What are the steps of vaginal hysterectomy

summary

I've been sick for a long time, and I've been reluctant to go for an examination. Today, I'm really uncomfortable, so I went to the hospital for an examination and investigated uterine fibroids. The doctor suggested that I have a vaginal hysterectomy. Let's talk about the steps of vaginal hysterectomy.

What are the steps of vaginal hysterectomy

First, disinfect the vagina and cervix, and inject diluted oxytocin or Fu Shen by intramuscular injection beside the uterus to reduce bleeding; use an electric knife to circumcise the vaginal mucosa 0.2-0.5cm below the transverse sulcus of the bladder to reach the cervical fascia, use a curved tissue scissors to cling to the cervical fascia and separate it upward sharply and bluntly, and the bladder cervical rectum space reaches the peritoneal reflexes.

Second: open the peritoneum before and after, suture the peritoneum with No.4 silk thread at the midpoint to mark; close to both sides of the cervix, cut and bind the uterosacral ligament, uterine artery and vein, and double suture; take out the uterus ≤ 10 weeks of gestation, the uterus can be directly taken out, take out the larger uterus, often use the method of half dissection, fragmented resection, myoma nucleus removal, and take out the uterus after shrinking.

Third: when the round ligament of uterus, fallopian tube and proper ligament are treated, the proper ligament hook forceps are used to hook out, the forceps are pulled downward to cut off, and the double suture is used. All stumps do not need to leave a knot, and there is no need to knot with each other. After checking no bleeding, the non prolapsed uterus and vagina were sutured once. This method does not leave dead space and is conducive to hemostasis.

matters needing attention

Although there are always minor diseases, there has never been any serious disease. To investigate and deal with such a serious disease, we still need to do surgery for treatment. We quickly asked the doctor about the operation steps and the precautions before the operation, and so on. We also have some understanding of vaginal hysterectomy.