hysterectomy reduction

For chronic uterine inversion, due to the time of turning over, the cervix has formed a narrowing ring, and it is necessary to perform a vaginal or abdominal uterine incision reduction. Treatment of diseases: uterine inversion 1. Anti-infection: Apply strong antibiotics to prevent puerperal infections. 2. Symptomatic treatment: blood loss to correct anemia. 3. uterotonics: It is best to use ergometrine to promote cervical contraction. Surgical procedure Transvaginal hand reduction 1. The patient takes the bladder lithotomy position. 2. Regular disinfection of the vulva, vagina, catheterization. 3. After the surgeon washes his hands, one hand gently enters the vagina, the palm of the hand holds up the bottom of the palace, and the fingers expand the cervix. 4. The wall of the uterine cavity that was finally turned out was first returned, and the wall of the uterine cavity that was first turned out was pushed up in turn to push up the wall of the uterus that was turned over, and finally the bottom of the palace. The other hand is assisted by the pubic symphysis, and the whole process is gentle and powerful. 5. After successful, stop the anesthesia, keep the hand fist in the uterine cavity for 3-5 minutes, and inject the uterine contraction, then slowly withdraw the hand fist according to the contraction of the uterus and the lower part of the cervix, if the cervix and the lower segment contract The force difference is obvious and the expansion is obvious. It is possible to fill the gauze in the uterine cavity to prevent it from being turned out again. The gauze can be taken out after 24 hours. Transabdominal surgery 1. The patient takes the supine position and routinely disinfects the abdominal skin. 2. Remove the incision in the abdomen. 3. Open the abdominal cavity, expose the pelvic cavity, you can find a cup-shaped depression, in which the fallopian tube and each pair of ligaments can be seen. 4. Use the Allis forceps to clamp the sides of the mouth of the cup. Afterwards, the person who pulls out will be reset first. The order of the first person will be pulled back and then the wall of the uterus will be pulled upwards, similar to the alternating moving jaws. Uterine reduction. Sometimes the assistant assisted in the reduction of the vagina by the vaginal hand in the case of disinfection. 5. If the above method is difficult to reset, push the peritoneal bladder reflex under direct vision, make a vertical incision in the front cup, and use your fingers to enter the vagina (or help the assistant) to pull the bottom of the palace, which is easier to reset. The sutured wall is then sutured. Postoperative diet Suitable diet: 1, should eat fresh fruits and vegetables and other light diet. 2, do not eat spicy spicy food. 3, avoid drinking alcohol.

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