What should oviduct obstruction laparoscopic surgery pay attention to
summary
Many couples want to be pregnant and have children, but due to various diseases, these couples' wishes can not be realized. For example, many women will suffer from fallopian tube obstruction, which is usually treated by laparoscopic surgery. What should we pay attention to in laparoscopic surgery for fallopian tube obstruction? Now let's introduce what we should pay attention to.
What should oviduct obstruction laparoscopic surgery pay attention to
First: preoperative nursing: psychological nursing. Interventional recanalization is a new kind of non vascular interventional therapy. It is widely used in clinic because of its small trauma, less pain and high curative effect. However, many patients and their families do not understand the treatment and have fear. In order to cooperate closely with the patients during the operation, we explained to the patients and their families the method, purpose, advantages of interventional recanalization before the operation, as well as the symptoms and conditions that may appear during and after the operation. In addition, we publicized the treatment method in radio, newspapers and other newspapers to let more patients know.
Second: intraoperative nursing. The interventional recanalization is performed under X-ray TV navigation, and safety measures should be taken to cover the non treatment parts outside the lower abdomen with lead clothing to reduce X-ray injury. Venous access was established to facilitate the use of drugs during the operation. Connect ECG monitoring, observe heart rate, heart rate, blood pressure. The nurse must repeat the name, dosage and usage of the medicine again. The medicine can be used only after it is accurate and the ampoules are kept and checked. During the operation, nurses should regularly observe whether there are adverse reactions, and report to the doctor immediately if any abnormality is found.
Third: postoperative nursing. Pay attention to observe the patient's consciousness, spirit, whether there is iodine allergy reaction, whether there is abdominal pain and so on, find the situation, can give symptomatic treatment, can eliminate. All patients had a small amount of vaginal bleeding after operation, and no special treatment was needed. If there was a large amount of bleeding, timely report to the doctor and assist the doctor to take hemostatic measures. The symptoms such as nausea, vomiting, sweating and pallor were improved after intramuscular injection of atropine 0.5mg. The patients were given antibiotics orally for 3-5 days, no sexual intercourse and bath for 2 months. After 2 months, the menstruation was clean, and then the fluid was dredged for 3-7 days to prevent tubal re adhesion.
matters needing attention
It can also be seen from the above, when doing laparoscopic surgery for tubal obstruction, we must do a good job in nursing. In order to ensure the effect of operation, we should do a good job of psychological nursing before operation, take safety measures during operation, pay attention to the reaction of patients after operation, and do not have rooming after operation.