У пациентки 31-го года по данным неоднократно проведённых УЗИ половых органов был заподозрен полип эндометрия. Предложение удаления полипа методом выскабливания не устроило женщину, и она специально приехала в Череповец из Санкт-Петербурга для проведения гибкой офисной гистероскопии. При проведении гибкой гистероскопии полипа эндометрия выявлено не было. По гистероскопическим признакам было высказано предположение о хроническом эндометрите, выполнена щипцовая биопсия эндометрия. Гистологическое исследование подтвердило правильность эндоскопического заключения. Пациентке предстоит пройти курс лечения и пройти повторную гистероскопию для проверки эффективности терапии перед планируемой беременностью. Тот факт, что женщине для уточнения диагноза удалось избежать выскабливания -- позитивный. РДВ при хроническом эндометрите не улучшило бы состояние эндометрия.
Теги: офисная гибкая гистероскопия хвалов владимир валентинович гистерофиброскопия в череповце щипцевая биопсия эндометрия

A 33-year-old woman was sent to a gynecologist district hospital for the removal of an intrauterine contraceptive in the flexible hysteroscopy. Nylon thread to remove the contraceptive absent. Intrauterine device Multiload was established patient two years ago after the birth of their third child. But, despite this woman became pregnant twice in 2009 and 2010, the year. She has twice been made medical abortion, but to remove intrauterine device failed. The woman was forced to take Novinet for contraception. Patient bothered spotting brown discharge from the genital tract. Hysteroscopic diagnosis of intrauterine contraceptive in the uterus and its removal using a flexible hysteroscope see in the video.
Теги: khvalov vladimir hysteroscopy сherepovets outpatient hysteroscopy hysteroscopic video doctor khvalov

Female 35 years old and suffering from secondary infertility for four years. In 2008, she performed a rigid hysteroscopy with removal of the glandular endometrial polyp under general anesthesia in St. Petersburg. She wanted to go again hysteroscopy without anesthesia, and turned to a specialist in flexible hysteroscopy in Cherepovets. During the flexible hysteroscopy endometrial polyp was found in the uterus. Uterus, the patient has a saddle-shaped. Polyp was removed by electrosurgical loop without anesthesia. Hysteroscopy patient underwent fine.
Теги: khvalov vladimir hysteroscopy сherepovets outpatient hysteroscopy uterine cavity hysteroscopic video doctor khvalov removal of endometrial polyps uterus arcuate

In early 2010, steel mill worker, 49 of age was removed polyp of the cervix by scraping the walls of the cervical canal. Histological examination revealed fragments of scraping glandular fibrous and glandular polyps have delivered the material. During regular preventive gynecological examination 6 months later the woman showed recurrent polyps of the cervix. The patient was sent to outpatient polypectomy by endoscopic method. At endoscopy the cervical canal there were revealed two polyps. Glandular-fibrous polyp was located in the lower third of the cervical canal and the glandular polyp - in the middle third of the channel. Both polyps were removed by electrosurgical endoscopic method using a loop. Eschar whitish-yellowish after removal remained on the location of each polyp.
Теги: khvalov vladimir hysteroscopy сherepovets outpatient hysteroscopy hysteroscopic video doctor khvalov cervical canal cervical polyp radical removal of polyps removal of a polyp

Patient aged 26 years was carried out flexible hysteroscopy in early October 2010, a month after the loss of pregnancies 20 weeks. In the period of 15 weeks she was hospitalized and treated in connection with the threat of miscarriage. Despite treatment at 20 weeks of pregnancy she began to leak amniotic fluid. The woman had a miscarriage during her stay in the gynecology department. Conducted scraping the walls of the uterus. Bleeding after curettage were not abundant and stopped a few days. Bicornuate uterus, the patient was suspected during pregnancy on the results of ultrasound, but the diagnosis was confirmed during hysteroscopy. The left uterine horn, which was developed pregnancy visible endoscopic signs of endometritis. She should recover and prepare the endometrium for pregnancy.
Теги: khvalov vladimir hysteroscopy сherepovets outpatient hysteroscopy hysteroscopic video doctor khvalov miscarriage fetal bladder pregnancy loss amniotic fluid rupture of membranes office flexible hysteroscope.

24-year-old nulliparous woman was sent to the office flexible hysteroscopy after the ultrasound examination of sexual organs. According to the results of ultrasonography in her uterus was suspected endometrial polyp. The patient during the year are bleeding intermenstrual discharge from the genital tract. After the introduction of hysteroscope in the uterus was diagnosed glandular polyp medium-large sizes. Treatment of endometrial polyps operative. The patient agreed to a therapeutic hysteroscopy immediately after diagnosis. Removal of polyps in the uterus during outpatient hysteroscopy with commentary doctor shown in the video. After removal of the polyp control hysteroscopy is scheduled through one menstrual cycle.
Теги: khvalov vladimir hysteroscopy сherepovets outpatient hysteroscopy uterine cavity hysteroscopic video doctor khvalov removal of endometrial polyps nulliparous women

Cervical canal is sometimes narrowed. Clearance to less than 3 mm in diameter does not allow for a flexible hysteroscope into the uterine cavity. Cervical canal stenosis is eliminated by using expanders Gegara. Expansion of the cervical canal until № 3,5 allows us to introduce a flexible hysteroscope into the uterine cavity. Avoid uterine perforation during cervical extension allows hysteroscopic control. A false move, early detection through the endoscope does not permit the development of a complication such as a complete perforation of the uterus.
Теги: khvalov vladimir hysteroscopy сherepovets outpatient hysteroscopy uterine cavity hysteroscopic video doctor khvalov cervical canal

Female 45 years old and a special trip to Cherepovets of the Perm region for passage of flexible office hysteroscopy. During hysteroscopy, endometrial polyp was diagnosed on the basis of tight elastic consistency of small - medium size for the rear wall in the middle third of the uterine body. Polyp was removed using endoscopic loop for electroscission, extracted from the uterus and sent to histological study. Conclusion: the fibro-glandular endometrial polyp.
Теги: khvalov vladimir hysteroscopy сherepovets uterine cavity hysteroscopic video doctor khvalov fibro-glandular polyp menstrual cycle tubal ostium removal of the polyp endometrial defect

Flexible office hysteroscopy. Age of patients 45 years.
Теги: office hysteroscopy polypectomy cervical polyp outpatient hysteroscopy khvalov vladimir

Полип шейки матки выявлен у 30-и летней пациентки. Эндоскопическая диагностика и лечение показаны в видеоролике.
Теги: шейка матки полип удаление цервикальный канал nbi узкоспектральное изображение гистероскопия хвалова людмила николаевна хвалов владимир валентинович