How is hysteroscopic surgery for uterine scar憩室 performed?

Jul 30, 2023 Source: Cainiu Health
Dr. Lv Aiming
Introduction
Hysteroscopic surgery for uterine scar diverticulum primarily involves removing part of the myometrial tissue to reduce the indentation area of the diverticulum. This procedure requires specialized expertise. To avoid potential harm to the body, it is recommended to undergo the operation at a正规 hospital under the guidance of a qualified physician. After surgery, adequate rest is important, and consumption of spicy or irritating foods should be avoided to promote proper recovery.

Under normal circumstances, hysteroscopic surgery for uterine scar憩室 (niche) primarily involves resecting part of the myometrial tissue to reduce the depth and area of the niche, and it is currently a method with a relatively high cure rate. The specific procedure is as follows:

1. After the patient empties the bladder, place her in the lithotomy position and administer general anesthesia.

2. Once anesthesia is complete, perform routine disinfection of the external genitalia and vagina, and drape the area sterilely.

3. Insert a vaginal speculum to adequately dilate the vagina so that the hysteroscope can be introduced.

4. Insert the hysteroscope through the vagina into the uterine cavity, and use hysteroscopic guidance to locate the uterine scar憩室 (niche).

5. Use an electrosurgical knife to resect the scarred flaps at the upper and lower margins of the niche, fully exposing the base of the niche.

6. Employ a ball-shaped electrode to coagulate any residual endometrial tissue within the niche.

7. Withdraw the hysteroscope; the procedure is now complete.

This surgery requires a certain level of expertise. To avoid causing harm to the body, it is recommended to undergo the procedure at a正规 hospital under the guidance of qualified medical professionals. After surgery, adequate rest is advised, and consumption of spicy or irritating foods should be avoided to promote proper recovery.