What should be paid attention to during surgery for complete septate uterus?

Uterine septum is a very serious uterine disease that can cause female infertility, but surgical treatment can increase the chance of conception. When undergoing this type of surgery, you must understand the indications and precautions of the surgery so that you can achieve good surgical results. Below I will introduce to you the precautions for uterine septum surgery.

The main complications after uterine septum surgery include postoperative intrauterine adhesions, inward displacement of the two uterine horns, residual septum, uterine perforation, water intoxication and gas embolism. However, these complications can be avoided if the surgical indications are strictly controlled and appropriate treatment methods are selected. Postoperative intrauterine adhesions 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 and IUD after surgery, which makes adhesions easily form during the repair of endometrial organization.

Clinically, there may be a decrease in menstrual volume, and in severe cases, amenorrhea or dysmenorrhea. If a staged excision is used, 1/3-1/2 is removed each time, a water bag is placed after the operation, and each operation is 2-3 months apart, the wound is small and easily covered and repaired by the endometrium; inward displacement of the two uterine horns often occurs when the incomplete septum is excessively removed from the uterine fundus, or the connective tissue septum is excessively removed with a ring electrode, resulting in too thin uterine fundus tissue and contracture during healing, forming a "cross-eyed" appearance. The clinical manifestations are decreased menstrual volume and, in severe cases, persistent infertility.

After uterine septum surgery, the surgical purpose cannot be achieved and miscarriage or infertility still occurs. If laparoscopy or B-ultrasound monitoring is used during surgery, it can have a certain preventive effect; water intoxication often occurs during monopolar electrosurgical resection and 5% glucose uterine distension. Symptoms include eyelid edema, nausea, vomiting, headache, and difficulty breathing.

The things that patients need to pay attention to during uterine septum surgery are all the points mentioned above. Finally, the editor reminds female friends that they must go to a regular and professional hospital for surgery to ensure the safety of the operation and avoid irreparable safety hazards. Pay attention to diet and recuperation after the operation, and seek medical treatment immediately if any adverse reactions occur.