How is uterine incision diverticulum treated?

summary

As a complication of cesarean section, the incidence of uterine incision diverticulum is still very high. The severity of diverticulum is also directly related to the number of cesarean section, patients who have received multiple cesarean section surgery, the risk of complications is even greater, reaching 42.86%. Generally without treatment, the disease is unable to heal itself, and the usual treatment of uterine incision diverticulum is drug treatment or hysteroscopic resection. So here's a detailed treatment.

How is uterine incision diverticulum treated?

There are two types of diverticulum: congenital diverticulum and acquired diverticulum; Acquired diverticulum is also called pseudo diverticulum. Diverticulum at uterine incision belongs to acquired diverticulum, which is more common in lower uterine segment, followed by isthmus and upper cervical canal.

If the symptoms of uterine incision diverticulum are not obvious, it can not be treated. If the treatment can be done by laparoscopy, the uterus can be cut and sewed again. Generally, the muscle fiber of scar uterus can recover after two years, but it will not return to the original state. I suggest that the best way is to choose laparoscopic surgery for treatment. Generally speaking, the surgical effect is very good, so you should not be too nervous about this. Under normal circumstances, if the operation is successful, it may take three months to fully recover.

Because of the poor matching during cesarean section, the endometrium is brought into the incision. After the formation of incision diverticulum, the diverticulum endometrium also shows periodic exfoliation and bleeding. The diverticulum is connected with the normal uterine cavity, and the bleeding needs to be discharged through the uterine cavity. However, due to the small channel between the two, the withdrawal bleeding can not be discharged smoothly, so it is often manifested as endless vaginal bleeding in late menstruation or a little vaginal bleeding in mid menstruation.

matters needing attention

Pregnant women must go to the regular hospital, follow the doctor's advice, do not blindly choose cesarean section, so as to avoid the situation of uterine incision diverticulum after cesarean section, which will not only affect women's health, but also affect women's pregnancy again. If you have to do a caesarean section, you must do a good job of reexamination after the operation, and do a good job of examination before you get pregnant again.