How to perform surgery for uterine fibroids? There are two situations

How to perform surgery for uterine fibroids? There are two situations

If a patient with uterine fibroids undergoes hysteroscopic surgery, general anesthesia is required first. After anesthesia, the cervix is ​​dilated and the hysteroscope is inserted. With the help of the hysteroscope, the fibroid tissue is removed and taken out. Uterine fibroids can also be treated with laparotomy, which requires a detailed examination and anesthesia before surgery, followed by laparotomy to remove the tumor, and finally postoperative care.

Many women usually do not pay attention to the maintenance of the uterus, which easily increases the incidence of uterine fibroids. However, the severity of the disease varies from patient to patient. If the tumor is relatively small, surgical treatment is usually not required. But if the tumor is large and causes obvious clinical symptoms, surgical treatment must be performed in time. So how to perform surgery for uterine fibroids?
1. How to perform hysteroscopic surgery for uterine fibroids
1. Anesthesia <br/>Anesthesia is required before hysteroscopic surgery, and this surgery needs to be performed under general anesthesia.
2. Dilate the cervix <br/>Disinfect the vulva and place a sterile sheet on the operating table. Next, dilate the cervix, usually to a size 10 dilator.
3. Insert the hysteroscopic system <br/>After the cervical dilation is completed, the hysteroscopic system should be inserted. After the hysteroscopic system is implanted, the shape of the uterine cavity should be observed first, and the location of the uterine fibroids should be roughly determined, so as to prepare for the next step of surgical resection.
4. Resection and removal of fibroid tissue <br/>After the preliminary preparations, the fibroid tissue is cut off little by little by electrocautery, and then all the fibroid tissue is removed from the uterine cavity. After the removal, the environment of the uterine cavity should be observed. If it has returned to normal, the operation can be ended.
2. Laparotomy for uterine fibroids
1. Preoperative examination and anesthesia <br/>If a patient with uterine fibroids needs to undergo laparotomy, she needs to undergo preoperative examinations first. This includes routine blood and urine tests, liver and kidney function tests, abdominal ultrasound and MRI examinations, cervical smear tests or diagnostic curettage, so that the specific condition can be understood. General anesthesia is required after the examination is completed.
2. Open abdominal surgery to remove fibroids <br/> Make an incision in the lower abdomen, then explore the location, number and size of the fibroids, and remove them in time after finding them. Be careful during this process to avoid damaging tissues such as the ureter and uterine ligaments. After the incision, the wound must be sutured, and disinfection and anti-infection treatment must be performed.
3. Postoperative care <br/>After laparotomy for uterine fibroids, patients need to protect the wound well to prevent infection and change the dressing regularly. They also need to rest and have a reasonable daily diet to promote postoperative recovery.

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