Is uterine suspension a major operation?

summary

Uterine suspension is used for the surgical treatment of uterine prolapse. Uterine suspension is one of the methods to correct retroversion of uterus. Because the uterus is pulled forward and upward, close to the abdominal wall, it can correct uterine prolapse. However, if the bladder and rectum bulge obviously, the anterior and posterior vaginal wall should be repaired at the same time. Is uterine suspension a major operation? Here are the details.

Is uterine suspension a major operation?

It is better to eat rich nutrition and digestible diet a few days before operation, less residue diet two days before operation, and a small amount of dinner before operation. Breakfast is forbidden on operation day to avoid vomiting during operation. Three days before operation, every part of the vaginal wall was gently scrubbed with soap solution every day, then washed with clean water, and then washed with 1 ∶ 1000 Bromogeramine solution to dry the vaginal wall. One day before the operation, the skin was prepared, including pubic symphysis, vulva, 1 / 3 inner side of thigh, below buttock and around anus; If the operation is difficult and needs abdominal operation, the abdominal skin should be cleaned at the same time. The preparation of operation field is from xiphoid process to pubic symphysis, from both sides to axillary midline, in addition to vulva and inner thigh, clean with soap, shave, and wipe grease and dirt from umbilicus with gasoline.

When the round ligament is sutured to the medial surface of rectus abdominis fascia, the suture needle should only pass through 1 / 2 of the round ligament. Otherwise, if the round ligament is completely ligated, it is easy to cause ischemia of the round ligament. Be careful not to twist the round ligament. 2. The round ligament should be close to the abdominal wall, leaving no space to prevent the intestinal tube from passing through and stranding. 3. Pay attention to the rough surface of the anterior wall of the uterus to form a firm adhesion with the peritoneum. 4. Too tight suture may cut off tissue, too loose suture may affect adhesion and affect effect. 5. The outer orifice of uterus should be about 7cm away from the vaginal orifice after suspension. If it is too low, the effect is not good, causing frequent urination. If it is too high, it will cause abdominal wound traction pain, falling and lower abdominal depression.

Uterine suspension is suitable for: 1. Mild uterine prolapse, young women who want to give birth, should use round ligament suspension. 2. Abdominal wall fixation should be used in the middle-aged and old people who do not need childbearing and whose uterine prolapse is not serious.

matters needing attention

If the general condition is bad, such as serious heart disease, hypertension, nephritis, diabetes, liver cirrhosis, liver function damage, active pulmonary tuberculosis, pulmonary insufficiency, long-term cough, mental disorder, malignant tumor, hemorrhagic disease and severe anemia, it is not suitable for operation, and it will be considered after improvement. Cervical or uterine body with malignant lesions. It is not suitable for uterine prolapse operation. For cervical carcinoma in situ or very early uterine body cancer, transvaginal hysterectomy can be considered to repair the anterior and posterior vaginal wall.