How to separate intrauterine adhesions?

The occurrence of intrauterine adhesions is mainly caused by the destruction of the endometrium. If intrauterine adhesions are not treated in time, they will pose a great threat to the health of the inside of the uterus. This disease can be effectively treated by separating intrauterine adhesions.

1. Empty the bladder, take the lithotomy position, disinfect the vulva and vagina, and lay a sterile surgical towel.

2. Bimanual examination to understand the size, position, texture, mobility, shape of the uterus and its relationship with surrounding organs, and whether there are any abnormalities in the appendages on both sides.

3. Place the speculum, expose the cervix, disinfect the vagina and cervix, clamp the anterior lip with a cervical clamp, and pull it outward to make the uterus horizontal.

4. Use a uterine probe to gently detect the depth and resistance along the direction of the uterus to identify the adhesion site. Mild adhesions can be broken up with a little force. For those who have difficulties, the operation should be performed under B-ultrasound, hysteroscopy or laparoscopy to detect perforation in time.

5. Use Kelly forceps (curved vascular forceps) to gradually separate, apply force evenly, and keep the depth and width moderate. If there are difficulties, the operation can be performed under direct vision of the hysteroscope, using micro scissors, sheaths or electric cutters.

6. After separation, insert the IUD as usual to prevent adhesion.