Minimally invasive hysterectomy

The basic process of minimally invasive hysterectomy is as follows: after the patient enters the clinic, an intravenous safe channel must be established first. After the intravenous safe channel is established, anesthetics must be injected through the intravenous safe channel. After the anesthetic is injected, the patient will lose consciousness. After the anesthesia is successful, the surgeon will carry out disinfection, disinfect the patient and then lay a sterile drape, lay the order, and then select the wound site for surgery. Generally, three incision sites are selected, the belly button and the area about ten centimeters on both sides of the belly button. Each incision is about two centimeters. Then use gas to inflate the patient's abdomen, and then enter the equipment to perform the removal operation.

Minimally invasive hysterectomy refers to the whole process of hysterectomy performed under intravenous anesthesia using hysteroscopy or laparoscopy. First, an incision of about 3 cm should be made in the middle of the lower abdomen. The pelvic Brunner's infundibulum tendon and round ligament should be sutured. After entering the abdomen, exploration should be carried out to understand the extent of the disease. Then the tendons should be cut and the folded position of the uterus, bladder, and retroperitoneum should be cut, the uterus should be dispersed, and finally the cervix should be moved to the uterus and the anterior fornix of the vagina should be cut. Then clamp the anterior lip of the cervix, lift it up, make an incision along the inner vault of the vagina, remove the uterus, then check for bleeding and suture each step one by one.

Minimally invasive surgery generally refers to surgical treatment under laparoscopy. If the uterus is not large, minimally invasive surgery for hysterectomy is safer and less harmful. If the uterus is very large or combined with multiple uterine fibroids, minimally invasive surgery will be difficult and require a high level of technical skills from the patient. Because the enlarged uterus may cause changes in the normal anatomical position of adjacent internal organs, for example, an overly large uterine fibroid may change the position of the urethra, and special care must be taken during the operation to avoid damage to the urethra.

The uterus is large and is relatively difficult to remove. It sometimes takes a long time to collect and remove the specimen. The overall operation time is long, which has a great impact on the body's condition and may cause hypocalcemia.