1, how much does a hysterectomy cost
How much does a hysterectomy cost? This is composed of the surgical procedure, the cost includes: one is the routine examination, and the second is the postoperative medication and care. The average patient surgery is about 10 to 30 thousand yuan, of course, this is only a reference value.
Because there are many factors that affect the cost of surgery, the cause of different treatment is different, the cost is different, in addition to the region, hospitals, medical equipment and so on have a relationship. It is recommended that the patient consult the local formal specialized hospitals, and do a check to determine the cause of the disease to treat the symptoms.
In addition, it is necessary to understand that hysterectomy is a common gynecological surgery, the operation can be divided into total hysterectomy, partial hysterectomy and extended hysterectomy, the cost of different surgeries is also different. Among them, hysterectomy is mostly used to remove uterine tumors and certain uterine bleeding and adnexal lesions.
2, what are the steps
Hysterectomy is a common gynecological surgery, in order to let you more detailed information about this surgery, the following for you to introduce the steps of hysterectomy, for your reference.
The first step, incision
Take the lower abdomen median incision, from the umbilicus to the upper edge of the pubic symphysis.
The second step, suture
Pelvic funnel ligament and round ligament into the abdominal cavity is first explored to understand the scope of the lesion. The two corners of the uterus were clamped with toothed hemostatic forceps, which were used for traction and blocking the blood flow of the superior branches of the uterine artery. The round ligament was sutured with a No. 7 silk thread 2-3 cm from the uterine horn, and the pelvic funnel ligament was double sutured slightly away from the pelvic wall (to avoid the ureter). There are ovarian arteries and venous plexus passing through the pelvic funnel ligament, which can be seen clearly under transillumination, and all of them should be sutured tightly.
The third step, cut the ligament and cut the uterine bladder peritoneal reflex
Lift the uterus and suture line, cut the pelvic funnel ligament and round ligament, the uterine side of the blood flow in the uterine horn has been blocked, so cut the ligament only a small amount of blood back, generally do not need to be another clamp to stop the bleeding. Cut the anterior lobe of the broad ligament between the pelvic funnel ligament and the round ligament, free it forward, and cut the uterine vesico-peritoneal reflex to the opposite side.
Step 4: Free the uterine body
With the fingers along the plane of loose connective tissue between the uterine bladder, gently detach the bladder slightly downward to reveal part of the cervix, and then detach the tissues on either side of it slightly to reveal the uterine arteries and veins. The ureter passes about 2 cm below the veins and next to the cervix. Then cut the tissue of the posterior lobe of the broad ligament on both sides of the uterus to the uterine artery above, cut more without bleeding, but should be slightly away from the uterus to cut off, to avoid damage to the uterine artery near the uterus on both sides of the upstream branch. At this point, the body of the uterus is completely free, and only a small amount of tissue on both sides is connected to the lateral fornix of the female private parts.
The fifth step is to free the cervix
Appropriately, the uterus is lifted cephalad with the hand, and the bladder is pushed further below the level of the external cervical opening with the thumb, while the ureter is pushed and squeezed slowly to the sides. If care is taken to explore to the sides, a cord can be palpated about 2 cm from the cervix sliding under the fingertips, i.e., the ureter. As long as the plane is accurate, there is mostly no difficulty in pushing down the bladder, and there is little bleeding. If there is any difficulty, it is mostly related to the plane of entry being too deep, or it may be due to inflammatory adhesions, which should be investigated before separation. Sharp dissection can be performed if necessary. To find out where the ureter is located before dealing with the tissues on both sides of the cervix has a positive significance in avoiding damage to the ureter.
Step 6: Removal of the uterus
Fill the rectal fossa of the uterus with a piece of gauze pad to absorb any secretions that may have leaked from the female private parts. The uterus is lifted, the anterior fornix of the female private parts is incised, the anterior wall of the female private parts is clamped and lifted, and a small piece of gauze is tucked through the incision to prevent fluid from leaking out of the female private parts and contaminating the pelvis.
Then the anterior lip of the cervix is clamped and lifted upward, and the uterus is removed by cutting along the female private fornix. Ring cut the female private fornix, at any time pay attention to the cervix will be lifted, so that not only facilitate the shear, but also not in contact with the surrounding, to prevent contamination. Each section of the cut will be the broken end of the female private parts clamped to reduce bleeding, and used to pull, easy to remove the uterus after suture. Finally, any instrument that has been in contact with the female private parts is placed in a contaminated basin immediately after use.
3, there are several kinds of hysterectomy
According to the scope of the surgical removal, the hysterectomy is also divided into three kinds of surgery:
1, partial hysterectomy
Also called sub-total hysterectomy, is the removal of the uterine body, the retention of the cervix of the surgery. Among other things, the procedure is required when the following diseases are present.
(1), severe slow cute infection (pelvic infectious sexually transmitted diseases).
(2), severe endometrial infection.
(3), uterine fibroids.
(4), uterine fibroids, endometrial cancer.
(5), cervical cancer, ovarian cancer.
(6), severe uterine bleeding (uterine rupture, postpartum hemorrhage).
2, total hysterectomy
The body of the uterus and the cervix are removed together, and this surgery is mostly used to remove uterine tumors and certain uterine bleeding and adnexal lesions.
3, radical hysterectomy
Not only to remove the uterus, but also to remove the tissues around the uterus and part of the female private parts. Radical hysterectomy is a surgical procedure that is the basic surgical treatment for cervical cancer, and the key lies in removing all the regional lymph nodes as well as performing a wide total hysterectomy.
In brief, hysterectomy for fibroids is the first two modalities, and the third is for malignant tumors of the cervix or uterine body.