Laparoscopic-assisted vaginal hysterectomy

Laparoscopic-assisted hysterectomy begins with laparoscopic surgery and ends with vaginal surgery. At least after laparoscopic treatment of the attachment, it is converted to vaginal surgery. It is currently used in laparoscopic hysterectomy. Treatment of diseases: uterine prolapse uterine fibroids Indication 1. Uterine fibroids need to be removed from the uterus. 2. Uterine fibroids, the uterus is less than 3 months pregnant. 3. Uterine adenoma, adenomyosis. 4. Endometrial hyperplasia is too long. 5. Uterine prolapse. Contraindications 1. The uterus is larger than the uterus at 3 months of pregnancy. 2. The pelvic cavity has severe adhesions. 3. Moderate or severe endometriosis. 4. Vaginal stenosis, can not be operated by the vagina. Preoperative preparation 1. Preoperative vaginal washing for 3 days. 2. Soap water enema before surgery. 3. Patients with pelvic adhesions need to prepare for bowel. 4. Preoperative catheterization and blood preparation. Surgical procedure 1. Take the bladder lithotomy position, routinely disinfect, spread and cover the sheet, and place the uterus device. 2. Choose a three- or four-hole puncture. 3. Regular exploration of the abdominal cavity. 4. Uterine round ligament, broad ligament, bladder reflexive peritoneum, ovary and fallopian tube treatment with laparoscopic hysterectomy. 5. After the attachment is processed, it can be transferred to the vaginal operation. According to the condition of the uterine blood vessels, the uterine blood vessels can be processed first and then transferred to the vaginal operation. 6. Gradually treat the uterine ligament, patellofemoral ligament, and suture the peritoneum and vaginal stump according to the procedure of vaginal hysterectomy (see vaginal hysterectomy). 7. After re-inflating into a pneumoperitoneum, flush the abdominal cavity, aspirate the effusion, vent, take the cannula and the lens, and suture each puncture hole. Postoperative diet 1. Give high protein, high vitamin and cellulose-rich digestible diet. 2, do not eat spicy spicy food.

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