How to do ovarian surgery care?

Many women need to undergo ovarian surgery for various reasons. Many people are afraid of surgery, especially this type of ovarian surgery, which makes many women feel terrified. So how should they care after ovarian surgery? I believe this is a question that many people who want to have surgery would like to know in particular. Let me give you a detailed introduction to post-operative ovarian care!

Postoperative care tips:

For general postoperative care, see postoperative care for abdominal surgery. Generally, the patient takes a semi-recumbent position after the blood pressure stabilizes on the second day after surgery, which is beneficial for the drainage of abdominal and vaginal secretions and reduces inflammation and abdominal distension. Patients undergoing intestinal resection should be temporarily fasted, and continuous gastrointestinal decompression should be performed according to the doctor's orders to maintain patency, and the drainage volume and nature should be recorded. For those whose intestines are not invaded, liquid diet can be given on the second day, and gastrointestinal motility drugs can be taken at the same time to promote the recovery of intestinal motility. After 3 days, semi-liquid diet or normal diet can be changed according to the recovery of intestinal motility to keep the bowels open. While in bed, take good care of your skin to avoid bedsores. Encourage bed activities, back tapping, timely clearing of sputum, and prevention of lung complications; when the condition permits, assist the patient to get out of bed and move around.

1. When the patient is sent back to the ward after surgery, the nurse must hand over the shift to the anesthesiologist face to face. Patients with hard external anesthesia should lie flat without a pillow for 6 to 8 hours, and take a semi-recumbent position the next morning after surgery.

2. After the analgesic and anesthetic effects disappear, the patient still feels pain in the wound. According to the doctor's advice, the patient will be given diazepam or pethidine for analgesia. The patient often experiences varying degrees of nausea and vomiting after surgery, and generally no special treatment is given.

3. Observation of the condition: After the operation, pay attention to whether there is bleeding or exudation in the incision and vaginal stump, and replace the dressing and perineal blood pad in time. For those who experience incision pain, use analgesics as prescribed by your doctor. For patients who undergo tumor cell reduction surgery, one extraperitoneal drainage tube and one intraperitoneal chemotherapy tube are usually placed after the operation. The end of the indwelling chemotherapy tube is wrapped with sterile gauze and fixed to the abdominal wall to prevent it from falling off, in preparation for postoperative intraperitoneal chemotherapy. Connect the drainage tube to the negative pressure drainage bag, secure it, keep the drainage unobstructed, and record the drainage volume and properties of the drainage fluid. When the patient returns to the ward after surgery, the BP, P, and R should be measured immediately to understand the changes in blood pressure after moving the patient, because any anesthesia and surgery have an inhibitory effect on the circulatory system, and changes in body position can also affect the circulatory condition. Usually BP and P are measured once every 15 minutes, and after the blood pressure stabilizes, change to once every 30 minutes. After it stabilizes, measure T, P, R, and BP 4 times a day until it returns to normal 3 days later.

4. Keep the urinary catheter unobstructed and observe the urine volume. Keep the urinary catheter for 1 to 2 days after surgery, keep the vulva clean, and wipe it with 0.1% chlorhexidine 1 to 2 times a day.

5. Observation and care of the wound: Within 24 hours after the operation, observe the wound dressing for bleeding or exudation. If the dressing is leaked and loses its function of protecting the wound, it should be replaced in time. At the same time, the area around the wound should be kept clean, dry and free of pollution. When changing the dressing, check whether there are any abnormal phenomena such as nodules, redness, swelling, tenderness, etc. at the incision. Remove the stitches and change the dressing on the seventh day.

6. Advise the patient to engage in early activities to promote recovery of systemic functions and blood circulation, thereby reducing postoperative adhesions. Strengthen nutrition and supplement adequate calories and vitamins every day after surgery.

7. Psychological care: Postoperative patients worry that the removal of one or part of the ovary will affect their future menstrual cycle and sexual life, affecting their physical health and life. Medical staff should patiently explain the basic knowledge about ovarian function to patients, guide them on postoperative sexual life knowledge, and eliminate psychological stress and stimulation factors for patients. Throughout the nursing process, nurses focus on the patient, listen to his or her statements, care about his or her pain, and then provide guidance, comfort and encouragement. Help eliminate their heavy mental pressure and facilitate postoperative recovery.

After reading the editor's introduction, I believe you have a certain understanding of postoperative care for ovarian surgery. If you need to undergo ovarian surgery, your family must do a good job of care. Generally speaking, in regular hospitals, the success rate of this operation is very high. As long as you pay attention to care, most of them have no sequelae. It is important to maintain an optimistic attitude.