Can I have uterine preservation surgery for adenomyosis if I have high blood pressure?

  As people’s daily life is gradually improving, the incidence of hypertension is also increasing. In the course of daily consultations, we often encounter patients with adenomyosis combined with hypertension. In answering patients’ questions, we often encounter such questions: “Doctor, I am an adenomyosis patient with hypertension, can I undergo uterine preservation surgery and will it be risky”. I hope it will help our patients with adenomyosis and hypertension What should I do if I have adenomyosis and hypertension? Is it possible to have a uterine preservation surgery?  The answer is, of course, yes, patients with hypertension can undergo uterine-preserving surgery, but only if their blood pressure is under control. Patients with adenomyosis combined with hypertension also need to fully communicate with the physician, anesthesiologist and nursing staff in advance to complete the procedure successfully. Preoperative procedure: For this type of patients, our suggestion is to take medication to control and stabilize the blood pressure before the procedure. Only then can we do the uterine preservation surgery. Generally, high pressure before 90-140 and low pressure before 60-90 are normal. It is possible to come for uterine preservation surgery.  In terms of diet, patients with hypertension should limit their sodium intake to less than 6g per day and control foods high in cholesterol to prevent arteriosclerosis. Before coming to the hospital for surgery, the patient should eat more light and easy to digest food.  Intraoperative uterine preservation surgery: In fact, high blood pressure has a certain impact on the surgery, as uterine preservation surgery is a general anesthesia surgery, blood pressure and surgery and anesthesia affect each other. So it requires anesthesiologists to monitor the corresponding physiological indicators and control the stability of blood pressure during the surgery to protect the life of the operated patients. The anesthesia team for uterus-preserving surgery is led by Director Duan Xiaodong, who has more than 30 years of work experience and has rich experience in evaluating difficult anesthesia and implementing comprehensive anesthesia. Therefore, patients who come for uterus-conserving surgery can relax about the safety of the surgery.  Post-operative period: After the operation, we will give the patients with combined hypertension a quiet ward environment to ensure that they are fully rested. Because only when the patient is emotionally stable can the blood pressure be controlled, in addition the medical staff will also closely observe the changes in vital signs. Blood pressure is monitored and recorded to avoid sudden changes in blood pressure, which may lead to adverse consequences.  Patients with hypertension are also delayed from moving to the floor. During the postoperative bed rest period, the family members are instructed to massage the patient’s limbs to promote blood circulation in the limbs and prevent deep vein thrombosis. In the early postoperative period, the patient should lie still, get up slowly, and gradually change from lying to sitting position, and then get out of bed after adaptation.  As I am a gynecologist, today’s explanation about hypertension is just for your reference. If you have problems with hypertension and need more detailed knowledge about hypertension treatment, we recommend that you go to your local hospital to see an internist for consultation, consultation and medication.