Operative Hysteroscopy
Daycare scarless correction of endometrial polyps, uterine septum, and intrauterine adhesions using advanced HD hysteroscopy by Dr. Manisha Kumari.
Dr. Manisha Kumari
MBBS, MS (O&G) Consultant Gynaecologist & Ultrasound Specialist- Dumduma Clinic: Near SBI, Phase-1
- IMS & SUM Hospital: K8, Kalinga Nagar
Best Operative Hysteroscopy in Bhubaneswar
Direct endoscopic visualization and resection of endometrial polyps, submucosal fibroids, intrauterine adhesions, and septums led by Dr. Manisha Kumari at IMS & SUM Hospital.
Dr. Manisha Kumari
MBBS, MS (O&G) Consultant Hysteroscopic & Laparoscopic Surgeon- Dumduma Clinic: Near SBI, Phase-1
- IMS & SUM Hospital: K8, Kalinga Nagar
Incisionless Daycare Uterine Cavity Surgery
- Have ultrasound scans revealed an endometrial polyp or submucosal fibroid?
- Are you experiencing irregular intermenstrual spotting or recurrent miscarriages?
- Has a congenital uterine septum or intrauterine adhesion (Asherman’s) hindered IVF implantation?
The inside of the uterus (endometrial cavity) is the delicate cradle where an embryo must implant and grow. Operative Hysteroscopy is a revolutionary, incisionless procedure where a miniature camera (hysteroscope) is passed naturally through the cervix to diagnose and treat cavity abnormalities under direct HD vision.
Dr. Manisha Kumari uses precision micro-instruments and bipolar plasma loops to remove polyps, resect septums, and restore uterine architecture, allowing patients to walk out and return home just a few hours after surgery.
- Step 1: Gentle Cervical Access: Under brief twilight sedation or local anesthesia, a slender 3.5mm–5mm hysteroscope is gently guided through the natural cervix into the uterine cavity.
- Step 2: Saline Cavity Distension: Warm, sterile normal saline is introduced to gently expand the cavity walls, revealing endometrial lining details on a high-definition monitor.
- Step 3: Direct Visual Diagnosis: Dr. Manisha inspects both tubal ostia (fallopian openings), the uterine fundus, side walls, and endocervical canal.
- Step 4: Precision Micro-Resection: Using micro-scissors, grasping forceps, or a cold-loop bipolar plasma resectoscope, polyps, fibroids, or septums are cleanly resected without damaging healthy surrounding endometrium.
- Step 5: Immediate Hemostasis & Recovery: Saline is drained, instrument withdrawn, and the patient transitions to the recovery lounge with zero stitches or dressings required.
Most procedures take just 15 to 30 minutes, and patients walk out comfortably within 2 to 3 hours.
Why Operative Hysteroscopy Replaces Blind D&C
Operative Hysteroscopy (Direct Vision)
- 100% direct visualization on high-definition 4K monitor.
- Targeted excision of polyp or fibroid with zero damage to basal lining.
- Polyps cannot be missed; base is cleanly coagulated to prevent regrowth.
- Safe for delicate fertility patients and women planning pregnancy.
Traditional Blind D&C
- Performer operates blindly by tactile feel alone.
- High risk of missing fundal polyps or small submucosal fibroids (over 40% missed).
- Risk of over-curettage damaging the basal endometrium (causing Asherman's syndrome).
- Outdated technique for focal endometrial lesions.
Daycare Cashless Insurance Coverage
Operative Hysteroscopy is covered under daycare surgical policies by all corporate and private health insurances at IMS & SUM Hospital, Bhubaneswar.
Consultations at Dumduma Clinic; daycare operative hysteroscopy performed at IMS & SUM Hospital with 4K Karl Storz / Olympus endoscopic suites.
Why Choose Dr. Manisha Kumari for Hysteroscopy?
- Specialized Endoscopic Fellowship: High clinical precision in operative hysteroscopic surgeries and metroplasty.
- Gentle & Atraumatic Technique: Safeguarding basal endometrial tissue to protect natural fertility.
- Modern Bipolar Plasma Resectoscope: Safe saline medium eliminating risks associated with glycine fluids.
- Pre-IVF Cavity Optimization: Proven protocol for curing recurrent implantation failure and miscarriages.
- 3-Hour Daycare Convenience: In and out on the same day without prolonged hospital admission.
- Seamless Cashless Insurance: Dedicated hospital coordinator to process daycare claim approvals.
- Dual Practice Locations: Dumduma Clinic OPD & IMS & SUM Hospital, Bhubaneswar.
Frequently Asked Questions
Common questions regarding operative hysteroscopy, recovery, and fertility enhancement.
No cuts or stitches whatsoever. Operative hysteroscopy is 100% transvaginal—the camera passes naturally through the cervix into the uterine cavity. There are no external scars, no bandages, and no stitch removals needed.
The procedure is performed under light sedation or local anesthesia, ensuring you experience zero pain during the surgery. Afterward, you may feel mild menstrual-like cramping for a few hours, which easily resolves with simple pain relief tablets.
Following polyp removal, couples can usually resume trying to conceive in the very next menstrual cycle. After uterine septum resection or extensive adhesiolysis, a short 1 to 2 cycle healing period with hormonal priming is recommended to ensure the endometrial lining is completely regenerated.
Yes. Because no muscle layers or abdominal tissues are cut, recovery is extremely rapid. You can resume your normal office work, driving, and daily household activities the very next day.