Is vaginal hysterectomy complicated

summary

Not long ago, I just finished vaginal hysterectomy. After several weeks of observation in the hospital, I recovered well. I left the hospital and went home to have a rest. According to the doctor's instructions, I also recovered well at home. Now let me talk about the complexity of vaginal hysterectomy.

Is vaginal hysterectomy complicated

First, establish a sterile operation area of vulva: Disinfect vulva, suture and fix bilateral labia minora on both sides of thigh medial groove with silk thread, and suture perineal skin and sterile towel to cover anus. Exposure of cervix: place vaginal hook to fully expose the operation field, clamp the anterior and posterior edges of cervix with rat tooth forceps, and pull down the cervix to fully expose the cutting edge of cervix. Loop incision of cervical vaginal mucosa: normal saline is injected into the bladder cervical space to form a water pad to facilitate tissue separation and reduce bleeding.

Second, the anterior vaginal fornix mucosa was cut with an electric knife or a cold knife at a distance of 0.5 cm below the lowest position of the bladder at a distance of 0.2 cm above the external cervix. The most appropriate position of incision is at the uterine bladder reflexes, that is, the vaginal mucosa reflexes after the cervix is gently pushed up. If this point is uncertain, the incision should be downward rather than upward as far as possible to avoid any potential risk of bladder injury. The metal catheter can also be inserted into the bladder to identify the attachment point of the posterior wall of the bladder to the anterior lip of the cervix. Under this attachment point, the cervical mucosa can be cut in a circle of ﹥ 0.5 ﹥ cm.

Third: the treatment of the main ligament and uterosacral ligament: pull the cervix to one side, fully extend and expose the main sacral ligament, clamp the main sacral ligament close to the cervix, cut off and double suture. Treatment of uterine blood vessels: put the index finger into the pelvic cavity and clamp the uterine blood vessels close to the cervix. If possible, it should include both the anterior and posterior peritoneum, and double ligation after cutting off. This operation can avoid excessive bleeding, close to the cervix and ureteral injury.

matters needing attention

For women, hysterectomy is still very unacceptable. After all, the uterus is very valuable for women. However, if the uterus is not removed, the disease may erode the whole body, and life will be threatened at that time, so patients can only choose this way.