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How is a scar diverticulum formed?

Jan 25, 2025 Source: Cainiu Health
Dr. Liu Wenmin
Introduction
The formation of scar diverticulum may be related to factors such as retroverted uterus, poor suturing, impaired wound healing, infection, and gestational diabetes. If discomfort occurs, it is recommended to seek medical attention promptly. The physician will then provide specific guidance for targeted management, such as resuturing, local disinfection, anti-inflammatory treatment, or blood glucose control, to promote wound healing.

Generally, the formation of a scar diverticulum may be related to factors such as a retroverted uterus, poor suturing, impaired wound healing, infection, and gestational diabetes. If discomfort occurs, prompt medical attention is recommended. Detailed explanations are as follows:

1. Retroverted Uterus

If the uterus is naturally retroverted, it may increase the tension on the surgical wound during the operation, thereby increasing the risk of scar diverticulum formation. This condition usually improves gradually after delivery; if it does not resolve, surgical removal of the scar tissue is recommended following medical advice.

2. Poor Suturing

Poor suturing after uterine surgery may impair local blood circulation, potentially leading to the formation of a scar diverticulum. In such cases, resuturing may be required to promote proper wound healing.

3. Impaired Wound Healing

If the body's immunity is low and wound healing is delayed after uterine surgery, a scar diverticulum may gradually develop. Timely application of local antiseptics such as povidone-iodine solution, hydrogen peroxide solution, or chlorhexidine acetate solution under medical guidance is recommended.

4. Infection

Inadequate postoperative care leading to microbial infection and repeated inflammatory stimulation may induce scar diverticulum formation. Prompt treatment with medications such as erythromycin ointment, cefixime tablets, or cefuroxime axetil tablets, as directed by a physician, is advised.

5. Gestational Diabetes

Gestational diabetes can delay wound healing. If blood sugar levels were poorly controlled during pregnancy, resulting in slow postoperative healing, the risk of developing a scar diverticulum may increase. It is recommended to promptly follow medical advice for treatment with medications such as metformin hydrochloride tablets, acarbose tablets, or pioglitazone hydrochloride tablets.

It should be noted that scar diverticula can significantly affect future deliveries; therefore, individuals planning further pregnancies should seek timely treatment to prevent scar rupture and hemorrhage. Additionally, adequate rest and avoidance of strenuous activity are advised post-treatment.

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