Hysteroscopic surgical procedure for uterine adhesions

In general, uterine adhesions are caused by endometrial injury leading to adhesion between the anterior and posterior walls of the uterine cavity, which can usually be treated surgically. The specific procedure is as follows:

1. The patient should empty the bladder, assume the lithotomy position, and undergo routine disinfection and draping.

2. Use a cervical clamp to grasp the cervix, probe to determine the depth and direction of the uterine cavity, and dilate the cervix with dilators until it is sufficiently open for insertion of the hysteroscope.

3. Distend the uterine cavity using distension fluid, insert the hysteroscope into the cavity, and adjust the outflow fluid rate to achieve the required intrauterine pressure.

4. Identify the site of adhesion and use a resecting loop, resecting hook, or cold knife to incise the adherent endometrial tissue.

5. Insert a balloon catheter and apply compression to control bleeding; the procedure then concludes.

It should be noted that the first 1–2 weeks after surgery represent the peak period for re-adhesion formation. In cases of severe adhesions, repeat surgery may be performed 2–3 weeks later, which can help promote endometrial recovery. To ensure standardized surgical procedures, patients should seek treatment at a qualified medical institution for proper surgical management.