What should I pay attention to during cervical suture surgery?

When cervical insufficiency occurs, cervical suture is generally required. However, many female friends don’t know much about cervical suture. Some people tremble all over when they hear the word and have no idea how to deal with it. However, as long as it is treated correctly and the correct method is used, it can be solved. So what related issues should friends who undergo cervical suture pay attention to? What are the issues that need attention before, during and after the operation?

Preparation for cervical suturing:

1. Carefully check whether there are suitable indications for circumferential suturing.

2. Surgery during pregnancy can easily cause bleeding and miscarriage. Therefore, medication to preserve the fetus should be used 3 to 5 days before surgery, such as intramuscular injection of progesterone 20 to 30 mg/d and oral sedatives. Inject 0.1g of phenobarbital sodium half an hour before the operation. The best time for surgery is between 14 and 18 weeks of pregnancy.

3. For non-pregnant women, surgery should be performed 3 to 7 days after the end of menstruation. If there is acute inflammation of the vagina and cervix, treatment should be given first and surgery should be performed after recovery.

4. Suture selection: For those with a higher gestational age, nylon thread, No. 10 double silk thread or cotton thread can be used, because cotton thread is astringent and the ligature is not likely to slip off. No. 10 monofilament thread is used for small gestational age or purse-string suture.

Points to note during cervical suture surgery:

1. The suture depth of the cervical tissue should be appropriate and should not penetrate the mucosa too deeply. Also don't wear it too shallowly to avoid the seams slipping off.

2. Tighten both ends of the suture, and use the tip of one hand's index finger to enter the cervical canal, and then tie it to prevent the cervical canal from being too loose or closed after ligation.

3. During pregnancy, the cervix becomes congested and prone to bleeding, and the uterus becomes easily irritated, so the operation should be gentle.

Postoperative treatment of cervical suture:

1. Rest in bed for 1 to 2 weeks, continue intramuscular injection of progesterone, and take oral sedatives to maintain pregnancy. Antibiotics are used selectively to prevent infection.

2. Regular check-ups and follow-ups. The cervical sutures were removed at 38-39 weeks of pregnancy, and the patient was admitted to the hospital one week before the expected date of delivery.

3. If symptoms of miscarriage or premature birth occur after suturing, the sutures should be removed promptly to avoid cervical laceration.

Friends who have undergone cervical suture must pay attention to their daily diet and pay attention to hygiene care in life to avoid inflammation and infection. They must also go for follow-up visits on time, listen to the doctor's advice, and accept the doctor's treatment step by step. If you are pregnant, you must also pay attention to fetal protection and not let this operation affect the healthy development of the fetus.