Hysteroscopic surgery for cervical polyps, let's see the specific operation method

For some gynecological uterine cavity diseases, women need to undergo hysteroscopic surgery for cervical polyps. This surgery is somewhat difficult, but it is now relatively mature and has a good effect on the treatment of women's uterine cavity diseases. The characteristics of this surgery are introduced in detail below.

1. Emphasize hysteroscopic surgery, which requires puncturing 3 to 5 holes of 5 to 10 mm in size in the abdominal wall, so that patients can increase their understanding of the advantages of hysteroscopic surgery and the risks borne by surgeons and patients, and understand the possibility of immediate conversion of hysteroscopic surgery to abdominal surgery. Tell the patient that it is still possible to get pregnant even if one side of the fallopian tube is removed, so as to reduce the patient's mental burden and fear and anxiety about the operation.

2. Aiming at the main factors of anxiety in patients before gynecological hysteroscopic surgery, knowledge promotion should include various preoperative preparations, the purpose of examination, anesthesia and the general process of surgery; abnormal conditions that may occur during and after the operation and how to deal with them, the postoperative recovery process; the benefits of getting out of bed early, the causes of pain and how to overcome postoperative wound pain, etc. Introduce successful surgical cases in the ward to patients to enhance their confidence in surgery.

3. Inspection method: Take lithotomy position, routinely disinfect the vulva and vagina, clamp the anterior lip of the cervix with a cervical forceps, use a probe to find out the depth and direction of the uterine cavity, and expand it to 6.5-7 according to the outer diameter of the sheath. 5% glucose solution or normal saline is commonly used to distend the uterus. First, the air between the sheath and the optical tube is emptied, and the hysteroscope is slowly inserted. The light source is turned on and the distending fluid is injected. The distending pressure is 13-15kPa (1kPa=7.5mmHg). After the uterine cavity is filled, the field of vision is bright and the scope can be rotated for comprehensive observation in sequence. First check the uterine fundus and the anterior, posterior, left and right walls of the uterine cavity, then check the uterine horns and fallopian tube openings. Pay attention to the morphology of the uterine cavity, whether there are endometrial abnormalities or space-occupying lesions, perform targeted biopsy when necessary, and finally, carefully examine the internal cervical os and cervical canal while slowly pushing out the scope.