Older women uterine prolapse and vaginal anterior and posterior wall prolapse Perioperative nursing.docVIP
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Older women uterine prolapse and vaginal anterior and posterior wall prolapse Perioperative nursing
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Older women uterine prolapse and vaginal anterior and posterior wall prolapse Perioperative nursing
Keywords: elderly women, uterine prolapse vaginal
Uterine prolapse is mainly due to the main ligaments during delivery caused by cervical, uterine sacral ligaments and fascia, and muscle damage, post-partum has not been effectively repaired, with increasing age, decreased hormone levels lead to pelvic organ lack of flexibility, atrophy induced degradation of uterine prolapse, often accompanied by vaginal anterior and posterior wall prolapse, there are simple anterior and posterior wall or posterior vaginal prolapse (anterior to the bladder, urethra prolapse, the posterior wall of the rectum prolapse) [1]. From January 2007 to January 2008, the Court treated elderly women and vaginal anterior and posterior wall prolapse uterine prolapse, 50 cases now reported as follows care.
A clinical data
1.1 General Information
50 patients, aged 65 to 80 years, mean 71.4 years. Ⅱ ~ Ⅲ ° prolapse of the uterus with the vagina anterior and posterior wall bulging 40 cases, six cases of anterior vaginal prolapse, vaginal posterior wall bulging in 4 cases. Merge 1 or 2 disease, 43 cases of which 22 cases of patients suffering from high blood pressure, hypertension, diabetes mellitus in 13 cases, 2 cases of chronic bronchitis, coronary heart disease in 6 cases.
1.2 surgical
50 patients underwent continuous epidural anesthesia, eight regular Man’s surgery (anterior and posterior wall of cervical resection and vaginal repair), 42 full-routine transvaginal uterine therefore legitimate vaginal anterior and posterior wall repair.
1.3 Results
50 cases of elderly patients with no postoperative wound infections and urinary tract infections upside, vaginal posterior wall hematoma in 1 case, the timely processing of healed well, 50 All the patients were discharged from hospital as expected.
2 Care
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