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hsg.pptx
Hysterosalpingography (HSG) is a radiological procedure used to evaluate the uterine cavity and fallopian tubes' shape and patency, utilizing a fluorescent dye for visualization. It is indicated for assessing tubal patency, detecting uterine malformations, and diagnosing various conditions such as cervical incompetence and fibroids. The procedure is performed under general anesthesia, involves specific steps for dye introduction, and is typically conducted between cycle days 6 and 10, with potential complications including pelvic pain and infection.
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Overview of Hysterosalpingography (HSG) as a radiological procedure to assess the uterine cavity and fallopian tubes.
Various indications for HSG including tubal patency, uterine malformations, cervical incompetence, and diagnosis of fibroids and polyps.
Discussion of uterine malformations relevant to HSG findings.
Step-by-step procedure of HSG, including patient positioning, dye introduction, and radiographic imaging.
Information about the contrast media used in Hysterosalpingography.
Potential complications associated with HSG, including peritoneal irritation and pelvic pain.
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hsg.pptx
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- 2. Hysterosalpingography (HSG) Hystero+Salpingo+Graphy • HSG isa radiological procedure done to assess the interior anatomy of the uterine cavity and the shape and patencyofthefallopiantubes. • It is a radiographic study using fluorescent dye to visualisetheanatomyofuterusandfallopiantubes.
- 3. Indications: • Assessmentoftubalpatency. • Detectionofuterinemalformation. •Diagnosisofcervicalincompetence. • DetectionoftranslocatedIUD. • Diagnosisofuterinesynechiae. • Diagnosisofuterinefibroid,uterinepolyp. • Diagnosisofabdominalpregnancy.
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- 5. Steps of operation 1.The patient is asked to remain empty bladder. 2. Operation is done under general anaesthesia. 3. The patient is placed in lithotomy position. 4. Local antiseptic cleaning is done. 5. Posterior vaginal speculum is introduced. 6. Anterior lip of cervix is grasped with Allis tissue forcep.
- 6. 7. HSG cannulais fitted with a syringe containing radio opaque dye. About 5- 10 ml of dye is slowly introduced. 8. The passage of the dye is observed by using X-ray intensifier and a video display unit. 9. Two radiographic X-rays are taken. First one to show the filling of uterine cavity and other one 10-15 mins after the completion of procedure. Timing of procedure : HSG is done between D6 and D10 of cycle. Antibiotics are given one day prior the procedure up to 5 days.
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- 8. Complications • Peritonealirritation. • Pelvicpain. •Vasovagalattack. • Intravasationofdyeintothevenousorlymphatic channels. • Flaringupofpelvicinfections.