How to do endometrial repair surgery

The endometrium is an important component of the uterus and plays a decisive role in whether the uterus is normal. If the endometrium is damaged or too thin, it will cause problems with people's fertility. In this case, women can choose to repair the endometrium through endometrial repair surgery. Below, we will introduce you to the relevant knowledge about endometrial repair surgery.

The endometrium is the layer that makes up the lining of the mammalian uterus. The endometrium responds to both estrogen and progesterone and can therefore change significantly during the sexual cycle (estrus, menstrual cycle). Estrogen can cause uterine hypertrophy, and progesterone can promote special changes in the endometrium in early pregnancy, or change the properties of the endometrium so that it has the ability to produce decidua. The endometrium is covered with mucosa, which is composed of the mucosal epithelium and the underlying lamina propria. The mucosal epithelium is columnar epithelium, cuboidal epithelium or stratified columnar epithelium. When estrogen is secreted, each epithelial cell will grow and divide, increasing in number. The portion of the lamina propria below the mucosal epithelium is called the functional layer, into which epithelial cells enter to form uterine glands and respond to estrogen. The lower layer of the functional layer is called the basal layer, which is rich in blood vessels.

For endometrial repair surgery, it is necessary to make an incision in the abdominal wall at each layer in the middle part below the navel of the patient, and take out the contents in the uterine cavity, such as the placenta, fetus or fetal membrane, etc. In short, there should be no residue in the uterine cavity. Then the uterus is extracted and the blood clots are wiped off. You need to observe your bleeding. Generally, pressure can be used to stop the bleeding. If a blood vessel is found to be broken, clamp, suture or ligate it immediately. If the edge of the rupture is uneven or there is scar tissue, it should be trimmed or excised to keep the wound surface neat.

During endometrial abdominal repair, No. 0 chromic gut is used to intermittently suture the deep myometrium of the uterus to prevent the uterine mucosa from being sutured into the myometrium. Then, 1-0 chromic gut is used to intermittently suture the superficial myometrium. Finally, No. 0 chromic gut is used to continuously suture the serosa. The pelvic cavity must be cleaned and the abdominal wall must be sutured layer by layer. The patient needs to be anesthetized during the entire operation, so the patient will not feel pain during the operation. After the operation, there will be pain after the anesthetic effect wears off, which most people can bear.