What to do if the uterus and bladder are adhered

For most women, they have never experienced adhesion of the uterus and bladder. This is an inflammatory reaction, which is quite harmful to women's health. There are many causes for it, which may be related to the sequelae after some surgical operations. If the surgical treatment is not effective, adhesion of the uterus and bladder may occur. At this time, it is necessary to carry out good treatment in time to prevent adhesion after surgery.

Pathological type

1. Adhesion type, ascites type and caseous type. Miliary nodules can be seen on the peritoneal surface of each type and the visceral peritoneum of the intestinal surface. The old ones are yellow-white, and the fresh ones are like dewdrops. They are most obvious in the two hypochondria and the two lower abdomen. 2. Adhesion type: There are extensive adhesions between the peritoneum, the intestine and the omentum. The omentum is thickened, the fibers proliferate, and it shrinks into a mass, hanging near the transverse colon and the stomach. Ascites type: It is more common, mainly characterized by exudation, and a large amount of exudate can exude into the abdominal cavity. 3. Caseous type: also known as small room type, it is less common and evolved from the above two types. It is mainly characterized by caseous necrosis, with localized fluid accumulation or abscess in the abdominal cavity. Caseous lesions can erode the intestinal wall, vaginal wall to form internal fistula, or erode the abdominal wall to form external fistula. Among the above three types, adhesion type is the most common, followed by exudative type, and caseous type is the rarest. However, during the development of the disease, two or three of the above types may coexist, which is called a mixed type.

Treatment

The diagnosis can be made based on the patient's medical history, whether he or she has periodic abdominal pain and discomfort, medical history, combined with the patient's physical signs and HSG, and laparoscopy results. The application of laparoscopic technology in Antai therapy is of great value in the diagnosis of the cause of secondary infertility. It can subclassify pelvic diseases of secondary infertility to facilitate targeted treatment, and can perform fluid infusion under direct vision and dynamically observe the patency and morphology of the fallopian tubes.

To prevent postoperative adhesions, use barrier materials such as absorbable oxidized regenerated cellulose, expandable polytetrafluoroethylene, or hyaluronic acid, carboxymethyl cellulose to the surgical wound or inject viscous solutions into the abdominal cavity, such as Intergal. Integrin plays an important role in peritoneal repair. How to prevent adhesions after laparoscopic surgery? 1. Get out of bed and move around as soon as possible after the operation. If you cannot get out of bed, you can move around in bed appropriately. 2. Lie on your side and try not to lie on your back. 3. Resume sexual life as soon as possible if there is no bleeding.