Qing palace surgery

Completecurettageofuterinecavity is a curettage, and uterine curettage is the most commonly used method of early abortion. Although the Qinggong technique does not require surgery, it is also a kind of gynecological surgery, which must be carried out under strict disinfection. The operation is divided into two steps. The first step is to expand the cervix to a sufficient size. The second step is to use a curette to reach the uterine cavity and scrape the embryo. The longer the pregnancy, the larger the fetus. At this time, the cervix needs to be expanded to the maximum to scrape the fetus, so it is more difficult to scrape the uterus. At the same time, the longer the pregnancy, the more gradually the uterus will become softer, and the chance of wearing the uterus during surgery will naturally increase. Treating diseases: intrauterine hydatidiform mole Indication 1. Incomplete abortion, delayed abortion. 2. Early pregnancy (within 12 weeks) induced abortion. 3. Hydatidiform mole. Contraindications Acute genital tract and pelvic inflammatory disease, trichomoniasis and fungal vaginitis, combined with severe medical diseases can not tolerate surgery. Preoperative preparation 1. Forbidden sex life 5 days before surgery. 2. Shower one day before surgery, clean the vulva on the day of surgery, and carry necessary items such as sanitary napkins. 3, surgery as the sky abdomen, need to remove contact lenses, dentures, watches and accessories, hard hair accessories, etc., makeup is strictly prohibited before surgery, valuables should not be brought into the operating room. 4. Change the clean underwear underwear before coming to the hospital. 5. Empty the bladder before surgery. Surgical procedure 1. Position: The position of the stone. 2. Disinfection: Routinely rinse and disinfect the vulva and vagina. 3. Visiting the palace: Fix the upper lip of the cervix with a cervical clamp. Send the probe to the bottom of the uterus along the uterus to understand the size of the uterus. 4. Dilatation of the cervix: Dilate the cervical canal with a cervical dilator until it can pass through the uterine suction device. 5. Qing Palace: Under no negative pressure, the uterine cavity aspirator is sent into the uterine cavity. Then maintain the negative pressure, repeat the scraping, the whole process should be gentle. If you encounter a tissue blockage in the suction of the palace, you should quickly take the tissue and then continue to suck the palace. If there is no suction condition, it is feasible to cure the uterus. When inhaling the palace, pay special attention to the side of the palace and the bottom of the palace. If you feel that there is still tissue, you can use a curette to scrape it again. If you feel that the wall of the uterus has become rough and bloody foam is observed in the bottle, the uterus is significantly reduced, which means that the uterus has been emptied and the operation can be ended. complication 1. Cervical tears: common in unfertile women, generally occurring on both sides of the cervix. For such patients, the action should be gentle. Small tearing wounds can be blocked by iodoform yarns. For larger cracks, hemostasis should be sutured under direct vision. If vaginal hemostasis is not effective, you need to find a bleeding vascular ligation to stop bleeding, occasionally need to be hysterectomy. 2. Uterine perforation: Pregnancy and tumors (such as hydatidiform moles) can make the uterine wall weak, and it is easy to cause uterine perforation during uterine surgery. For uterine perforation with less bleeding, it is feasible to treat conservatively with anti-inflammation and hemostasis; if the perforation is large and complicated with massive hemorrhage, it is necessary to expedite the hemostasis, repair the perforated wound, or perform hysterectomy. 3. Infection: adequate preoperative preparation, strict aseptic operation, postoperative prophylactic antibiotic treatment can reduce the incidence of infection. 4. uterine adhesions: such as excessive sputum scraping during the Qing dynasty, there will be intrauterine adhesions, the consequences of infertility, miscarriage, amenorrhea, dysmenorrhea and so on. Adhesion can be separated under hysteroscopy.

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