervix. It is best done 4-7 days after the start of a woman's period. The procedure involves inserting a cannula through the cervix to inject dye and taking x-ray images. It can diagnose abnormalities of the uterus and fallopian tubes like blockages, as well as conditions like cervical incompetence. Complications are rare but may include allergic reaction to the dye.

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    Hysterosalpingography

    Uploaded by

    GAURAV
    786 views14 pages
    Hysterosalpingography is a radiological procedure to visualize the uterus and fallopian tubes by introducing radio-opaque dye through the cervix. It is best done 4-7 days after the start of a woman's period. The procedure involves inserting a cannula through the cervix to inject dye and taking x-ray images. It can diagnose abnormalities of the uterus and fallopian tubes like blockages, as well as conditions like cervical incompetence. Complications are rare but may include allergic reaction to the dye.

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    Hysterosalpingography is a radiological procedure to visualize the uterus and fallopian tubes by introducing radio-opaque dye through the cervix. It is best done 4-7 days after the start of a woman's period. The procedure involves inserting a cannula through the cervix to inject dye and taking x-ray images. It can diagnose abnormalities of the uterus and fallopian tubes like blockages, as well as conditions like cervical incompetence. Complications are rare but may include allergic reaction to the dye.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    786 views14 pages

    Hysterosalpingography

    Uploaded by

    GAURAV
    Hysterosalpingography is a radiological procedure to visualize the uterus and fallopian tubes by introducing radio-opaque dye through the cervix. It is best done 4-7 days after the start of a woman's period. The procedure involves inserting a cannula through the cervix to inject dye and taking x-ray images. It can diagnose abnormalities of the uterus and fallopian tubes like blockages, as well as conditions like cervical incompetence. Complications are rare but may include allergic reaction to the dye.

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    Hysterosalpingography is a radiological procedure used to visualize the uterus and fallopian tubes by introducing a radio-opaque dye through the cervix. It helps in assessing tubal patency and detecting any abnormalities in the uterine cavity or fallopian tubes.

    Hysterosalpingography is a radiological visualization of the uterus and fallopian tubes after introducing radio opaque dye through the cervix. It is done to assess tubal patency and detect any abnormalities in the uterine cavity or fallopian tubes.

    Contraindications for hysterosalpingography include vaginal bleeding, vaginal or cervical infections, genital tuberculosis, pelvic masses, pelvic infections, and suspected pregnancy.

    Hysterosalpingography

     It is radiological visualization of the uterus


    and fallopian tubes after introducing radio
    opaque dye through the cervix.
     Time of Procedure-

    Post-menstrual phase-between 4th and 7th


    day after the last day of the period.
    If done in the premenstral phase chances of-
    a.Disturbing the conception
    b. False +ve results
    Risk of endometriosis if done during bleeding
    phase.
    Contraindications
     Vaginal bleeding
     Vaginal or cervical infection
     Genital tuberculosis
     Pelvic(adnexal) mass
     Pelvic infection
     Pregnancy(suspected)
    Preparation-
     An enema to expel out gases from the colon to get
    a clear picture
     Inj. Atropine to avoid cornual spasm

    Anaesthesia-
    no anaesthesia is required.

    Instruments-
     Instruments for visualising the cervix
     Tenaculum forceps
     Uterine sound
     Rubin’s/Wilkinson’s cannula
     Luer Lock syringe 20 ml
    Steps-
    This procedure is done on X-ray table.

     Cervix is visualised.
     Both the anterior and posterior lips of cervix are caught
    by two tenaculum forceps.
     Uterine sound is passed to assess the direction and the
    size of the uterus.
     After confirming that the cannula can pass through the
    os, the syringe is filled with the dye.
     The cannula is fitted to the syringe and all the air in the
    syringe and the cannula is expelled out.
     The cannula with the syringe attached is introduced
    through the cervix into the uterine cavity. The cork of
    the cannula should be adjusted to fit snugly on external
    os.
     Slight pull is given on tenaculum forceps, while the
    cannula is gently pushed in, to avoid leakage of the dye
    from he cervix in the vagina.
     The dye is slowly instilled into the uerus.
     Radiological pictures are taken thereafter.
    Interpretation-
     Peritoneal spill on both the sides indicates the tubal
    patency
     Any abnormality in the uterine cavity or the tubal lumen
    can be visualized.
    Complications-
    Occasional patient may develop anaphylactic shock due
    to the sensitivity to the dye.

    Advantages-
     Simple, short procedure not requiring anaesthesia
     Exact location and the nature of the block can be known
    thus further surgical treatment can be planned.
     Uterine abnormalities like bicornuate uterus,septate
    uterus,submucous fibroid etc can be diagnosed
     Uterine synechia can be diagnosed by honey-comb
    appearance.
     Unsuspected tubal tuberculosis can be diagnosed-
    Following are radiological H.S.G. features vary
    typical of genital tuberculosis-
    1. Rigid pipe-stem tubes
    2. Vascular or lymphatic intravasation of contrast.
    3. Small shrunken uterine cavity with filling defects.
    4. Bilateral Cornual block
     Cervical incompetence can be diagnosed
    Internal os wider than 8 mm (funneling)

     May act therapeutically by breaking flimsy tubal


    adhesions.

    Disadvantages-
    Cannot diagnose extra-tubal,extra uterine pathologies,
    nor pelvic adhesions.
    Normal look of tubes at H.S.G
    Pl.note wavy outline of tubes spill on both side
    Bilateral cornual block & Intravasation.
    Bil hydrosalpingx.
    Bil. T.O.masses
    Bil. Cornual block,cervical dilatation
    Deformed Ut..
    Rigid pipe line tubes of proved kochs

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