Is perineal repair safe? With the improvement of living standards, women not only have certain requirements for material life, but also have certain requirements for physiological needs. More and more women need gynecological reproductive plastic surgery. So, is it risky for women to do perineal repair surgery?
Whether the perineal repair operation is safe or not depends on the operation hospital and operation method chosen by the patient. Women choose a small clinic for perineal surgery, and the medical conditions are not up to standard, which is more likely to lead to intraoperative infection and serious postoperative complications. The safety of perineal repair surgery has a great relationship with the hospital chosen by patients. Before the operation, subjects should pay attention to the following two points:
1, depending on whether it is suitable for perineal plastic surgery. Vaginal tightening can be considered for those who are dissatisfied with their sexual life because of vaginal relaxation caused by congenital reasons, old perineal tear after vaginal delivery, and poor wound healing after perineal lateral incision. Perineal plastic surgery is generally suitable for women aged 30-40. With the increase of age, muscles will relax day by day, and the phenomenon of female vaginal relaxation will also appear.
2. Any operation has certain risks, and vaginal contraction is no exception. Because of the special physiological position of vagina, there is urethra on the upper side and anus on the lower side. Once disinfection is not strict, it is easy to cause infection. If the infection is not controlled, the operation will fail, and in severe cases, people will die. Therefore, although the operation method of vaginal tightening is relatively simple, it is very strict with the operating skills of the surgeon and the operating room environment, so as to ensure that the surgical injury of vaginal tightening is minimized.
The postoperative appearance was satisfactory, which relieved the psychological and physical pain of patients, improved the quality of life and restored women's self-confidence. At the same time, it is beneficial to prevent and treat diseases such as uterine prolapse and anterior and posterior vaginal wall bulging caused by pelvic floor tissue relaxation. The clinical observation results of hundreds of clinical cases show that the patients have good postoperative response and improved the quality of sexual life.
Perineal repair surgery? Perineal repair surgery is due to perineal tear, and surgery is needed at this time. There are many reasons for perineal tear, for example, it may lead to this tear when giving birth naturally. In addition, if there are some old injuries before, it may also lead to tearing. At this time, perineal repair surgery can be used for treatment. After all, this situation is quite harmful. Let's take a look at the contents of perineal repair surgery.
1, dystocia tearing
The repair of perineal laceration during delivery can also be said to be a repair method of third-degree laceration of fresh perineum. Repair time: after the placenta is delivered, it should be done immediately if the patient's general situation allows; Otherwise, the maintenance can be delayed by 12-24 hours.
2. Old injuries
Old (third degree) laceration means that the wound does not heal well after the laceration is repaired during delivery, or the perineal laceration is not found after delivery. The maintenance time shall be 6 months after delivery. There are two commonly used surgical repair methods: ① layered method; ② Mucosal flap method. Layering method is mostly used for fresh third-degree laceration. (1) The operation steps of layered method are as follows: disinfection of vulva and vagina: scrub vulva and vagina with soapy water and gauze, rinse with clear water, and then rinse vulva and vagina with bromogeramine 1: 1000. Place gauze rolls in the rectum to avoid the overflow of intestinal secretions. Before cutting the vaginal wall, 75% alcohol can be used for disinfection.
Matters needing attention
Project 1
After delivery, the vaginal wall relaxes. Careful examination should be made during the operation to recognize the anatomical relationship. According to the size and depth of the tear, the tissues should be arranged neatly and stitched in layers. If the vaginal wall laceration is high and can't be exposed, pull it with a catgut suture needle below the top, and then sew it above the top to prevent the torn blood vessel from retracting and bleeding to form a hematoma.
Item 2
On the premise of ensuring effective hemostasis, the suture should not be too tight and too dense, and there should be no gaps between tissues.
Item 3
After repair, routine anal examination should be performed. If it is found that the intestinal line is wrongly sutured into the rectal cavity, it should be removed and sutured immediately to prevent infection and complications of intestinal fistula.
Item 4
Third-degree perineal laceration, rinse the wound with disinfectant before suture, and intermittently suture the rectal mucosal laceration with thin circular needle chrome gut or thin thread. The suture passes through the rectal mucosa and knots in the intestinal cavity. The key to suture the third degree laceration is to find, clamp and pull the two broken ends of anal sphincter with rat dental forceps, and suture two stitches intermittently with chrome catgut or thick silk thread. Then suture levator ani, deep and shallow perineal transverse muscle and bulbocavernous muscle.