39 cases of laparoscopic hysterectomy in patients with perioperative nursing.docVIP

 PAGE \* MERGEFORMAT 6 39 cases of laparoscopic hysterectomy in patients with perioperative nursing Keywords:] laparoscopic hysterectomy, perioperative nursing Laparoscopic surgery has no abdominal hysterectomy, less invasive, quick recovery, postoperative pain, etc., but also shortens the hospital stay, postoperative abdominal scar little. Good Perioperative nursing is key to successful operation is the protection of patient safety successful rehabilitation [1]. our hospital in January-December 2008 a total laparoscopic hysterectomy in 39 cases, satisfactory results, perioperative nursing now report as follows. 1 Clinical data The group of 39 patients, aged 38 to 56 years. Which 30 cases of uterine fibroids, uterine muscle adenopathy in 9 cases. Patients need a general anesthetic, lithotomy position to take the bladder, abdominal skin, perineal, vaginal disinfection, disinfection of conventional shop towels , Temple held device into. Since the pneumoperitoneum needle at the umbilicus, CO2 pneumoperitoneum formation, maintaining pneumoperitoneum pressure 14 mmHg, open umbilicus transverse incision length of the lower edge of the skin 10 mm, 10 mm trocar puncture into the abdominal cavity, put into the laparoscopy. All cases were diagnosed after subtotal hysterectomy. 2 Care 2.1 Preoperative Care Since the majority of patients that hysterectomy affects sexual life, emotional tight, the larger concerns, insufficient knowledge of the operation. According to psychological characteristics of patients take the initiative to do missionary work before surgery, to the wards to see patients, listen carefully to the statements of their illness, application of professional knowledge, with concise, plain language patiently patients stated the importance and necessity of surgery, indicating that hysterectomy will not affect the sexual life, so that patients gradually to the surgery to be carried out fully prepared to do to calm, calm, happy to accept surger