Do women with uterine septum need surgery?

Uterine septum sounds like a word that is closely related to women. It has a lot to do with the female uterus and may even be closely related to female pregnancy. Nevertheless, do you know about uterine septum and what kind of condition it is?

In fact, everyone’s analysis is correct. Uterine septum is a type of uterine disease. Medically, it can easily cause pregnant women to have premature birth or miscarriage, which makes many female friends worry. Since it is pathological, does uterine septum require surgery?

Uterine septum can be diagnosed through minimally invasive methods such as hysteroscopy to avoid premature birth or miscarriage caused by uterine septate and its impact on your body. Hysteroscopy is a very intuitive, non-invasive examination that can also be used for treatment. “

There are many complications after mediastinal surgery, including postoperative intrauterine adhesions, inward displacement of both uterine horns, residual mediastinum, uterine perforation, water intoxication and gas embolism. These complications can cause considerable harm to women. So, how can we avoid these complications after uterine septum surgery? They can be avoided by strictly grasping the surgical indications and choosing appropriate treatment methods.

Intrauterine adhesions after septum surgery often occur in cases of excessively large muscular septum. After a one-time electrosurgical excision loop resection, the intrauterine wound is too large, too little normal endometrium is retained, and the endometrium is not separated by a water bag or IUD after surgery, which makes adhesions easily form during the repair of endometrial organization.

If a staged excision is used, 1/3-1/2 is removed each time, and a water bag is placed after the operation, with an interval of 2-3 months between each operation, the wound will be small and easily covered and repaired by the endometrium; inward displacement of the two uterine horns often occurs when the fundus of an incomplete septum is excessively removed, or when the connective tissue septum is excessively removed with a ring electrode, resulting in too thin fundus tissue and contracture during healing, forming a "cross-eyed" appearance.

If a needle electrode is used for separation, because there will be uterine distension pressure during the operation, it is not necessary to require that the two uterine horns be in the same parallel line during resection to prevent it; uterine perforation is caused by the sudden disappearance of uterine cavity pressure and abdominal distension during the operation. It often occurs when the cervix is ​​not fully prepared, too tight, in the wrong direction or improper use of equipment. Placing an effective uterine dilation catheter 12 hours before the operation can play a preventive role.

In this case, surgery cannot achieve the desired effect and the patient still suffers miscarriage or infertility. For example, the use of laparoscopy or B-ultrasound monitoring in uterine septum surgery has a certain preventive effect; water intoxication often occurs in monopolar electroresection and 5% glucose uterine distension.

Does uterine septum require surgery? I believe everyone has their own understanding of this issue. Faced with such a situation, the result is actually unclear. If a woman has problems such as uterine septum, she must choose according to her own body function. Generally speaking, as long as a woman has no adverse pregnancy history, she basically does not need surgical treatment. Therefore, female friends should not follow blindly, but choose the best one that suits them.