There are many things that need to be prepared before hysteroscopic surgery. Generally, you are not allowed to have sex three days before the operation, and you should be careful not to eat irritating food before the operation. There are many issues that need to be paid attention to, so how is enema done before hysteroscopic surgery? How is enema done before hysteroscopic surgery?
Apparatus: urinary catheter or anal canal 6~10cm, rubber hose about 1m, and a special hanging tube for enema. Liquid: Use 0.9% warm salt water, about 37C, the upper and lower cannot exceed 1C, the volume is about 500~1000mL. 2 to 3 hours before the enema operation, place the hanging tube 30 to 90cm higher than the anus, connect it with a urinary catheter or anal canal and a rubber tube, then apply paraffin oil on the urinary catheter and gently insert it into the anus. 6~10cm, pour warm saline into the intestine, and let the patient rest for a while to expel the accumulated feces and salt water in the intestine. The method of enema for proctitis is different from that of saline enema. The first step in enema treatment for proctitis is the selection of drugs: choose drugs with anti-inflammatory and antibacterial properties, such as metronidazole injection, 50~80mL, and keep the enema after warm bath. Select Chinese herbal medicines that can clear away heat, detoxify, astringe and strengthen the intestines, decoct the juice to extract 50~80mL, and keep it for enema. Secondly, use a syringe to slowly inject the medicinal juice into the intestinal tract. The temperature of the medicinal juice should be kept at 37C. After the medicinal liquid enters the intestinal tract, the patient should be asked to lie on his left side and keep it for as long as possible until the urge to defecate cannot be tolerated before expelling it. Liquid medicine.
Generally speaking, uterine fibroids or various surgical diseases require enema. Before the operation, the feces in the intestines need to be removed and they will be cleaned. Keep the intestines empty before surgery to prevent vomiting during anesthesia.
After the patient decides to undergo hysteroscopic surgery, he must make some preparations. Let’s take a look at the preparations before performing hysteroscopic surgery.
1. Hysteroscopic surgery is an abdominal surgery, so the abdominal skin must be cleaned before surgery. Also, eat a semi-liquid diet the day before surgery, stop eating after dinner, and perform an enema in the evening and on the day of surgery. You can hold your urine appropriately before surgery, which is helpful for B-ultrasound monitoring during surgery.
2. Patients should have vaginal secretions checked before surgery. If they suffer from vaginitis, the inflammation must be cured before surgery. Routine blood tests must be performed on the patient's blood before surgery.
3. Patients can take sedatives the night before surgery to avoid insomnia due to pre-operative stress. The surgery should be performed 3-7 days after the end of menstruation, and sexual intercourse is prohibited after menstruation or 3 days before surgery.
The above is the preparation work that needs to be done before hysteroscopic surgery. These preparations are directly related to the effect of the surgery, and patients must pay attention to it. Precautions after hysteroscopic surgery
After hysteroscopic surgery, there are many issues that need attention. I have summarized them, hoping to help all patients who need hysteroscopic surgery. .
1. Within six hours after surgery. You should choose liquid food in your diet within six hours after the operation. You should not eat too much. Sweets and spicy food are not allowed. Since there will be a small amount of bleeding after the operation, you should not eat blood-activating food. . During this period, patients should lie flat on their backs and pillows. Generally, patients can get out of bed and move around within the same day.
2. Three days after surgery. You must continue to take anti-inflammatory drugs after surgery to prevent infection. You can take a bath one week after laparoscopic surgery, but you cannot take a sitz bath. You should mainly take a shower. One week after surgery, patients can gradually return to normal activities and exercises.
3. Ten days after surgery. There will be a small amount of bleeding after hysteroscopic surgery, which usually lasts for about ten days. If the patient's bleeding does not decrease but increases, and the pain continues to worsen, in this case, he needs to be hospitalized again for follow-up. In order to avoid infection, you cannot have sex, take a bath, or swim within one month after the operation.
Hysteroscopic surgery is just a simple minimally invasive surgery. Patients should not be nervous before the operation. Hysteroscopic surgery should be performed in a calm and calm manner.
Hysteroscopy, as the name suggests, is to insert an inspection mirror into the uterine cavity. Through the penetration of the inspection mirror, lesions in the uterus can be visually observed, and then treated using hysteroscopic surgery. Many people now know that hysteroscopic surgery is a minimally invasive surgery. Most people think that minimally invasive surgery does not require family members to accompany you, but this is not the case.
Because many gynecological diseases require anesthesia for treatment through microhysteroscopic surgery. Whether it is local anesthesia or general anesthesia, the effect of the anesthetic may not disappear immediately after the operation, which will have a certain impact on the patient's activities, so it is best to have someone accompany you during the operation.
Furthermore, after hysteroscopic surgery, patients with some diseases may need to stay in the hospital for observation for a few days. Someone needs to be responsible for handling subsequent hospitalization procedures and receiving medicines. Many patients may still feel a certain amount of pain after hysteroscopic surgery. At this time, walking is inconvenient. At this time, family members need to push the patient to the ward in a wheelchair.