腹式全子宫切除术(国外英文资料).docVIP

腹式全子宫切除术(国外英文资料) Abdominal full hysterectomy for nursing notes Surgical indications The benign and malignant tumor of the uterus. The lesions on both sides of the appendix require uterine holing, ovaries and fallopian tube malignancies. Severe dysfunctional uterine bleeding, drug treatment is ineffective and older. Severe endometriosis, uterine adenomyopathy, conservative and ineffective and childless claimants. Second, the anatomy of the uterus Position: supine position Iv. Anesthesia: continuous hard membrane anaesthesia or lumbar anesthesia. General use: big instrument package, basin, dressing bag, operating clothing 4-5 pieces, gauze, gauze pad, 23 # blade, Ellis forceps; Stitches: 9 * 24, 6 * 14, 10 * 20 round needles 2, 9 * 24 triangle needles 2; Stitches: 1 #, 4 #, 7 # silk threads; Suction, connection, connection head; Electric knife. Six, the machine nurse cooperate Surgical area disinfection: iodide gauze disinfects the abdomen, the napkin, the sheet. 2. Cut the skin: alcohol disinfection, 23 # knife lengthwise skin, subcutaneous tissue, blood dry gauze swabs, electric knife or curved pliers hemostatic, 1 # single thread, leather hook 1 open operative field. 3.23 # knife cuts open the white line, the tissue cuts open, the handle separates the rectus abdominis and exposes the peritoneum. Open the peritoneum: 2 pincers clamp the peritoneum, 23 # knife, cut a small incision, cut open or tissue scissors to cut open the peritoneum, and the surgeon hands to the abdominal cavity to probe. 5. Cut round ligament: pass abdominal retractor, wet gauze 1 piece, 2, 2 curved tongs clamped in the distal round ligament, 1 large curved tongs clamped proximal, 23 # knife, 10 x 20 round needle, 7 # seam far end, with the method of treatment on the side. Leaf: before and after 6. A broad ligament tissue scissors open medial ligament, wet gauze 1 piece of tamping bladder reflex peritoneum, 3 the inherent ligament curved tongs clamped fallopian tubes and ovaries, 23 # knife, pr