Many people may not know what a residual horn uterus is, as it occurs near the large uterus, accompanied by a small uterus. Some small uterus are caused by normal internal walls in the uterine cavity, which is not a problem with function. Therefore, women are likely to experience ectopic pregnancy, and in severe cases, it can lead to uterine rupture. Therefore, women with residual horn uterus need to undergo surgery before pregnancy and then naturally conceive.

If a patient with residual horn uterus is considering pregnancy, timely treatment is necessary. Firstly, B-ultrasound examination is performed, and then appropriate surgical methods are selected based on the patient's specific situation. Generally, there are two surgical methods to choose from: open hysterectomy and laparoscopic hysterectomy. The doctor can perform surgery to remove the residual angle, but the specific surgery should still be determined based on the patient's condition, and the patient should pay attention to cooperating with the doctor's work.

Introduction to surgical treatment methods for residual horn uterus:

1、 Steps of open hysterectomy surgery

After the first successful anesthesia, disinfect the abdominal skin with iodine, lay a sterile surgical sheet, and the doctor wears sterile surgical clothes and gloves;

2. Make a transverse or longitudinal section 2-3 centimeters above the pubic symphysis, approximately 7-8 centimeters;

3. Cut open the skin, subcutaneous area, and abdominal cavity in layers, and use two hemostatic forceps to clamp both uterine horns;

4. Enter the abdominal cavity, take an angle from the pregnant uterus, and clamp the uterus to the opposite side of the uterus. In the later stage, if a cesarean section is required first, then the residual horn uterus needs to be removed;

Before sewing the uterine horn, sew the cut ligaments together.

2、 Laparoscopic residual angle hysterectomy procedure

1. Preoperative routine disinfection followed by epidural anesthesia or general anesthesia;

2. The patient takes a bladder stone and undergoes routine disinfection, gilding, and covering;

3. Inflate the lower abdomen, insert a cannula, and place a laparoscope;

4. Use laparoscopy to explore the relationship between the size, shape, and position of the pelvis and surrounding organs;

5. Use pliers to lift the circular ligament of the uterine horn from above the uterus, and use scissors to cut the circular ligament. The treatment of the opposite round ligament is the same;

6. Cut open the peritoneum and anterior lobes of the circular ligament on both sides of the uterus and bladder, push the bladder downwards, and slightly separate the outer edge of the anterior lobe of the circular ligament;

7. When lifting one side of the fallopian tube, use bipolar electrocoagulation ligaments to electrocoagulate the ligaments to close the blood vessels inside the ligaments, and carefully cut off the middle to remove the attachments;

8. Cutting off the uterine artery is the most important step. If you are not careful, it can lead to massive bleeding, and doctors will handle it with extra caution;

9. Cut open the anterior fornix of the vagina and use bipolar electrocoagulation forceps to cut off the uterine horn, including the sacral ligament and most of the uterine ligaments;

10. The residual horn of the uterus can be removed through the vagina, and the vaginal stump and retroperitoneum can be sutured under laparoscopy;

11. Clean the abdomen and pelvis, aspirate the accumulated fluid, expel the gas, remove the hysteroscope and cannula, and suture the wound.

The editor of 592 Baobao website suggests that female friends must check the uterus before marriage and childbirth to see if there are any uterine problems and prevent possible ectopic pregnancy. If you have uterine malformations, seek medical attention and undergo surgery as soon as possible.