How to enema before hysteroscopic surgery? Hysteroscopic surgery needs enema, because the intestine and bladder are not emptied, which will lead to serious consequences and easily cause oppression on the uterus. So be sure to empty the urine and urine, which will be better for the safety of the operation. In addition, it is beneficial to postoperative recovery and can also prevent postoperative flatulence and constipation.
Generally speaking, hysteroscopy is a relatively simple clinical operation. There is no special preparation. Just like general surgery, a lot of preparation comes from anesthesia. For example, some patients use spinal anesthesia for surgery, while others use general anesthesia. No matter what anesthesia, there is strict preoperative fasting water. Generally, it is necessary to fast water and operate for more than 8 hours. In other aspects, for example, everyone should be psychologically prepared to operate on themselves before operation. Have a full understanding of the operation before operation. Under normal circumstances, this operation is relatively simple and smooth, and the operation time is relatively short. You don't need to be overly nervous and worried. In order to loosen the cervical canal slightly before operation, doctors usually prepare cervical catheters to dilate the cervix, but this preparation is not necessary for every operation. We all choose to implement it according to the condition and the patient's own cervical condition.
Hysteroscopic surgery refers to a minimally invasive surgery that uses hysteroscopy to enter the uterine cavity. Before hysteroscopy, some routine items need to be done are: blood routine, hemagglutination analysis, liver and kidney function, electrocardiogram, chest X-ray and leucorrhea routine. Sometimes it is necessary to screen some infectious diseases, such as hepatitis B, hepatitis C, AIDS and syphilis. Sometimes, according to the condition, vaginal color Doppler ultrasound or pelvic magnetic resonance examination may be needed to accurately understand hysteromyoma and endometrial polyps.
First, hysteroscopy generally has the best effect of surgery three to seven days after menstruation is clean.
Second, sexual life is forbidden after menstruation or three days before surgery.
Preoperative examination includes examination of infectious diseases, such as hepatitis B surface antigen, HIV, HCV, RPR, liver function, renal function, electrocardiogram, hematuria routine, coagulation routine and leucorrhea routine.
Fourthly, urine can be held properly before operation, which is convenient for intraoperative B-ultrasound detection. Rest for at least one week after operation and receive corresponding anti-inflammatory treatment.
It is suggested that you must relax before hysteroscopy and cooperate with the doctor to complete the operation.
For women who are about to undergo hysteroscopic surgery, it is generally only necessary to prepare sanitary napkins before hysteroscopic surgery, and then put sanitary napkins on underwear before surgery, because a small amount of blood-like secretions may flow out after surgery.
However, because most hysteroscopic operations may be performed in hospitals, surgical gowns will be worn at this time. At this time, they can prepare puerpera instead of sanitary napkins. Because after the operation, blood will stay directly on the puerperal bed to avoid soiling clothes.
At the same time, it is also suggested that patients' daily necessities, including toothpaste and toothbrush, should be prepared routinely before hysteroscopic surgery, but after surgery, they should pay attention to rest as much as possible and have a light and nutritious diet.
How to do hysteroscopy surgery Hysteroscopy is actually a bit similar to induced abortion. You need to take the patient's bladder lithotomy position and then anesthetize him. After anesthesia, the cervical dilator can expand the cervix to a certain extent, that is, the hysteroscope can be placed in the uterine cavity, and then the hysteroscope equipment can be placed through the cervical canal. The device includes a camera system and a light source system. Through the mirror and camera, you can transfer what you see in the uterine cavity to an external display to understand the uterine cavity. Generally, when considering endometrial lesions, endometrial polyps and submucosal fibroids, hysteroscopy can be used for vaginal bleeding of unknown causes, that is, hysteroscopy through cervical canal and insertion of instruments, so that there can be opportunities for surgery. At the same time, the most important thing is to export the images inside through an external monitor to see the situation in the uterine cavity.
Hysteroscopic surgery for hysteromyoma is to use hysteroscopy to determine the location, size and specific parts of hysteromyoma on the basis of hysteroscopy, and then further expand the cervix to make hysteroscopy enter the uterine cavity. At present, there are two mainstream methods: one is to remove fibroids from the muscle wall by using the principle of electrotomy. The other is HEOS hysteroscopy, which has emerged in recent years. It does not use the principle of electric cutting, but uses scissors in the traditional sense. However, because scissors have stronger segmentation effect, larger caliber and stronger grasping ability than the previous micro-scissors, it is still possible to remove submucosal hysteromyoma through this traditional non-electrosurgical operation. As for which method to choose, electrotomy or cold knife resection of submucosal myoma, the doctor will choose according to the specific situation of the patient.