The vagina is a very important part for women. When there is a problem with the vagina, it is taken particularly seriously, just like men find problems with their reproductive organs. Many people do not know what vaginal stump dehiscence is, nor do they know how to know if their vaginal stump dehiscence has occurred. If you are in the same situation, you can use the following methods to learn how to know if your vaginal stump has dehiscence. After a total hysterectomy, the sutured ends in the vagina will mostly heal completely in about 2 to 3 weeks. If you have diabetes or a nutritional disorder, it should be cured in a month. If the healing is poor, it may cause abnormal vaginal discharge. It is recommended to have a gynecological examination two months after the operation to understand the healing status of the incision. This is not caused by absorbable sutures. If there is still a small amount of dark red secretion in the vagina without outflow, it is often caused by poor healing of the vaginal stump or the formation of polyps. It is recommended to go to the hospital to check the vaginal stump and see how it recovers. If there are polyps, just use microwave to treat it, which is very simple. Of course, if the hysterectomy is performed due to a malignant tumor, that is another matter. Hysterectomy: This is when the entire uterus and cervix are removed. When we perform a gynecological examination, we cannot see the cervix, we can only see the stump of the vagina. Subtotal hysterectomy: This is when only the uterus is removed, leaving the cervix intact. At this time, we can see the existence of the cervix during gynecological examination. According to our current guidelines, women who have undergone hysterectomy but the reason for the removal is not related to cervical cancer and who do not have CIN2 or higher grade lesions do not need cytology and HPV screening, and do not need screening for any reason in the future. Women with severe cervical precancer should be tested for at least 20 years after diagnosis, even if they are > 65 years of age when screening continues. Therefore, routine screening is not necessary for women who have undergone hysterectomy for benign lesions and do not have CIN2 or higher lesions. However, women who have undergone a total hysterectomy due to cervical cancer or carcinoma in situ still need regular screening. For women who have undergone subtotal hysterectomy, since the cervix is preserved, screening should be performed according to the standard. Hysterectomy is divided into total hysterectomy and partial hysterectomy. If vaginal bleeding occurs after the second incision, a cervical cancer prevention smear test should be done to rule out cervical lesions. If vaginal bleeding occurs after total incision, it may be bleeding from the vaginal wall or from the vaginal stump. Both need to be checked. Six weeks after total hysterectomy, the patient should go to the hospital for a follow-up examination to understand the wound healing situation. |
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