Hysteroscopy is a type of endoscope that uses a fiber optic endoscope lens to directly observe the shape and size of the female uterine cavity, as well as lesions in the fallopian tubes. Compared to traditional open surgery, hysteroscopy surgery itself has advantages such as less trauma, faster recovery, and less patient pain. Therefore, hysteroscopy surgery is widely used in the diagnosis and treatment of uterine diseases at present. Although hysteroscopy surgery belongs to minimally invasive surgery, corresponding postoperative nursing work should also be done well in order to promote the improvement of treatment effect and prognosis. The following text provides a brief introduction to the key points of postoperative care for hysteroscopy.
What is hysteroscopy surgery?
Hysteroscopy surgery is a minimally invasive procedure that uses hysteroscopy to diagnose and treat intrauterine diseases. With the help of hysteroscopy, changes in the uterine cavity can be clearly observed, and corresponding diagnosis and treatment can be made. Hysteroscopic surgery mainly includes unblocking the opening of the fallopian tube, removal of endometrial polyps, hysterectomy of the uterine septum, removal of cervical vegetations, and removal of uterine fibroids.
2. Precautions for postoperative care after hysteroscopy
2.1 Precautions for routine care
After completing the surgery, the patient should lie flat on the pillow for 6 hours to avoid low brain pressure caused by raising the head, which may cause tension in the meninges or intracranial venous sinuses, leading to headaches. When lying flat, the patient's head should be turned to one side to avoid inhaling vomit into the trachea. After completing the surgery, patients should be encouraged to exercise as early as possible. For high-risk patients, they can turn over in bed appropriately within 6 hours after completing the surgery, and slowly move out of bed after 8 hours, gradually increasing their activity level. The patient's urination condition should also be observed, and early guidance and assistance should be provided. If the patient cannot eliminate urine, induced urination can be performed.
2.2 Precautions for vaginal care
After completing surgery, it is important to observe vaginal bleeding. Generally, vaginal bleeding lasts less than ten days. Therefore, if bleeding or abdominal pain persists after 10 days of surgery, seek medical attention promptly. Some female patients also need to place the intrauterine balloon, and corresponding care should be taken to avoid pulling the tail tube of the balloon. Generally, the intrauterine balloon can be removed from the hospital around 14 days after surgery.
2.3 Dietary care precautions
Special attention should also be paid to women's diet after completing hysteroscopic surgery. For example, after hysteroscopic surgery, patients with hysteromyoma should avoid eating animal estrogen foods such as soybean milk, honey, black beans, etc. The diet after surgery should ensure balanced nutrition and easy digestion. For foods that are too spicy and stimulating, they should also reduce or not consume.
2.4 Postoperative Regular Follow up
One month after surgery, it is necessary to go to the hospital for another follow-up examination, especially for patients with large surgical wounds. If there is lower abdominal pain during the second menstrual period after surgery but no vaginal bleeding, high vigilance should be exercised, as this may be a symptom of intrauterine adhesions or cervical adhesions. Patients should seek medical attention at the hospital as soon as possible. If there is a large amount of vaginal discharge and a strong odor in the secretions after surgery, it is necessary to be vigilant and test whether it is a uterine infection. It is important to seek medical attention promptly at a regular hospital. Even if the patient's recovery is good, they should go to the hospital for a follow-up examination one month after surgery.
In short, postoperative care after hysteroscopy should be scientifically carried out based on the patient's specific condition and surgical method, especially paying attention to whether the patient's vagina is bleeding or has abdominal pain. The patient's vital signs should also be closely observed, and the patient should be guided to clean the external genitalia. Sexual activity is strictly prohibited for one month after surgery, and the patient should rest as much as possible for one week after surgery to avoid some intense exercise. If there is an emergency after surgery, it is necessary to seek medical attention at the hospital as soon as possible and take effective measures for treatment under the advice of a doctor.