case_images: PMC10416626_01
case_images: PMC10416626_02
case_images: PMC10416626_03
case_images: Hysteroscopic suture knotting and intrauterine device suture fixation of uterine old false passage. (A) In the first hysteroscopy, the blue arrow refers to the old false passage, and the yellow arrow refers to the uterine cavity. (B) The blue arrow is the opening of the fallopian tube, which is confirmed as the uterine cavity again. (C) Suture knotting of intrauterine lesions. The blue arrow refers to the 2-0 absorbable suture on both sides of the cut old false passage, and the yellow arrow refers to the cut strip old false passage. (D) The suture needle of the suture of intrauterine disease penetrates the details of the intrauterine tissue. The blue arrow refers to the tail of the needle and the yellow arrow refers to the tip of the needle. (E) Knotting details of sutures for intrauterine diseases (double slip knots of what we call butterfly bows, we named it Song's knot), shape of knots indicated by blue arrows. (F) Confirm the details of the bow lock tissue under hysteroscopy (shown in blue arrows). (G) Old uterine false passage after suture knot under hysteroscopy (shown in blue arrows). (H) The state after suture knotting and suture fixation of the old false passage. The yellow arrow refers to the state after suture knotting of the false passage, and the blue arrow refers to the state after suture fixation of the LIN-US band. (I) After 2 months of follow-up, the Mirena ring was removed and compared with (A). The blue arrow indicated the closure of the old false passage, and the yellow arrow indicated the uterine cavity.
case_images: fsurg-10-1193961-g001.jpg
case_images: PMC10416626_03_fsurg-10-1193961-g001.jpg
case_images: F1
case_images: Diagnosis and treatment: the patient was examined after admission, and hysteroscopy was performed after the exclusion of surgical contraindications to confirm the diagnosis: (1) intrauterine adhesions and (2) old uterine false passage (Figures 1A,B). Therefore, a hysteroscopic suture knotting was performed to treat the old false passage in the uterus, and the intrauterine device was sutured and fixed in the uterine cavity (Figures 1C-H). The removal of the intrauterine device was required, and the hysteroscopy results showed that the old false passage in the uterus disappeared (Figure 1I).