1. How much does a hysterectomy cost
How much does a hysterectomy cost? This is composed of the operation process, and the expenses include: one is routine examination, and the other is postoperative pharmacology and nursing. The average patient's surgery costs about 1, to 3, yuan. Of course, this is only a reference value.
Because there are many factors that affect the cost of surgery, different causes, different treatment methods and different costs, and it is also related to regions, hospitals, medical equipment and so on. It is suggested that patients consult the local regular specialized hospital and make an examination to determine the cause and symptomatic treatment.
In addition, it should be understood that hysterectomy is a common operation in gynecology, which can be divided into total hysterectomy, partial hysterectomy and extended hysterectomy, and the natural cost of different operations is also different. Among them, hysterectomy is mostly used to remove uterine tumors, some uterine bleeding and adnexal lesions.
2. What steps are there?
Hysterectomy is a common gynecological operation. In order to let everyone know more about this operation, the following steps are introduced for your reference.
Step 1, Incision
Take a median incision in the lower abdomen from the umbilicus to the upper edge of the pubic symphysis.
Step 2: Suture the pelvic infundibular ligament and round ligament
After they enter the abdominal cavity, explore them first to understand the scope of the lesion. Toothed hemostatic forceps is used to clamp the two corners of uterus for traction and blocking the blood flow of the ascending branch of uterine artery. Sew round ligament with No.7 silk thread at a distance of 2~3cm from the uterine horn, and double sew pelvic infundibular ligament at a position slightly away from the pelvic wall (to avoid ureter). There are ovarian arteries and venous plexus passing through the pelvic infundibular ligament, which can be seen clearly under light, and all of them must be sewn tightly.
Step 3: Cut the ligament and cut the uterus, bladder and peritoneum
Lift the uterus and sew the suture, and cut the pelvic infundibular ligament and round ligament. The blood flow in the uterus has been blocked at the corner of the uterus, so there is only a small amount of blood returning when cutting the ligament, and generally there is no need for additional forceps to stop bleeding. Cut the anterior lobe of the broad ligament between the pelvic infundibulum ligament and the round ligament, free it forward, cut the uterus, bladder and peritoneum and fold it back to the opposite side.
Step 4: Free the uterine body
Gently separate the bladder downward with your fingers along the plane of loose connective tissue between the uterus and bladder to expose part of the cervix, and then slightly separate the tissues on both sides to expose the uterine arteries and veins. There is a ureter passing about 2cm below the blood vessel from the cervix. Then, the posterior lobe tissue of broad ligament on both sides of the uterine body is cut above the uterine artery, and there is no bleeding during cutting, but it should be cut off slightly from the uterine body to avoid damaging the ascending branches of the uterine artery near both sides of the uterine body. At this point, the uterine body is completely free, and only a small amount of tissue on both sides is connected with the fornix of the female private parts.
Step 5: Free the cervix
Properly pull the uterus to the side of the head, push the bladder further below the level of the external cervix with your thumb, and slowly push the ureter to both sides. If you pay attention to explore both sides, you can feel a cord sliding under your fingertips about 2cm away from the cervix, which is the ureter. As long as the plane is accurate, there is no difficulty in pushing down the bladder and there is not much bleeding. If there is any difficulty, it is mostly related to the depth of the plane, or it may be caused by inflammation and adhesion, so it should be found out before separation. Sharp peeling can be carried out when necessary. It is of positive significance to treat the tissues on both sides of the cervix after finding out the location of the ureter.
Step 6, remove the uterus
Fill a gauze pad in the uterine rectal fossa to absorb secretions that may leak from the female private parts. Lift the uterus, cut the anterior vault of the female private parts, clamp and lift the anterior wall of the female private parts, and insert a small piece of gauze through the incision to prevent the effusion in the female private parts from flowing out and polluting the pelvic cavity.
Then clamp the front lip of the cervix and lift it upward, cut it along the fornix of the female private parts, and remove the uterus. When circumcising the fornix of women's private parts, pay attention to lifting the cervix at any time, so as to be beneficial to cutting without contacting with the surroundings and prevent pollution. Every time a section is cut, the broken end of female private parts is clamped to reduce bleeding, and it is used for traction, which is convenient for suture after hysterectomy. Finally, all the instruments that have come into contact with women's private parts should be placed in the contaminated basin immediately after use.
3. There are several kinds of hysterectomy
According to the scope of surgical resection, there are three kinds of hysterectomy:
1. Partial hysterectomy
is also called subtotal hysterectomy, which is an operation to remove the uterine body and preserve the cervix. The operation is needed when the following diseases occur.
(1) Severe chronic infection (pelvic infectious diseases).
(2) Severe endometrial infection.
(3), hysteromyoma.
(4), uterine fibroids, endometrial cancer.
(5), cervical cancer, ovarian cancer.
(6) Severe uterine bleeding (uterine rupture, postpartum hemorrhage).
2. Total hysterectomy
The uterus and cervix are removed together. This operation is mostly used to remove uterine tumors, some uterine bleeding and adnexal lesions.
3. Radical hysterectomy
Not only the uterus, but also the tissues around the uterus and some female private parts should be removed. Radical hysterectomy is a kind of surgical operation, which is the basic surgical treatment of cervical cancer. The key lies in the complete removal of regional lymph nodes and extensive total hysterectomy.
To put it simply, hysterectomy due to hysteromyoma is the first two ways, and the third way is for malignant tumor of cervix or uterine body.