What are the risks of uterine septate surgery?

When it comes to the risks of surgery for uterine septate, many people think of infertility and physical damage. It must be said that any kind of surgery will cause damage to the body, but compared with the damage caused by the disease, this damage is very small. So, what are the risks of surgery for uterine septate? In fact, uterine septate surgery itself is one of the manifestations of infertility. Therefore, the risks of surgery for uterine septate are not very high. Let’s learn about it together.

Uterine septum is a manifestation of incomplete cavitation during the congenital development of the uterus. It is characterized by a ridge of connective tissue at the fundus of the uterus protruding into the uterine cavity, deep uterine horns, and a relatively small uterine cavity volume. Pelvic ultrasound or hysterosalpingography can show that the uterine fundus is sunken in the horizontal position. The diagnosis is confirmed by hysteroscopy.

Uterine septum is also one of the causes of female infertility. The detailed introduction is as follows:

A. Cause ectopic pregnancy

The main reason for ectopic pregnancy caused by uterine septum is that uterine septum refers to the congenital development process of the uterus, in which there is a ridge mainly composed of connective tissue at the fundus of the uterus protruding into the uterine cavity, and the volume of the uterine cavity is relatively small. Patients with polycystic ovary syndrome often have septum, and large septum can lead to infertility.

B. Causes delayed infertility

Uterine septum is one of the causes of female infertility, but not the only cause. Uterine septum leads to infertility, but the chance of pregnancy is very high after uterine septum corrective surgery. Uterine septate is not the only factor leading to infertility, but in patients with secondary infertility, the incidence of unexplained infertility is significant.

C. Deformed uterus causing repeated miscarriage

A large reason for repeated miscarriage is a deformed uterus, among which septate uterus accounts for a large proportion. The incidence of uterine septate is high in women with repeated pregnancy loss, especially early pregnancy loss. In addition, uterine deformation can also lead to obstetric complications such as abnormal fetal position, uterine contraction dysfunction, and retained placenta.

Treatment:

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.

The above is an introduction to the risks of surgery for uterine septate. It should be noted here that uterine septate is a common disease, and uterine septate surgery is a very common surgery, which means that the success rate of this surgery is guaranteed to a certain extent. What needs to be reminded here is that patients need to seek medical treatment in time and do a good job of postoperative care to recover their health as soon as possible.