Today, more and more women after surgeries or cesarean on the uterus are left with a scar. When the woman's uterus wall is cut, the healing does not come soon enough. This phenomenon is carried out gradually, so it is necessary to visit the doctor regularly to monitor the condition of the scar.
Pregnant in this state is possible, but if a woman has a scar on her uterus during pregnancy, it is necessary to take care of her health very carefully and try to make the incision as long as possible. In pregnant women the norm is a scar on the uterus 3.5 mm thick at the time of 32-33 weeks, and at 37-38 the normal scar should be at least 2 mm. If, however, the pregnancy is observed inconsistency of the scar on the uterus, that is, it does not tighten as it should, then there may be rupture of the uterus along the scar, resulting in childbirth with complications. In general, in most cases, the inconsistency of the scar on the uterus resembles the first signs of abortion, which lead to a number of complications.
What affects the healing rate of the scar on the uterus?
The nature of healing of the dissected wall of the uterus depends on the following factors:
- microflora of the birth canal;
- duration of the anhydrous gap;
- presence of complications during childbirth;
- cut on the uterus;
- nature of the cut;
- material for the seam on the uterus;
- duration of the operation;
- amount of blood lost;
- period after surgery.
But in addition to all of the above, there are violations, as a result of which the scar on the uterus became thinner. If a woman underwent a longitudinal (corporal) incision on the uterus during surgery, then after surgery for some time the scar will become untenable. The smallest risk of insolvency of the scar is a period of two years after the operation, but this period should not exceed 4 years.
Much less often on the uterus is formed an inconsistent scar, if the caesarean section of the cut was transverse. Of course, in this case, the scar on the uterus still hurts, but the new pregnancy does not negatively affect the consistency of the scar.
Endometriosis is the result of caesarean section
After cesarean section, after a while, endometriosis can form on the surface of the uterus because of the scar on the organ. This phenomenon is a proliferation of tissue, a structure similar to the tissue of the uterine cavity. But unlike the mucous tissues of the uterus, which are located inside it, endometriosis develops outside the endometrium.
This complication leads to an increase in metastases in surrounding tissues, and germination in muscle tissue, mucous membranes, skin, fiber and even bones. Endometriosis can acquire malignant properties, resulting in cancer, sarcoma or carcinocarcinoma of the uterus. The etiopathogenetic development of the disease is affected by hormonal factors, especially a lack of progesterone or an excess of estrogen.
Mechanical intervention in the uterine cavity usually leads to endometriosis in 33.7 percent of cases.
Treatment of an inconsistent scar on the uterus begins with a preliminary examination and the delivery of all necessary tests. Also, a thorough diagnosis is performed, after which the doctor determines an adequate treatment for a particular patient. Sometimes a woman needs a reconstructive-reconstructive operation.