Laparoscopic surgery of the uterus is a complete surgical treatment with the aim of removing the uterus, in cases of uterine fibroids, early endometrial cancer, endometrial obstetrics and haemorrhectosis of medical treatment is not effective.
1. Complete laparoscopic surgery
Laparoscopic surgery is a complete surgical treatment for uterus removal. After a complete removal of the uterus, the person is incapable of pregnancy. Therefore, the doctor often considers in each case, the medical condition for a complete removal of the uterus.
Complete endoscopy of the uterus is increasingly chosen by many people because this method is less invasive. After surgery, the patient will have smaller scars than abdominal surgery, less pain after surgery, faster recovery and reduced hospital stay for patients.
However, laparoscopic surgery of the uterus is absolutely a difficult technique, therefore requires a doctor to have experience and be technically trained in this technique. During the operation, a uterus removal is completely prone to accidents on the ureter when the tumour is too large.
To perform a complete laparoscopic surgery,the doctor will insert a small camera and surgical instrument inside through a small incision in the abdomen. Then let the uterus cut off into a bag and take it out through one of the incisions in the abdominal wall or through the vagina
2. Complete introscopy and contraintant
2.1 Complete endoscopy
A complete endoscopy of the uterus is in place in these cases:
- Endometrial obstetrics and gynecology for medical treatment to no er result
- Haemorrhagic medical treatment is ineffective
- Cervical lesions: CIS, CIN II, CIN III
- Uterine fibroids
- Early endometrial cancer
- After an abortion of eggs in which a uterus is insectned
2.2 Contrainttrained complete endoscopy
Contraintical to laparoscopic surgery complete removal of the uterus in the case of:
- Patients with contraint order for laparoscopic surgery due to general pathology
- Endometrial cancer, cervical cancer,late-stage ovarian cancer
- The uterus is too large
- People with many old surgical scars due to repeated surgery.
3. Steps to conduct a complete endoscopy of the uterus
People who perform laparoscopic surgery to remove the uterus are specialists who have extensive experience in removing the uterus by laparoscopic surgery. In addition, medical staff need to prepare an endoscopic system dedicated to the maternity specialties before conducting a complete endoscopic surgery
Step 1: Prepare
- Before surgery, patients will be evaluated by doctors, full body examinations and specialties to assess coordinated diseases. Advise patients and families about the risks and possible complications during and after surgery. In particular, patients who need to be psychologically prepared after a complete removal of the uterus are unlikely to become pregnant.
- The patient will be removed, personal hygiene, abdomen and vagina, bathed with antiseptic solution. In addition, patients need to fast and fast for a minimum of 8 hours before surgery
- Medical staff prepare medical records and surgical records as prescribed.
Step 2: Perform a complete laparoscopic surgery
The patient is located in a gynecologic position, the head is low and in-administration anesthesia. Then proceed to the surgical steps:
- Then 1: Poke Trocar
- Then 2: Probe the entire abdomen
- Then 3: Burn and cut 2 round ligaments
- Then 4: Cut 2 lumbar ligaments- ovaries or 2 ovarian uterine ligaments if preserving the ovaries
- Then 5: cut the arteries of the uterus
- Then 6: Cut off the uterus from the vagina
- Then 7: Stitch the vaginal beak: vaginally or through an endoscopy
- Then 8: Check and bleed
- Then 9: Unpled trocars and stitch holes
After complete laparoscopic surgery, thepatient should be monitored for hemolysis, abdominal monitoring, vaginal bleeding.
In summary, laparoscopic surgery of the uterus is completely indicated in cases ofuterine fibroids , early endometrial cancer, endometrial transit and ineffective medical treatment, cervical lesions: CIS, CIN II, CIN III, and after an abortion of eggs in which atrial fibroid is in place. After surgery, patients should be monitored, when any abnormal signs are seen, it is necessary to immediately notify the medical staff for timely intervention.
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