Strassman surgery to reconstruct the uterus

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1. Overview of septal uterus and bicornuate uterus

1.1 What is a septate uterus? A septate uterus is a congenital deformity of the uterus that occurs during fetal development before birth. Specifically, this phenomenon occurs when the embryo is developing, the uterus of the fetus develops into two tubes and eventually merges into one uterus in the middle, in a septum uterus.
Women with a septate uterus are more likely to have multiple miscarriages. The cause of this birth defect has not yet been determined. Women who experience this phenomenon are often prescribed treatment with Strassman surgery to improve the ability to get pregnant.

1.2 What is a bicornuate uterus? A bicornuate uterus (heart-shaped uterus) is a birth defect, manifesting in a condition where the uterus has a horn-like protrusion and a septum inside the uterus. Most women with a bicornuate uterus have no symptoms. A small number of women with this condition may present with abdominal pain and discomfort during the days of ovulation, pain during intercourse, abnormal vaginal bleeding, severe pain during menstruation, and repeated miscarriages.
Women with a bicornuate uterus have a small uterus, which can easily lead to conditions such as miscarriage, premature rupture of membranes, premature birth, low birth weight, abnormal fetal position, birth defects, etc. ... For women with a bicornuate uterus who plan to become pregnant or have had multiple miscarriages, the doctor will assign Strassman surgery to create a uterus. After surgery, patients have to wait about 3 months to get pregnant to reduce the risk of pregnancy complications for the mother and fetus.

2. Strassman surgery for septal uterus and bicornuate uterus

2.1 Indications for Strassman surgery Strassman surgery is also known as uterine blepharoplasty. This method is indicated for patients with bicornuate uterus or uterus with septum that affects fertility. With the Strassman technique, the doctor will insert a dilator into the 2 uterine chambers. uterus, causing the 2 uterine chambers to stretch and then use a hook to cut. This helps to connect the 2 uterine chambers into 1, helping the fetus to develop normally. Surgery is considered successful if it leaves good scars, does not crack or break.
2.2 Preparation for surgery Performer: Obstetrician and gynecologist; Means: Abdominal surgery kit; Patient: New menstrual period and no symptoms of genital tract infection; Medical records: As prescribed; Place of implementation: Operating room.

2.3 Performing Strassman surgery Strassman surgery was performed according to the standard procedure below:
Surgery of the bicornuate uterus without septum (septum unknown)
Stage 1: Open abdominal wall; Stage 2: Open the uterus Stage 3: Suture the uterine wall; Tension 4: Close the abdominal wall. Surgery of the bicornuate uterus with septum (incomplete septum)
Stage 1: Open the abdominal wall; Stage 2: Open the uterine cavity and cut the septum; Stage 3: Suture the wall of the uterus; Stage 4: Close the abdominal wall Surgery of the uterus with a descending septum near the cervix
Stage 1: Open the abdominal wall; Stage 2: Enlarge the right and left uterine chambers; Stage 3: Sew the 2 uterine chambers together; Tension 4: Close the abdominal wall. 2.4 Post-operative monitoring Strassman Monitor the patient's overall health, special vital signs in the first 24 hours after surgery; Monitor the patient's vaginal bleeding and intra-abdominal bleeding; Monitor and care for bladder catheters; Cleaning: Use betadin solution or other antiseptic solutions to wipe the vagina and perineum; About diet: Let the patient eat liquid early and exercise soon after surgery to recover health soon. Strassman hysterectomy is a good treatment option for women with a septal uterus or a bicornuate uterus that affects fertility. When being assigned to perform this technique, patients need to absolutely follow the doctor's advice to ensure the best treatment effect and avoid possible unwanted complications.
Vinmec International General Hospital implements treatments for genital prolapse with outstanding advantages:
Experienced doctors in Obstetrics and Gynecology surgery. Modern equipment, high treatment efficiency. Professional services: Modern civilized disease prevention system, comprehensive care, meals, rest, exercise, health education, each room is equipped with amenities like a hotel apartment 5 stars, patient information is confidential. Hybrid operating room is the most modern operating room system in the world today, integrating operating room and advanced imaging equipment (CT scan, MRI, ultrasound...) to help reduce surgery time. and bring the best surgical effect to the patient. In anesthesia resuscitation, Vinmec adheres to anesthetic protocols, anesthesia safety guidelines, anesthesia checklists for 100% of surgeries to minimize incidents and unwanted effects.

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