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What is the operation of hysteroscopic surgery?
Jul 04, 2018

Hysteroscopic surgery has many advantages in the treatment of many uterine diseases, such as the need for laparotomy, small pain during surgery, and good postoperative recovery, does not affect ovarian function, etc., so hysteroscopy is a lot of uterine diseases. The patient is very popular, today we will introduce the operation of hysteroscopic surgery.

1. Anesthesia: The anesthesia of hysteroscopic surgery should be based on the length of the operation and the difficulty of the operation and the health of the patient to select the best anesthesia, anesthetic and monitoring content. Commonly used anesthesia methods are: epidural block anesthesia, intravenous anesthesia, general anesthesia.

2, position: bladder lithotomy

3, the conventional method to wash and disinfect the vulva, vagina. The vulva is covered with a sterile towel.

4. Review the position, size and attachment of the uterus. Use a vaginal device to dilate the vagina and expose the cervix. After disinfecting the cervix with 0.5% iodophor, the anterior lip of the cervix was clamped with a cervical clamp to sterilize the cervical canal. Use the uterine probe to explore the position and depth of the uterus, and use the dilatation device to dilate the cervix.

5, connect the instrument, adjust the parameters to the normal range, prepare the expansion of the palace fluid, that is, 42 ° C ± 3000 ml isotonic saline, and set the inflation pressure in the 80----120mmhg, flow 200-----300mmhg /min. The controlled hysteresis device connects the hysteroscopic water inlet channel with the swelling liquid, connects the fiber to the cold light source, turns on the power and adjusts to the appropriate brightness. The hysteroscope stopper is fixed at the depth of the found uterine cavity. Exhaust the air bubbles in the tube and the connecting tube, insert the hysteroscope into the cervix in the direction of the uterine cavity, open the power supply of the pressure-controlled expansion device, and inject the uterine fluid under the set pressure. After the liquid is clear, the mirror body is pushed into the uterine cavity, and the uterine cavity is fully expanded to be observed.

6, under the TV surveillance system, in order to check the uterus, the front, the side wall and the fundus, the uterine horn and the fallopian tube uterus, according to the need to do the corresponding surgical treatment under hysteroscopy. Pay attention to the morphology of the uterus during the examination, and whether there are abnormalities or lesions in the uterus. Finally, carefully observe the internal cervix and cervical canal while slowly withdrawing from the lens tube. After the examination, according to the need to do the corresponding surgical treatment under hysteroscopy, such as endometrial biopsy, polypectomy, removal of foreign body in the uterus, intrauterine adhesion decomposition, uterine mediastinal incision.

7. After the operation is completed, turn off the power of each instrument. Record the amount of uterine fluid. And return the instrument.

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