Precautions before and after gynecological hysteroscopic surgery

If a woman needs to undergo gynecological hysteroscopy, the following matters should be noted before and after the operation I. Precautions before and after gynecological laparoscopy: the operation is best performed after menstruation, or according to the requirements of the medical staff, before the operation temporarily abstain from sexual intercourse, forbidden to take a tub bath, pay attention to hygiene, prevent colds. Obtain family support before surgery, maintain a good psychological state, ensure sufficient sleep, and prepare both physically and mentally. If you have gynecological inflammation (such as pelvic inflammatory disease, vaginitis, etc.), you should be actively treated; if you have medical comorbidities, such as hypertension or diabetes, you should visit the internal medicine department to actively control blood pressure and blood sugar, and other medical diseases should also be controlled in a stable state; if you have recently had surgery on other parts of the body, you should wait until the incision heals and your body recovers. If you are taking anticoagulants such as aspirin, or antihypertensive drugs such as reserpine or Beijing 0 before surgery, stop taking them for at least one week before surgery. Improve personal hygiene before surgery, such as washing hair and bathing, cutting nails, removing nail polish, paying attention to the umbilicus, abdomen and vulva cleanliness. The day before surgery, the diet should be light and easy to digest, mainly porridge, or according to the requirements of the medical staff, avoid large fish and meat to prevent intestinal distension after surgery; the day before surgery, according to the requirements of the medical staff, oral cleansing solution or enema; fasting after 12:00 p.m. the night before surgery, and abstaining from drinking and eating on the day of surgery. Remove dentures, jewelry, watches, hairpins, contact lenses, and inform the doctor if there are metal objects in the body (such as plates/staples in the body, etc.) on the day of surgery; some patients need to wear elastic stockings as instructed by the medical staff to prevent postoperative blood clots. No food and water should be consumed for 6 hours after surgery, and the patient should be placed in a flat position with the pillow removed. In case of nausea and vomiting, the head should be turned to the side to prevent vomit from being inhaled into the trachea. On the first postoperative day, some patients may feel distension in the upper abdomen or shoulder pain, which is caused by the carbon dioxide filled into the abdominal cavity during laparoscopic surgery and stimulates the diaphragm, and can be gradually relieved after three days of surgery. On the first day after surgery, patients were encouraged to get out of bed, and if they were not suitable to get out of bed, they could turn over in bed and move their limbs to promote gastrointestinal motility and blood circulation, reduce postoperative pelvic adhesions, prevent thrombosis and decubitus ulcers, and promote postoperative recovery. After removal of the urinary catheter, get out of bed to urinate as early as possible to prevent urinary retention and urinary tract infection. Generally, a semi-liquid diet, such as porridge, tomato and egg soup, can be eaten 6 hours after surgery, and no sweet food or sugary drinks. Generally, the anus can be exhausted within 48 hours after surgery, after which soft food, such as noodles or bubble rice, can be eaten, and the normal diet can be gradually resumed after the anal defecation, but a light and easy-to-digest diet is still appropriate, avoiding spicy and blood-activating foods, such as cinnamon, lychee, red dates, ginseng, etc. Mild diarrhea can occur in the short term (generally within a week) after surgery, which is mostly a normal physical reaction during the recovery of gastrointestinal function after surgery, and there is no need to be too nervous. The abdominal dressing can be removed one week after surgery, and the bath can be taken about ten days after surgery, after which normal activities can be resumed gradually, but attention should still be paid to rest and hygiene, avoid straining, and sexual life is temporarily prohibited. Regular outpatient follow-up after discharge according to the bedside doctor’s instruction. Second, gynecological hysteroscopy surgery before and after the precautions: 1, surgery is best after the clean menstruation, or in accordance with the requirements of the medical staff, preoperative temporary abstinence from sexual intercourse, the prohibition of tub bath, pay attention to hygiene, prevent colds. Yuan Hua, Department of Gynecology, Wuxi Maternal and Child Health Hospital 2. Get family support before surgery, maintain a good psychological state, ensure sufficient sleep, and prepare both physically and mentally. 3, have gynecological inflammation (such as pelvic inflammatory disease, vaginitis, etc.) should be actively treated; have medical comorbidities, such as hypertension or diabetes, should go to the internal medicine department to actively control blood pressure and blood sugar, other medical diseases should also be controlled in a stable state; if there are other parts of the recent surgery, should wait until the incision heals a few body recovery. 4. If you are taking anticoagulants such as aspirin or antihypertensive drugs such as reserpine or Beijing 0 before surgery, you should stop taking them for at least one week before surgery. 5.Get good personal hygiene before surgery, such as washing hair and bathing, cutting nails, removing nail polish, and paying attention to vulva cleanliness. 6, the day before surgery diet should be light and easy to digest, mainly porridge, or in accordance with the requirements of the medical staff, fasting after 12:00 pm before surgery, and no drinking and fasting on the day of surgery. 7. Remove dentures, jewelry, watches, hair clips, contact lenses, and inform the doctor if there are metal objects in the body (such as steel plates/staples in the body) on the day of surgery; some patients need to wear elastic stockings as instructed by the medical staff to prevent post-operative blood clots. 8. 2 hours after surgery, you can eat, and a light and easily digestible diet is appropriate. Avoid eating spicy and blood-activating foods, such as cinnamon, lychee, red dates, ginseng, etc. Get out of bed as soon as possible after surgery, and generally do not need to retain the urinary catheter. 9. There may be a little vaginal bleeding after the operation, and if the condition is not special, the bleeding will stop within one week after the operation. 10.Generally speaking, recovery after hysteroscopy is faster than that after laparoscopy, but attention should still be paid to rest and hygiene, avoid straining, and sex is temporarily prohibited. 11.After discharge from the hospital, follow up regularly at the outpatient clinic according to the bedside doctor’s instruction.