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Both types of uterine positioning for repair yielded similar lengths of hospital stay, risk of infection, and estimated blood loss. Recovery following uterine exteriorization was found to induce more nausea [16] and be more painful, requiring more post-operative analgesia. Return of bowel function was faster with in situ repair. [17]
The recovery time for an open hysterectomy is 4–6 weeks and sometimes longer due to the need to cut through the abdominal wall. Historically, the biggest problem with this technique was infections, but infection rates are well-controlled and not a major concern in modern medical practice.
The mesh is strongly attached at two points: namely the uterus/cervix and the anterior longitudinal ligament over the sacral promontory. Hysteropexy restores the normal support of the vagina, suspending the uterus back in its anatomical position by reinforcing weakened ligaments with a mesh. This procedure allows the length of the vagina to be ...
A uterine septum is a congenital uterine malformation where the uterine cavity is partitioned by a longitudinal septum; the outside of the uterus has a normal typical shape. The wedge-like partition may involve only the superior part of the cavity resulting in an incomplete septum or a subseptate uterus , or less frequently the total length of ...
Additionally, hematometra may develop as a complication of uterine or cervical surgery such as endometrial ablation, where scar tissue in the endometrium can "wall off" sections of endometrial glands and stroma causing blood to accumulate in the uterine cavity. [1] It can also develop after abortion, [4] as well as after childbirth.
In the developed world about 1% to 2% develop uterine infections following vaginal delivery. [1] This increases to 5% to 13% among those who have more difficult deliveries and 50% with C-sections before the use of preventive antibiotics. [1] In 2015, these infections resulted in 17,900 deaths down from 34,000 deaths in 1990.
Chronic pelvic/abdominal pain develops post PID 40% of the time. [40] Certain occurrences such as a post pelvic operation, the period of time immediately after childbirth , miscarriage or abortion increase the risk of acquiring another infection leading to PID. [27]
In cases so severe that abscesses have formed in the ovaries and tubes, it may be necessary to remove the uterus by hysterectomy, and possibly other infected organs as well. After successful treatment of a septic abortion, a woman may be tired for several weeks. In case of substantial bleeding, iron supplementation may be helpful.