Can uterine incision diverticulum heal itself?

summary

Uterine incision diverticulum is caused by many surgical injuries such as caesarean section. The incidence rate of women who are in modern caesarean section is quite high, or even nearly half of the probability. Once the uterine incision diverticulum appears, it will have a great impact on fertility, and even lead to abortion and other problems. So can uterine incision diverticulum heal itself?

Can uterine incision diverticulum heal itself?

As a complication of cesarean section, the incidence of uterine incision diverticulum is still very high. The severity of diverticulum is also directly related to the number of cesarean section, patients who have received multiple cesarean section surgery, the risk of complications is even greater, reaching 42.86%. Generally without treatment, the disease is unable to heal itself, and the usual treatment of uterine incision diverticulum is drug treatment or hysteroscopic resection.

If there is only diverticulum indicated by B-ultrasound, but there is no clinical symptoms, and there is no further birth planning, it can not be treated and rechecked regularly; If there is irregular bleeding, or there is a plan to get pregnant again, the scar diverticulum of cesarean section incision during pregnancy will become thinner, increase the risk of uterine rupture and bleeding during pregnancy, which belongs to high-risk pregnancy, so this kind of patients should be operated again. It can be repaired by laparoscopic surgery or vaginal surgery. The principle is to suture the weak tissue again.

Strictly grasp the indications of cesarean section, reduce the social factors of cesarean section; Attention should be paid to the selection and treatment of uterine incision to prevent the inconsistency of upper and lower cutting edge tissue thickness and increase the risk of poor wound healing; In the second cesarean section, if the previous incision healed poorly, the original incision should be operated and repaired; The previous incision healed well, and the incision was selected above the original incision; During the operation, the decidua and placenta tissue were removed to prevent the residual tissue from affecting the healing of incision and reduce the risk of endometriosis; Pay attention to the skill of uterine suture. The incision suture should be loose and tight properly. Too tight will affect the blood circulation of the incision. Too loose is easy to form hematoma.

matters needing attention

Uterine diverticulum has a great impact on people's health, and may also cause abdominal pain symptoms, so women should pay more attention to reasonable health care, after cesarean section should pay more attention to rest, try not to have sex too early, to prevent the symptoms of uterine diverticulum.