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Gynecological minimally invasive surgery type

- Jul 09, 2018 -

Laparoscopic minimally invasive

Laparoscopic surgery Laparoscopic surgery is performed by doctors using special laparoscopic instruments that combine optics, computer, ultrasound, and mechanical techniques. The basic procedure of the operation is: after the patient is anesthetized, the doctor plays 3 to 4 small holes of 0.5 to 1 cm in diameter on the abdominal wall of the patient, one of which is placed in the mirror. The mirror is connected to the TV screen by a miniature camera, so that the lesions in the patient's abdominal cavity are reflected on the TV screen at a glance. And several other abdominal wall holes are placed

Surgical instruments such as scissors and pliers, the doctor looks at the screen for surgery. The operation process is basically the same as the open surgery. Because the mirror has a magnifying effect of 8 to 10 times, it can even be made finer than the open surgery. The doctor looks at the screen to clamp, cut, suture, etc. the diseased tissue. operating. At the same time, the use of advanced technology such as electric knife, argon knife, laser, microwave, etc. during surgery makes the surgery more perfect. Finally, the cut mass is placed in a plastic bag and chopped.

Remove or take it straight out of the vagina.

Laparoscopic surgery can treat the following gynecological diseases: uterine fibroids, uterine adenoma, ovarian tumors, ovarian teratoma, endometriosis, endometrial cancer, ectopic pregnancy, infertility, etc.

Hysteroscopic minimally invasive

In the treatment of uterine fibroids, patients with subserosal uterine fibroids or myometrial fibroids should choose uterine fibroids removal, multiple uterine fibroids and patients with uterine fibroids with cervical lesions should choose the uterus cut. In the previous laparoscopic hysterectomy in our hospital, the maximum uterine weight was 1700 grams, which is equivalent to the size of the uterus at 6 months of pregnancy. In the laparoscopic uterine fibroids removal process, up to 8 large and small fibroids were removed, which basically achieved the purpose of open surgery.

Hysteroscopic hysteroscopy works in the same way as laparoscopic surgery. The procedure is as follows: after the patient is anesthetized, the doctor inserts the hysteroscope through the patient's vagina and cervical canal, and connects to the TV screen through a miniature camera; then the doctor looks at the screen. The surgical operation is performed by a hysteroscopic cutting instrument; finally, the removed mass or lesion is removed from the vagina through the cervix with a forceps, and the surgical scar is not left in the abdomen.

Suitable for hysteroscopic surgery: submucosal uterine fibroids, uterine myometrial fibroids protruding into the uterine cavity, functional uterine bleeding, uterine mediastinum, endometrial polyps, intrauterine adhesions, etc., caused by obstruction of the fallopian tube Pregnancy, birth control ring breakage, removal of displacement, etc.

Vaginal surgery

The vaginal operation uses the natural pores of the vagina to perform surgery. It has the advantages of less trauma, less intestinal interference, less postoperative pain, quick recovery, and no scarring of the abdomen. It can also remove the accessory and make the anterior and posterior wall of the vagina. Urethral plastic surgery, vaginal tightening, etc. In clinical applications, most hospitals are limited to vaginal hysterectomy for uterine prolapse. The main reason is that the surgical field is narrow, indications, contraindications are difficult to master; doctors lack deep operation skills and applicable surgical instruments; The patient lacks knowledge about the choice of surgical approach. With the development of laparoscopic, the doctor's field of vision is broadened, and the situation in the abdominal cavity can be directly understood. The scope of vaginal hysterectomy is gradually expanded with the aid of laparoscopy.

Yin surgery can treat the following gynecological diseases: no obvious adhesion between the uterus and the pelvis, good uterine activity, diseased uterus requiring resection, such as uterine fibroids, uterine adenoma, uterine adenomyosis, endometrial lesions and tension Urinary incontinence and so on.



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