What does cesarean scar憩室 mean, and is it serious?

Oct 17, 2023 Source: Cainiu Health
Dr. Wang Lei
Introduction
In general, scar diverticulum refers to a uterine scar diverticulum. A uterine scar diverticulum occurs when the uterus has undergone prior surgery followed by suturing, leaving a scar on the uterine surface. During the healing process, due to factors such as the suturing technique or severe local infection, a localized defect may develop at the site, forming a focal area of tissue loss. Uterine scar diverticula can be relatively serious.

In general, scar diverticulum refers to a uterine scar diverticulum, which means that the uterus has undergone prior surgery followed by suturing, leaving a scar on the uterine surface. Uterine scar diverticulum is usually a serious condition. If patients experience discomfort symptoms, they should promptly seek medical attention at a hospital to avoid delaying treatment. Specific analysis is as follows:

A uterine scar diverticulum forms when the incision in the lower segment of the uterus after cesarean section fails to heal properly, resulting in a pouch-like structure. This condition may lead to irregular vaginal bleeding and even pregnancy implantation within the scar (scar憩室妊娠), which is quite dangerous. It is generally severe and prone to cause uterine rupture. During the healing process of the scar, local defects may develop due to factors such as the suturing technique or severe local infection, forming a localized defect area.

If a uterine scar diverticulum is diagnosed, patients should follow their doctor's instructions regarding surgical intervention, as it can be particularly risky during subsequent pregnancies. For those without future fertility plans, effective contraceptive measures must be taken to prevent pregnancy in the scar area, as such pregnancies carry high risks, including life-threatening hemorrhage or the need for hysterectomy. Additionally, under medical guidance, patients may use medications such as ethinylestradiol/cyproterone acetate tablets or drospirenone and ethinylestradiol tablets (Ⅱ) for treatment.

In daily life, it is recommended to maintain a light diet and good personal hygiene, which can aid recovery.