What is caesarian incision diverticulum? As we all know, caesarean section needs to cut the uterus of pregnant women, which will cause great damage to uterine tissue, so patients are prone to poor recovery of uterine incision, resulting in incision diverticulum. This situation will lead to symptoms of irregular menstruation in women, which will have a great impact on daily life and will once again affect pregnancy. Therefore, women must not be pregnant again before the disease is cured, otherwise it will do great harm to the uterus and even seriously endanger their health.
For caesarean incision diverticulum, we'd better repair it as soon as possible, so that the uterine diverticulum will disappear as soon as possible, which can not only effectively relieve the symptoms of menstrual bleeding, but also ensure the safety of parturient and avoid accidents. But also pay attention to nursing in life. Pay close attention to your physical condition, adjust your diet, supplement nutrition in a balanced way, develop good hygiene habits, and avoid local infection as much as possible, otherwise it will lead to further aggravation of your condition and even gynecological inflammation, which will cause very serious harm to your health.
Cesarean incision diverticulum is mainly caused by poor incision recovery, which will seriously endanger women's daily life and health, so we must not delay the illness, otherwise it will lead to more serious consequences. After discovering that you have this symptom, you'd better go to the hospital as soon as possible to get your body back to normal as soon as possible.
Cesarean incision diverticulum treatment refers to the mucosal localized expansion or cystic protrusion of lacunar organs outside the wall. It is common in esophagus, duodenum and jejunum of digestive system, bladder and fallopian tube diverticulum of urinary system, but uterine diverticulum is very common. Congenital uterine diverticulum is related to abnormal embryonic development, and uterine incision diverticulum (CSD) after cesarean section is an acquired diverticulum, which is a disease with poor healing of uterine incision. At present, the clear reason is mainly due to various factors, resulting in poor healing of the muscle layer of the incision.
There is no consensus on the treatment of CSD, which is mainly divided into surgical treatment and conservative treatment. Contraceptive-based drug therapy is ineffective for most CSD patients with anatomical defects. Moreover, if the patient has contraindications to contraceptives or refuses to use contraceptives, and the proportion of women who use oral contraceptives for family planning in China is not very high, surgical treatment is particularly important.
At present, it has been reported that there are three surgical methods to choose from, including hysteroscopic electrocoagulation, hysteroscopy combined with laparoscopy to repair diverticulum and vaginal repair of uterine diverticulum. However, the curative effect of hysteroscopic electrocoagulation is uncertain, which is easy to cause bladder injury. The second type, combined hysteroscopy and laparoscopy, has some limitations. First of all, the position of CSD is low. Because of cesarean section, the bladder muscle layer is covered. In most cases, the diameter of CSD is less than 10 mm, and it is sometimes difficult to confirm the position of CSD even under the irradiation of hysteroscope light source.
Secondly, after determining the position of CSD, in order to better expose the position of CSD completely, it is necessary to open the bladder peritoneum and push down the bladder, which may increase the possibility of bleeding and organ damage during operation to some extent; Thirdly, to suture this CSD site under laparoscopy, it is theoretically necessary to cut off the surrounding scar tissue and suture fresh muscularis tissue. This surgical procedure was performed under laparoscopy. Without excellent surgical techniques, it can't be done carefully in most cases, that is, it is difficult to ensure the effect of surgical treatment. There are few reports about this at home and abroad.