New non-prolapsed uterus transvaginal hysterectomy Perioperative Nursing.doc

 PAGE \* MERGEFORMAT 14 New non-prolapsed uterus transvaginal hysterectomy Perioperative Nursing Of: Zhang Lihua, Management Plan for Duan Xiao-chun [Keywords:] non-prolapsed uterus; new transvaginal hysterectomy; Perioperative nursing Vaginal hysterectomy with total abdominal incision does not exist, the body surface without leaving scars, trauma, intestinal disturbances less postoperative pain, the extent and incidence of postoperative low heat absorption, the use of antibiotics after a short time, patients quick recovery, short hospital stay [1]. Because there are many advantages, the domestic and growing number of hospitals to carry out this operation [2]. our department in June 2006 in the People’s Liberation Army General Hospital under the guidance of expert help this surgery, so far 168 cases have been completed, except 1 case of intraoperative bladder injury, 1 case of postoperative bleeding, the other better, no complications, was discharged. now its Perioperative Nursing summarized below. 1 Clinical data 168 patients, aged 35 to 68 years, the average age of 48.23 years of age, parity 2.45 times, 28 cases of pelvic surgery, including the history of cesarean section in 16 cases, 2 cases of tubal ligation, appendectomy surgery in 8 cases. The diagnosis of uterine muscle tumor, adenomyosis, dysfunctional uterine bleeding. intraoperative epidural anesthesia in the main, based on the specific circumstances of individual patients with systemic inhalation anesthesia, body position lithotomy position for the bladder, cervix gap in the bladder, bladder vagina gap, the junction of cervix and vagina mucosa with normal saline or saline epinephrine 1:1200, bladder cervical ring junction of cervix and vagina mucosa incision, sharp separation of the bladder cervical fascia, push up the bladder peritoneal fold, after the cut dome into the abdominal cavity, clamp, cut, suture of bladder with bilateral cervical ligament, sacral cardinal ligament, uterine