Hysterectomy surgery six hours

The uterus is a very important organ of women and an important feature of women. However, sometimes if something happens to the uterus and it becomes sick, it may have to be removed. Well, some people don't know how long it takes to perform this hysterectomy surgery. Now the editor will tell you how long it takes to perform a hysterectomy surgery.

How long does hysterectomy surgery take?

It will take about three hours.

process:

(A) Wound: Make an incision in the middle of the lower abdomen, from below the umbilicus to the upper edge of the ischial tuberosity.

(ii) After suturing the Brunner's infundibulum tendon and round ligament and entering the abdomen, first explore to understand the extent of the disease.

Use a toothed hemostatic forceps to clamp the two corners of the uterus as a traction band and block the ascending blood of the uterine artery. Use No. 7 silk to suture the round ligament 2 to 3 cm away from the uterine angle, and suture the pelvic Brunner's infundibulum tendon in both directions slightly away from the pelvic wall (to bypass the urethra). The uterine and ovarian arteries and venous plexus are located in the Brunner's infundibulum tendon of the pelvis, which can be seen very clearly under translucency and must be sutured tightly.

(III) Disconnect the tendons and incise the uterus and bladder to reverse the peritoneum

When the uterus is opened and the suture band is applied, the Brunner's infundibulum tendon and round ligament of the pelvis are severed. The blood at the uterine level has been blocked at the uterine angle, so only a small amount of blood is added when the tendon is disconnected, and clamping to activate blood circulation is generally not required. Cut the anterior leaf of the broad muscle tendon between the pelvic Bruch's infundibulum tendon and the round ligament, spread it forward, cut the uterine bladder peritoneum and fold it to the other side (Figure 253).

(IV) Dispersing the uterus

Use your fingers to gently pull the bladder slightly downward along the loose connective tissue plane between the uterus and bladder to reveal part of the cervix, and then slightly separate the tissue on both sides to reveal the uterine artery and vein. The urethra tube is located just below the blood vessels and about 2 cm from the cervix. Then cut the posterior leaf tissue of the broad tendon on both sides of the uterine body to the top of the uterine artery. There is usually no bleeding during the cutting, but the cutting should be slightly away from the uterine body to avoid damaging the ascending branches of the uterine arteries close to both sides of the uterine body. At this point, the uterine body is completely dispersed, with only a small amount of tissue on both sides connected to the inner vault of the vagina.