What are the complications of uterine septum surgery?

The uterus is an important place for the nurturing of the fetus, and female genital malformation is a common cause of female infertility. Uterine malformation can be solved through surgery, but whether uterine septum requires surgery depends on the patient's actual situation. Women are afraid of treatment because they are afraid of complications from surgery. So what complications may occur during uterine septum surgery? The editor will give a brief introduction below.

1. Extensive adhesions in the uterine cavity after surgery. Cause: An overly large muscular septum often occurs. After a one-time electrosurgical excision loop resection, the intrauterine wound is too large, and too little normal endometrium remains. A spherical stent is not used to separate the wound after the operation. Formed during mechanized repair. Clinical manifestations: decreased menstrual volume, amenorrhea or dysmenorrhea in severe cases.

2. The angles of both uterine fossa move inward, forming "cross-eyes". Cause: It often occurs when the incomplete septum is excessively resected due to fundus resection or the connective tissue septum is excessively resected with a ring electrode, resulting in the fundus tissue being too thin and contracture of the fundus during healing. Clinical manifestations: decreased menstrual volume, and infertility in severe cases.

3. Residue. Cause: It often happens during unsupervised surgery, where the surgeon lacks experience and is unable to completely cut or separate the tissue. Clinical manifestations: The purpose of surgery has not been achieved, such as miscarriage or infertility.

4. Perforation. Causes: Mostly occurs when the cervix is ​​not fully prepared, too tight, in the wrong direction or when the device is used improperly. Clinical manifestations: During the operation, the uterine cavity pressure disappears and the abdomen bulges.

5. Clinical treatment of water intoxication. Symptoms: eyelid edema, nausea, vomiting, headache, and difficulty breathing. Prevention: Use bipolar plasma knife and saline uterine distension. The operation should not exceed 60 minutes and the wound should not be too large.

6. Air embolism. Due to the interruption of fluid flow in the uterus, air enters the blood vessels, causing pulmonary hypertension, decreased blood oxygen saturation, and lower blood pressure.

Although there may be some complications after uterine septum surgery, these complications are not common. Do not be afraid of them and delay treatment. At present, surgery for uterine septum is relatively mature, but at the same time, we must also pay attention to the repair of the uterine body after the operation, pay attention to whether there are any abnormalities in the body, and do not let your guard down.