The process of hysterectomy

Anyway, gynecological diseases such as uterine fibroids, uterine cysts, and uterine inflammation are occurring more and more frequently. Once the disease reaches the late stage, surgical removal must be performed, otherwise it is likely to cause great harm. In the following article, let’s learn about hysterectomy.

(A) Incision: A midline incision is made in the lower abdomen from below the umbilicus to the upper edge of the pubic symphysis.

(ii) After suturing the infundibulopelvic ligament and round ligament, exploration is performed after entering the abdominal cavity to understand the extent of the lesion.

Use toothed hemostatic forceps to clamp the two horns of the uterus to pull and block the ascending branch blood flow of the uterine artery. Use No. 7 wire

The round ligament is sutured 2 to 3 cm away from the uterine horn, and the pelvic infundibulum ligament is double-sutured slightly away from the pelvic wall (to avoid the ureter). The ovarian artery and venous plexus pass through the pelvic infundibulum ligament, which can be seen clearly under light and must be sutured tightly.

(III) Cutting the ligaments and incising the uterine bladder peritoneum

Lift the uterus and suture the sutures, cut the pelvic infundibulum ligament and round ligament. The blood flow to the uterus has been blocked at the uterine cornu, so only a small amount of blood will return when the ligament is cut, and generally no additional clamping is required to stop bleeding. Cut the anterior leaf of the broad ligament between the pelvic infundibulum ligament and the round ligament, free it forward, and cut the uterine bladder peritoneum and fold it to the opposite side (Figure 253).

4. Wandering Ion Palace Body

Use your fingers to gently separate the bladder slightly downward along the plane of loose connective tissue between the uterus and bladder to expose part of the cervix, and then slightly separate the tissues on both sides to expose the uterine artery and vein. The ureter passes below the blood vessels about 2 cm from the cervix. Then cut the posterior leaf tissue of the broad ligament on both sides of the uterine body to above the uterine artery. There is usually no bleeding during cutting, but the cutting should be done slightly away from the uterine body to avoid damaging the ascending branches of the uterine arteries near both sides of the uterine body. At this point, the uterus is completely free, with only a small amount of tissue on both sides connected to the vaginal vault.

5. Wandering cervix

Use your hands to pull the uterus toward the head appropriately, and use your thumbs to push the bladder further below the level of the external cervical opening, while slowly pushing the ureters to both sides. If you pay attention and explore to both sides, you can feel a cord-like object sliding under your fingertips about 2 cm away from the cervix. This is the ureter. As long as the plane is accurate, pushing the bladder down will not be difficult and bleeding will not be excessive. If there are difficulties, it is usually related to the plane of entry being too deep, or it may be caused by inflammatory adhesions. It should be clarified before separation. Sharp dissection can be performed if necessary. It is of positive significance to avoid damaging the ureter by palpating the location of the ureter and then dealing with the tissues on both sides of the cervix.

Above we learned that the process of hysterectomy is very difficult and complicated, and if you cannot recover, it will easily cause inflammation or even infection of the business. It is recommended that everyone actively deal with their own health and protect their bodies in life.