Care of uterine resection

Hysterectomy, the procedure can be performed transvaginally, traditionally transabdominal, or contemporary laparoscopically. The specific surgical approach is individualized depending on the type and extent of the disease, the patient’s age and reproductive requirements, economic conditions and the level of medical care. Post-hysterectomy care includes intubated general anesthesia care and total hysterectomy care. For example, disposable urine pads, abdominal sandbags, cardiac monitoring, oxygenation equipment, resuscitation items and drugs were laid on the bed; the patient was first laid flat on the pillow for 6 hours after returning to the ward, and attention was paid to cleaning the secretions in the mouth and respiratory tract to prevent accidental aspiration; bed stalls were set up and a person was assigned to accompany the patient; the patient’s consciousness and vital signs were noted, and blood pressure, pulse rate, respiration and oxygen saturation were checked every 30 minutes; attention was paid to whether the patient had abdominal wounds Pay attention to whether the patient has any blood leakage from the abdominal wound, vaginal blood leakage, whether the pelvic drainage tube is clear and whether there is any abnormality in the color, volume and nature of the fluid, the color of the urinary catheter and the volume of urine; pay attention to the patient’s complaints of pain after surgery, and give painkillers if necessary (nowadays, pain pumps are mostly used after surgery, which can generally be maintained for 48 hours); pay attention to the nausea and vomiting, if they occur, tilt the head to one side, pay attention to the blood pressure value, and generally no special treatment is needed. Pay attention to the abdominal distension, intraoperative artificial pneumoperitoneum residual gas, postoperative low potassium, intestinal discomfort, pain and moaning may lead to abdominal distension. Pay attention to the postoperative diet following a progression of: fasting and water fasting for the first 6 hours, liquid food (avoid soy milk and milk), semi-liquid food, and normal diet. Due to painful abdominal wounds, many patients are reluctant to move around. For elderly patients, especially obese patients, lower limb thrombosis and pulmonary embolism are the most dangerous complications. Therefore, actively encouraging patients to move their limbs in bed, wear elastic stockings, and get down early can actively prevent thrombosis and pulmonary embolism. In contrast, wound care should keep the wound dry and clean.