Additional methods of research

Sounding of the uterus. In cases when it is necessary to determine the length of the uterine cavity, the cross and the length of the cervical canal or obtain preliminary data about the configuration of the uterine cavity in the presence of tumors (in particular, submucous fibroids), resort to the sounding of the uterus.
For sensing the uterus should be prepared with the following tools: spoonlike mirrors, lift, two pairs bullet forceps, anatomic tweezers and fallopian tube.
All tools should be before use carefully sterilized by boiling, hands exploring and his assistants shall be prepared as for surgical intervention. The patient is laid on the examination table; after emptying the bladder vagina podgotovlena as well as for the operation curettage.
The whole operation sensing of the uterus should be conducted in close asepsis. We must remember that any faults in the observance of rules of aseptics and sensing techniques can lead to very serious complications (perforation of the uterus, bleeding, infection). Sensing contraindicated in the presence of inflammatory processes in the cervical canal and into the uterus, as well as the suspected pregnancy.
All this leads to accept this method of research is very responsible, acceptable to the production of a doctor and in the conditions of proper aseptic conditions.
Diagnostic puncture posterior vaginal fornix is applied with the purpose of establishment of nature stuck in the pelvis fluid (pus, exudate) due to inflammation of the peritoneum. Because of the danger of introducing infection and the possible dissemination of the tumor should not use this method to determine the nature of the contents of tumors (cysts), located in dopasowa space.
Preparation of the Toolkit, staff and patient when this operation is performed by all the rules of reimbursement, antiseptics, as in every other vaginal surgery. For this operation it is necessary to prepare the following tools: vaginal mirrors (spoonlike and flat), two lifts, two pairs bullet forceps, two long tweezers, syringe in capacity of 10 or 20 ml, long thick needle to it (12-15 cm).
Tech diagnostic puncture (diagnostic puncture) is the following.
Needle set on the syringe is punctured rear wall of the code strictly on the middle line, some distance 1 cm from the cervix. By pulling the plunger should be typed in a syringe contents red space, and the needle is removed. The hole left in the wall of the arch after removing needles, smeared with iodine. The resulting liquid (blood, pus, exudate) is sent to the laboratory for examination.
Diagnostic scraping and a histological examination of the received scraping - this method is extremely valuable in the detection of malignant tumors of the uterus.
In some cases, instead of the diagnostic curettage limited to so-called vacuum-biopsy, which is made using a special cannula introduced into the uterine cavity is connected with a rubber hose from the vacuum pump. Thus obtained "exhaustion" of the uterus is collected in a jar with a glass stopper, is filled with 10% formalin solution and sent to the laboratory for histology.
Biopsy - cutting pieces of the tumor is done to diagnose tumors detected during the inspection of the external genitalia, vagina, and cervix.
Cystoscopy - this method of research in gynecological practice is fairly common as to establish the nature of the changes in the mucosa of the bladder during the last diseases and diseases of neighboring organs, for example, to address the issue of the spread of malignant tumors of the reproductive organs on the bubble, suspected perforation ulcers pelvis in a bubble, etc., For the production of cystoscopy, except cystoscope, it is necessary to prepare a catheter, a 3% solution of boric acid for filling bladder (500 ml), pure alcohol to wipe the cystoscope (optical instruments boil it!).
Finally, in some cases, to resolve the issue of the causes of infertility is the study of permeability of pipes by blowing (for which there is a special device) or by salpingography.
The last method of research is to obtain x-ray tubes after the introduction into the uterus of contrast agents (yodolipola, sodium bromide), penetrating into pipes and giving on the x-ray shadow on which to judge the patency of tubes or the lack thereof.
A relatively new method of diagnostics in gynecology is pelviscopy - visual examination of the internal female genital using a special optical-fixture - endoscopeintroduced into the abdominal cavity or through the anterior abdominal wall (laparoscopy), or through the posterior vaginal vault (culdoscopy). Pelviscopy shown in cases where it is difficult to make a differential diagnosis between a cyst and myomatous node of the uterus, to identify other diseases of the uterine appendages that are difficult bimanual examination. According to the results of endoscopy can be judged on the prevalence of malignant process in the peritoneum, and thus resolve the question of interoperability. Endoscopy can provide great service at difficulty in diagnosis of ectopic pregnancy. This type of diagnostics can be carried out only in a hospital, because of possible complications requiring immediate attention (puncture of hollow organs, intra-abdominal hemorrhage, and others).