Complete process of minimally invasive surgical removal of the uterus
Aug 14, 2023
Source: Cainiu Health
Dr. Lv Aiming
Introduction
Hysterectomy can be performed using minimally invasive surgery, which causes less trauma and allows for quicker recovery. Patients may get out of bed and move around 12–24 hours after surgery. Follow medical instructions to take antibiotics such as amoxicillin tablets or penicillin V potassium tablets to prevent infection. Avoid sitz baths for one month and abstain from sexual intercourse for two months after surgery. Pay attention to perineal hygiene to prevent infection, rest adequately, and maintain a light diet. It is recommended to visit a正规 hospital and receive treatment from qualified medical professionals.
In general, hysterectomy can be performed using minimally invasive surgery, which involves less trauma and allows for faster recovery. The specific procedure is as follows:
1. Place the patient in the lithotomy position, perform routine disinfection and draping, and insert a uterine manipulator through the vagina.
2. Make a small incision at the upper edge of the umbilicus, insert a Veress needle, insufflate carbon dioxide to establish a pneumoperitoneum.
3. Remove the Veress needle and insert the laparoscope.
4. Use the laparoscope to examine the size and shape of the uterus, evaluate the bilateral adnexa, and check for any pelvic adhesions.
5. Make three small abdominal incisions and insert electrosurgical instruments.
6. Use electrocautery to cut the isthmic portion of the fallopian tubes, the ovarian ligaments, and round ligaments, and remove the adnexa.
7. Use curved dissecting forceps to separate parametrial tissues, fully expose the uterine vessels, and coagulate and transect the parametrial tissues, uterine vessels, and cardinal and uterosacral ligaments.
8. Use a monopolar electrode hook to make a circular incision in the anterior vaginal wall, then circumferentially cut the vaginal cuff along the vaginal fornix and remove the uterine manipulator. Slowly extract the uterus through the vagina.
9. Fold a large gauze into a long strip and place it to block the vaginal opening; then suture the vaginal stump.
10. At the end of the procedure, withdraw the surgical instruments and laparoscope, and close the incisions with sutures.
Patients are encouraged to get out of bed and move around 12–24 hours after surgery. Antibiotics such as amoxicillin tablets or penicillin V potassium tablets should be taken as prescribed to prevent infection. Avoid sitz baths for one month and sexual intercourse for two months postoperatively. Pay attention to perineal hygiene to prevent infection, rest adequately, and maintain a light diet. It is recommended to seek treatment at a qualified medical institution under the care of professional physicians.
