Should the intima be repaired after the abortion?

Mondo Health Updated on 2024-01-29

Regardless of the surgical technique, damage to the endometrium is unavoidable, and doctors have minimized the endometrial damage associated with abortion as much as possible.

First, standardize surgical operations, pay attention to strict aseptic operations, and pay attention to the prophylactic use of antimicrobial drugs to prevent infection in the perioperative period

Second, at the same time, pay attention to try to be merciful to your subordinates and avoid excessive palace clearance;

In addition, for high-risk groups of postoperative endometrial injury, endometrial repair is recommended to promote endometrial growth and wound repair, and reduce the risk of postoperative endometrial repair disorders and intrauterine adhesions.

Who is at high risk of postoperative endometrial injury?

In fact, clinically, for patients with 2 miscarriages, missed miscarriages, infectious miscarriages, incomplete abortions, previous history of placental adhesions, endometrial polyp removal, uterine submucosal fibroid resection, intrauterine adhesions or uterine malformation correction and other uterine cavity surgery. It is generally recommended to start endometrial repair after surgery**, and to choose the appropriate regimen according to whether the patient has fertility needs, whether there is a risk of blood clots, and other contraindications to drugs.

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