Question

For which of the following procedures in the given OT list, can you preferably do a hysteroscopy ?

• A. Tubal ligation
• B. Asherman syndrome
• C. Endocervical polyp
• D. Subserosal fibroid

Answer 1

The Correct Option is B

To determine which procedure can preferably be done using hysteroscopy, it is important to understand the nature of the procedure and the capabilities of hysteroscopy.

Hysteroscopy: This is a minimally invasive procedure that allows a physician to look inside the uterus to diagnose or treat conditions. It is performed using a hysteroscope, a thin, lighted tube inserted into the vagina to examine the inside of the uterus.

Now, let's analyze the given options:

• Tubal ligation: This procedure involves tying the fallopian tubes to prevent pregnancy. It is usually performed via laparoscopy or open surgery, not hysteroscopy, since it involves the fallopian tubes rather than the uterine cavity.
• Asherman syndrome: This condition involves the formation of scar tissue (adhesions) inside the uterus. Hysteroscopy is particularly useful for diagnosing and treating Asherman syndrome as it allows direct visualization and removal of adhesions within the uterine cavity.
• Endocervical polyp: This procedure involves the removal of polyps from the cervix, which can sometimes be done using hysteroscopy. However, other techniques can also be employed effectively for this purpose.
• Subserosal fibroid: These fibroids are located on the outer wall of the uterus. Hysteroscopy is generally not used for subserosal fibroids as they are outside the uterine cavity. Methods like laparoscopy or myomectomy are preferred.

Based on this analysis, the most suitable procedure for hysteroscopy is Asherman syndrome, as hysteroscopy can effectively access and treat the uterine cavity adhesions.