How is surgery for uterine adhesions performed?

Oct 30, 2023 Source: Cainiu Health
Dr. Zhao Xiaodong
Introduction
Uterine adhesions refer to the narrowing or obstruction of the cervical canal caused by adhesion following mechanical injury to the cervical mucosa. This condition can be treated with hysteroscopic surgery. As this procedure requires specialized expertise, it is recommended to visit a正规 hospital and undergo treatment under the guidance of a qualified physician to avoid potential harm to the body. After surgery, adequate rest is important, and strenuous physical activity should be avoided in the short term to promote proper recovery.

Generally, uterine adhesion refers to the condition where cervical canal mucosa becomes adhered due to mechanical injury, leading to cervical canal narrowing or closure. This can be treated with hysteroscopic surgery. The specific procedure is as follows:

1. Perform a comprehensive physical examination and gynecological examination before surgery to rule out contraindications.

2. Position the patient in the lithotomy position and administer intravenous anesthesia.

3. After anesthesia takes effect, perform routine disinfection of the external genitalia and vagina, and drape with sterile towels.

4. Use a speculum to dilate the vagina and fully expose the cervix; then disinfect the cervix and vagina again with iodophor.

5. Grasp the anterior lip of the cervix with a cervical clamp, use a probe to determine the depth and direction of the uterus, and dilate the cervix until the hysteroscope can pass through.

6. Connect the fluid distension medium; insert the hysteroscope into the uterus under direct visualization and adjust the pressure so that intrauterine pressure reaches the required level.

7. Insert the surgical electrocautery device into the uterus and cut the fibrous adhesions between the uterine walls. If bleeding occurs, promptly apply electrocoagulation to stop it.

8. After confirming no abnormalities, slowly withdraw the hysteroscope to complete the procedure.

This procedure requires professional expertise. To avoid causing harm to the body, it is recommended to visit a正规 hospital and undergo treatment under the guidance of qualified medical professionals. After surgery, ensure adequate rest and avoid strenuous exercise in the short term to promote proper recovery.


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