Treatment of uterine perforation as a complication of artificial abortion

Artificial abortion refers to the termination of pregnancy by surgery within 3 months of pregnancy. During the operation, various complications may occur, such as artificial abortion syndrome, uterine perforation, and postoperative bleeding. Among them, the manifestations and treatments of uterine perforation are as follows:

When the doctor uses instruments to perform artificial abortion, if there is a sudden bottomless feeling when the instrument enters the uterine cavity, or its depth obviously exceeds the size of the uterus during examination, it often indicates uterine perforation, which is closely related to the operator's operating technique and the condition of the uterus itself (such as pregnant uterus during lactation, pregnancy again after cesarean section scar uterus, etc.).

After uterine perforation occurs, the operator should immediately stop the operation and take appropriate treatment measures, such as giving oxytocin and antibiotics, closely observing the patient's vital signs (including heart rate, pulse, respiration, pupils and corneal reflex, etc.), and observing whether the patient has vaginal bleeding, abdominal pain and signs of intra-abdominal bleeding. If the patient's condition is stable and the operation has been completed, conservative treatment can be performed; if the embryonic tissue has not been completely aspirated, an experienced physician can be replaced to avoid the site of uterine perforation, or the operation can be continued under B-ultrasound guidance or laparoscopy; if the patient has uterine perforation before the suction operation, wait for 1 week before clearing the contents of the uterine cavity; if the patient has increased bleeding or suspected organ damage, laparotomy should be performed in time to identify the site of injury and actively treat it before repairing the perforation.