Non-prolapsed uterus vaginal resection of Nursing.doc

 PAGE \* MERGEFORMAT 5 Non-prolapsed uterus vaginal resection of Nursing [Keywords:] non-prolapsed uterus vaginal surgery care Non-prolapsed uterus transvaginal hysterectomy (TVH) with less trauma and faster recovery, no postoperative incision pain, no abdominal scar, shorter hospital stay, health care and low cost advantages, has increasingly been accepted by the majority of patients. I hospital since April 2005 has been implemented TVH 25 cases were satisfactory effect, now with the experience of Surgical Care in the summary below. 1 Clinical data The oldest group of 20 patients with pathological 58 and the youngest 32 years old, with an average of 41 years. Uterine fibroids in 12 cases, 8 cases of adenomyosis, dysfunctional uterine bleeding in 2 cases, the other 3 patients. Uterine pregnancy minimum of 45 days half maximum of 3 months pregnant. shortest hospital stay 4 days, up to 9 days, an average of 6 days. 2 preoperative preparation 2.1 Patient preparation 2.1.1 The psychological care to the ward 1 day before surgery and patients to understand the psychological state of the disease, the patient’s name and introduce themselves as the work of the surgery, anesthesia effects, TVH described in detail the benefits to the patient and briefly explain the surgical procedure How do patients with the Church, to eliminate fear and anxiety of surgery, the patient is in good mental state for surgery at the same time to console the family members do the work. 2.1.2 vaginal preparations for cleaning the vagina after vaginal stump to reduce the degree of infection are closely related. So do preoperative examination to determine whether vaginal microbial growth. Surgery 3 days before washing with a compound tinidazole lotion vagina, and then wipe dry. 2.1.3 bowel preparation in order to reduce the pollution of the surgical field, fully prepared to intestinal surgery, preoperative night and the cleansing enema on the morning of surgery 1. 2.2