Steps of abdominal hysteroscopic resection for uterine malformation

Abdominal removal of uterine malformation, also known as abdominal total hysterectomy, must be performed at a正规 hospital under the guidance of a qualified physician. The specific procedural steps are as follows:

1. Instruct the patient to remove clothing and complete preoperative preparations such as wearing a surgical cap and hand disinfection.

2. Disinfect the patient's genital and abdominal areas, then drape with sterile towels.

3. Make an incision in the patient's abdomen and enter the pelvic cavity for exploration.

4. After exploration, use saline-soaked large gauze pads to displace the intestines, insert a retractor, and fully expose the surgical field.

5. Lift the uterus and make a transverse incision from one uterine horn to the other, extending into the uterine cavity. Divide and ligate the round ligaments, proper ovarian ligaments, bilateral fallopian tubes, and their associated arteries and veins, securing them with sutures.

6. Clamp, cut, and suture the cardinal ligaments and uterosacral ligaments.

7. Close the vaginal cuff, suture the pelvic peritoneum, and close the abdominal wall.

8. Remove the vaginal gauze. The surgery is now complete. The physician will provide appropriate advice and preventive measures based on the patient's individual condition.