How is minimally invasive surgery for adenomyosis performed?

Apr 04, 2023 Source: Cainiu Health
Dr. Zhao Xiaodong
Introduction
The patient is placed in a supine position, and general anesthesia is administered by the anesthesiologist. The physician inserts a vaginal speculum into the patient's vagina. An incision is made near the cervix at the uterine level to access the abdominal cavity, followed by division of the ligaments and surrounding tissues that support the uterus. The uterus is then grasped with surgical forceps and slowly removed through the vagina. The vaginal cuff is sutured afterward. After surgery, the patient should rest as much as possible, eat nutritious foods, and strengthen personal immunity.

Generally, minimally invasive surgery for adenomyosis mainly involves total hysterectomy via the vagina. The specific procedure is as follows:

1. The patient lies in a supine position. The anesthesiologist administers general anesthesia, while the surgeon performs routine disinfection of the perineal area and drapes the surgical field.

2. After the anesthesia takes effect, the surgeon inserts a vaginal speculum into the patient's vagina.

3. The cervix near the uterus is incised to access the abdominal cavity, followed by cutting the ligaments and surrounding tissues that fix the uterus.

4. The uterus is grasped with surgical forceps and slowly removed through the vagina. The vaginal stump is then sutured, completing the operation.

After surgery, the patient should rest adequately, consume nutritious foods, and strengthen personal immunity.

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