Precautions before hysteroscopy

There are many things to note before hysteroscopy, because hysteroscopy is a minimally invasive surgery, but it will also cause pain, and the surgery must be performed under sterile conditions, otherwise it is likely to cause bacteria to invade the female uterus, thereby causing other diseases. This surgery is different from ordinary abdominal surgery, so what are the precautions before hysteroscopy?

1. Precautions before surgery

(1) The abdominal skin preparation is the same as that for general abdominal surgery, but special attention must be paid to the cleanliness of the umbilicus because the umbilicus must be punctured.

(2) A semi-liquid diet is given the day before bowel preparation, and fasting is performed from 10 a.m. before surgery until the day before surgery. Give a cleansing enema the night before surgery and the morning of surgery.

(3) Vaginal preparation involves manipulation of the uterine cavity, vaginal surgery, and placement of palace bars. Vaginal discharge examination and vaginal washing should be performed before surgery. Patients with vaginitis should be cured and then undergo surgery.

(4) A routine blood test should be performed before blood preparation.

(5) Preoperative sedatives are taken orally the night before surgery to ensure good sleep and facilitate surgery. Pre-anesthetic medications are determined according to the anesthesia method.

(6) An indwelling catheter must be placed before the catheter to empty the bladder.

(7) Depending on the patient's condition, size and difficulty, general anesthesia, epidural anesthesia, spinal anesthesia and local anesthesia are used.

(8) Hysteroscopy is best performed 3-7 days after menstruation.

(9) Marital intercourse is prohibited 3 days after menstruation or before surgery.

(10) You can hold your urine appropriately before surgery to facilitate B-ultrasound monitoring of the surgery.

(11) Preoperative examination: infectious disease testing, routine liver function, renal function, electrocardiogram, hematuria, coagulation and leucorrhea examination.

(12) One week after surgery, the patient came to the hospital to obtain the pathological results and receive medical treatment.

(14) After hysteroscopic transurethral resection, there may be a small amount of vaginal bleeding within 2 months, and normal menstruation will not occur until the third month.

2. Postoperative precautions

Within 6 hours after surgery, the patient should lie flat without a pillow with the head tilted to one side to prevent vomitus from being inhaled into the trachea. Since most patients do not feel pain after surgery, do not neglect to massage the patient's waist and legs, and turn the patient over every half an hour to promote blood circulation and prevent bedsores. The catheter can be removed once the fluid infusion is completed on the same day, and the patient is encouraged to get out of bed and move around. The patient can be allowed to eat a small amount of liquid food, such as rice soup, noodle soup, etc. 6 hours after the operation. Do not give patients sweetened milk, soy milk powder or other sugary drinks.

The incision for laparoscopic surgery is only 1 cm, so the abdominal dressing can be removed after one week, and you can take a shower and then gradually resume normal activities. You should still pay attention to proper and light activities a week before the event to help your body recover as soon as possible.