The whole process of laparotomy for ectopic pregnancy

Pregnancy requires the right time, place and people. Many people in remote areas with poor medical knowledge rarely have a physical examination before preparing for pregnancy to understand whether their bodies are suitable for pregnancy. Some people feel severe abdominal pain after becoming pregnant. After going to the hospital for examination, they find out that it is an ectopic pregnancy. At this time, surgery is needed to terminate the pregnancy. Below I will explain to you the whole process of laparotomy for ectopic pregnancy. Female friends can come and learn about it.

1. The surgical process of laparotomy for ectopic pregnancy

(1) Experts point out that the first step in the surgical procedure for ectopic pregnancy is to empty the bladder, take the lithotomy position, disinfect the vulva and vagina, and lay a sterile surgical towel.

(2) During the ectopic pregnancy surgery, a bimanual examination is required to understand the size, position, texture, mobility, shape of the uterus and its relationship with surrounding organs, as well as whether there are any abnormalities in the appendages on both sides.

(3) Place the speculum, expose the cervix, disinfect the vagina and cervix, clamp the anterior lip of the cervix with a cervical clamp, and pull it outward to make the uterus horizontal.

(4) Use a uterine probe to gently probe the uterine fundus along the direction of the uterus, measure its depth and confirm its curvature and size. This is a very important step in the ectopic pregnancy surgery.

(5) During the ectopic pregnancy surgery, it is also necessary to check that the fluid supply device is intact and leak-free.

(6) Insert the uterine catheter into the cervical canal in the direction of the probe detection and fix it at the pre-selected depth. Clamp the anterior lip of the cervix with a tissue forceps to pull the cervix outward, while pushing the conical head of the catheter inward so that the two fit tightly together. Use a syringe filled with 20 ml of solution to slowly inject the liquid. If 20 ml of liquid is injected smoothly without resistance, there is no leakage outside the cervix, and the patient has no obvious discomfort, it means that the fallopian tube is unobstructed.

(7) During the ectopic pregnancy surgery, if there is resistance, a little pressure is applied. The patient will have a little abdominal discomfort and the injection can be successfully completed. There is no leakage from the external cervical opening, which means that the original adhesions have been separated or the spasm has been relieved.

(8) When the fluid is flowing, the sound of fluid coming out from the fimbria of the fallopian tube can be heard by listening with a stethoscope on both sides of the lower abdomen.

(9) During the ectopic pregnancy surgery, if there is a strong resistance, fluid overflows from the external cervical opening, and the abdomen is swollen and unbearable, it is usually because the fallopian tubes are completely blocked.

2. What are the precautions after ectopic pregnancy surgery?

1. Maintain a regular life. Even if the operation is successful, if the patient's life after the operation is irregular, it will aggravate bleeding or leave sequelae. After surgery, you can rest in the hospital for a day or go home. In the next few days, you will have to go to the hospital for observation and treatment, and ensure adequate rest.

2. Within 2 weeks after ectopic pregnancy surgery, you should rest properly and avoid doing heavy physical labor. Eat more nutritious food to restore your body to normal as soon as possible. Avoid sexual intercourse within 1 month to prevent reproductive organ infection. If you want to get pregnant, you have to wait for one year. If you have fever, abdominal pain, or vaginal discharge with an unusual odor, seek medical attention immediately.

3. Clothing should be loose and not too tight. During this time, do not drink alcohol and do not bathe without your doctor's permission, as bathing can sometimes cause infection. In order to ensure the health of the mother, do not get pregnant immediately after the operation, because the uterus is damaged during the operation, and pregnancy at this time is very dangerous. Therefore, safe contraceptive measures must be taken.

4. The patient should rest in bed and avoid moving the patient or pressing the lower abdomen. Closely observe changes in the patient's condition. If the patient has shoulder pain, a urge to defecate, or frequent urination, these symptoms indicate internal bleeding in the abdominal cavity. At this time, changes in blood pressure and pulse should be closely observed. The patient was placed in a supine position and given oxygen. Be prepared for blood transfusion and surgery. When you have abdominal pain, do not use analgesics to avoid masking the symptoms and causing misdiagnosis. If you are taking Chinese medicine, it is best to store it in the refrigerator to prevent it from spoiling, and it must be warmed before drinking.