Hysterectomy and double adnexectomy

The scope of this operation violates the spirit of comprehensive staging surgery. It is no longer advocated. It is limited to the uterus tumors that spread to the uterus, fallopian tubes and broad ligaments. The indications are stage I and II epithelial cancers. resection. Treatment of diseases: ovarian tumors, ovarian cancer, surgical procedures After the anesthesia was successful, the patient was placed in the supine position. After routine abdominal disinfection and drape, the median longitudinal incision was taken to a length of about 10 cm. The skin was cut open, the subcutaneous tissue was cut, the fascia was cut, and the anterior sheath of the rectus abdominis was incised. The rectus abdominis, open the peritoneum and expose the abdominal cavity. 1. Treatment of round ligaments: The left round ligament was exposed, and the two middle cusps clamped the left round ligament, and the tongs were cut, and the No. 7 silk thread was used to sew the stump. The right round ligament is treated in the same way. 2. Processing attachments: The left side attachment was exposed, and the left ovary intrinsic ligament was clamped in the left fallopian tube and the left ovary intrinsic ligament. The No. 7 silk double stitched the stump. The right side attachment is processed in the same way. 3. Push the bladder down: Cut the bladder into the peritoneum and push down the bladder to the outside of the cervix. 4. Treatment of uterine blood vessels: The jaws cut off the loose tissue near the left uterus, expose the left uterine blood vessels, and clamp the jaws. The No. 7 silk double stitched the stump. The same uterus is treated in the same way. 5. Treatment of uterine ligament: Exposure of the uterine ligament, close to the cervical clamp to cut the left iliac ligament. No. 7 silk threaded the stump. The same method is used to treat the right palpebral ligament. 6. Treatment of the main ligament: Expose the left main ligament, a COCOL forceps vertical clamp to cut the left main ligament medicine | No. 7 silk threaded the stump. The same method is used to treat the right main ligament. 7. Cut the vaginal wall: A piece of dry gauze padded the cervix, and cut the cervix to the cervix outside the anterior wall of the cervix. Two tissue clamps clamp the rupture of the external cervix, and the ring cuts the vaginal dome. The tissue clamp clamps the vaginal stump, and the 0.5% vital iodine disinfects the stump and fills the vagina. 8. Stitching the vaginal stump: The No. 1 Dtxon line sutured the vaginal stump continuously, and the ligament stumps on both sides were sutured on both sides of the vaginal stump. The 4th silk thread sutured the cervical fascia intermittently. 9. Pelvic peritonealization: The first line of silk was sutured and the peritoneum was sutured, and the stump was embedded in the posterior peritoneum. 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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