Everyone has a love for beauty
But when female friends who love beauty
encounter gynecological tumors, fallopian tube lesions
ectopic pregnancyand other diseases
traditional laparotomy Surgery
or multiport laparoscopic surgery
The surgical scars left on the abdominal wall
will make them fear the surgery
and may also cause
postoperative low self-esteem and other negative emotions
In fact, there is no need to worry!
Single-port laparoscopic gynecological surgery
Can leave no scars on the abdominal wall after surgery
Experts in this issue
pictures Wei
What are the advantages of gynecological laparoscopic surgery?
With the development of minimally invasive technology, laparoscopic surgery can solve more than 80% of gynecological problems.
Laparoscopic surgery is to make 3 to 4 holes in the abdomen and insert surgical instruments (lens, light source, operating forceps, etc.). The doctor's eyes mainly focus on the screen to observe the situation inside the abdominal cavity; the doctor's hands operate the instruments to achieve the purpose of removing the lesions.
☑ The lens inserted into the abdominal cavity can magnify local anatomical details, allowing the doctor to make more accurate judgments;
☑ For the exposure of special anatomical parts, laparoscopic instruments are superior to traditional laparotomy;
☑ The pain is less, The scar left on the abdomen is only about 1cm, which is relatively beautiful.
In recent years, laparoscopic surgery has made a new leap, and now it has developed into single-port laparoscopy.
01
Single-port laparoscopic surgery
Leaves health without leaving scars
Single-port, as the name suggests, only makes one hole, usually in the navel, followed by the vagina. All required surgical instruments are put in through this hole, and the cut lesions are also sent out through this hole.
Transumbilical approach
Make a 2~2.5cm incision in the umbilicus, and then place the port for single-port surgery, and then the corresponding surgical operation can be performed.
Transvaginal approach
Open the anterior fornix or posterior fornix, place a single port and then perform the corresponding surgical operation.
has less interference with the abdominal environment than the transumbilical approach and is more minimally invasive, but it is mainly used to treat diseases of the uterus or appendages, and has greater requirements for adhesions than the transumbilical approach.
After the operation, the umbilicus or vagina will be sutured, and no incisions will be visible from the surface. If it is necessary to place the drainage tube , it can come out from the umbilicus or vagina without affecting the appearance of the patient's abdomen.
02
Advantages of single-port laparoscopic surgery
Aesthetics
can meet the beauty needs of female patients. The human umbilicus is a congenital scar tissue. The incision site of single-port laparoscopic surgery is selected at the umbilicus to be basically traceless and perfectly hide the scar.
Reduce pain
Single-port laparoscopic surgery has only a single surgical incision, so it is less painful. The umbilicus is the weakest part of the abdominal wall and has low pain sensitivity.
Fast recovery and short hospitalization time
Single-port laparoscopic technology requires only one incision, which minimizes the patient's postoperative pain, reduces the incidence of complications such as infection and bleeding, and shortens postoperative hospitalization and recovery time.
03
Indications and contraindications for surgery
Indications
☑ Benign gynecological diseases : ovarian cysts, ectopic pregnancy, myomectomy, pelvic adhesions, endometriosis, fallopian tube effusion, empyema, total hysterectomy, pelvic organ prolapse, etc.
☑ Gynecological malignant tumor surgery : pelvic and/or para-aortic lymph node biopsy or dissection, endometrial cancer staging, radical hysterectomy, etc.
☑ Pregnancy surgery
☑ Gynecological surgery combined with other surgical operations : Appendice or cholecystectomy combined with uterine or adnexal surgery.
Contraindications
☑ Severe pelvic and abdominal adhesions: Severe adhesions such as severe endometriosis, a history of multiple abdominal surgeries, or severe adhesions in the surgical part found during surgery.
☑ Advanced malignant tumors
☑ Patients whose general physical condition cannot tolerate anesthesia
☑ Patients with huge pelvic tumors
☑ Patients with severe abdominal infection
04
Single-port laparoscopic surgery
Postoperative rehabilitation of patients
Nursing care
Postoperative life Close monitoring of physical signs, wound care, observation of abdominal distension and pain, intra-abdominal bleeding and infection, swelling and pain of lower limbs, etc.
Diet
Postoperative diet needs to be gradual, usually transitioning from liquid foods such as warm water and rice soup to semi-liquid foods such as noodles, steamed egg custard, soft foods such as soft rice, steamed buns, dumplings, fish, wontons, etc., and gradually return to normal after defecation. Eat a normal diet, avoid greasy, spicy food, and eat small meals frequently.
Pipeline
The urinary catheter is removed 6 hours after the operation. The patient should get out of bed as soon as possible to go to the toilet. Postoperative pelvic floor rehabilitation can prevent abdominal distension, urinary retention and other conditions. Single-port laparoscopy generally does not leave an abdominal drainage tube.
Pain
Multimodal combined analgesia was given after surgery, which greatly reduced the patient's pain and discomfort.
Exercises
On the first day after surgery, you can start doing post-laparoscopic rehabilitation nursing exercises to promote intestinal motility, prevent abdominal distension, respiratory infections , thrombosis and relieve postoperative shoulder and back pain.
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