Treatment of congenital uterine septate

Everyone may be unfamiliar with the term congenital uterine mediastinum, because it is a word or disease that does not appear frequently in our daily life. From this word, we can roughly see that this disease has a very close connection with the female uterus, and it can even be said that such a disease is likely to cause infertility in women. We all know that women have a natural maternal instinct towards children and they all hope to have a well-behaved baby. So if this situation occurs, what kind of treatment should be taken?

Treatment of congenital uterine septum:

1. Hysteroscopic laparoscopic cold scissor separation method

Hysteroscopic uterine septum separation avoids the disadvantage of heavy bleeding in traditional surgery. It uses special technology, which results in less bleeding during and after the operation, less trauma, shorter recovery time, and less adhesion formation. In particular, the cold scissors protect the uterus and fertility to the greatest extent and do not affect natural conception after surgery. Effective anti-adhesion methods are taken after hysteroseptum resection to prevent the occurrence of postoperative adhesions.

2. Hysteroscopic cold instrument and plasma electroacupuncture treatment

Under hysteroscopy, cold instruments and plasma electroneedles are used to cut the mediastinum, rather than using an electric cutting loop to remove the mediastinum, as that will cause scar contracture and will not help expand the uterine cavity. It is safer and more accurate to do it under laparoscopic monitoring, and a biological anti-mucosal membrane is inserted after the operation. In addition, for cases with a larger mediastinum, it is not necessary to correct it in one go and multiple surgeries may be required. However, it is important to avoid "overcorrection" as it will cause excessive scarring of the uterine fundus, which will in turn affect conception.

3. Management during pregnancy and delivery

(1) During pregnancy, the rates of miscarriage and premature birth in women with uterine septate pregnancy are high. Monitoring should be strengthened and cervical insufficiency should be strictly observed. If there is painless cervical flattening or dilation, cervical cerclage should be performed. Check the placenta attachment site during pregnancy and detect placenta previa early.

(2) During labor, vaginal delivery is possible in women with uterine septate. However, if there is secondary uterine weakness and a prolonged second stage of labor, a vaginal examination should be performed to determine whether there is vaginal septate or whether the uterine septum has reached the external os of the uterus, hindering the progress of labor and delivery. When the delivery mode or fetal position is abnormal, the mode of delivery is determined according to the pregnant woman's age, parity, pelvis and fetal size. However, the indications for cesarean section may be relaxed as appropriate for older primiparas, those with a history of adverse pregnancy, or those with malpositioned fetuses. After laparotomy, if a longitudinal depression is found in the uterine body, it is best to make a longitudinal incision in the lower segment of the uterus and remove the mediastinum at the same time.

The three methods introduced above are the suggestions made by relevant experts on how to treat congenital uterine mediastinum. We all know that this is a congenital disease, which can easily lead to infertility or cause pregnant women to have miscarriage even if they become pregnant. Therefore, for couples who want to have children, both men and women must do a pre-pregnancy check before having a child. This is the best way for the child.