Is surgery necessary for uterine polyps?

Is surgery necessary for uterine polyps?

Uterine polyps are a very common disease in life, and there are many causes of uterine polyps. Currently, the main methods of treating uterine polyps are surgical treatment and traditional Chinese medicine treatment. Currently, the effect of traditional Chinese medicine treatment is not particularly good. Most uterine polyps are treated surgically. If uterine polyps are not treated, it will not only affect women's fertility, but also affect their sexual life. Therefore, the polyps must be removed in time.

Uterine polyp surgery is performed under the microscope, and 5% G or S liquid is often used as uterine distension fluid.

A bimanual examination is used to understand the position, size, shape, hardness, mobility, etc. of the uterus. Use a cervical forceps to clamp the anterior lip of the cervix, and use a probe to gently enter the uterine cavity through the cervical os to detect the depth of the uterine cavity. For those with a small cervical os (including the internal and external os), use a uterine dilator to dilate the cervix to size 6 to 6.5.

According to the detected cervical depth, adjust the hysteroscope limiter, insert the hysteroscope into the cervical canal, pass through the internal os, and slowly push it into the uterine cavity along the side of the uterine wall. Turn on the cold light source, open the water injection valve, and ask the assistant to inject expansion fluid into the uterine cavity through the pressurizer. The pressure is maintained between 18 and 22 kPa (130 and 160 mmHg). Carefully find the exact location of the pedicle of the uterine polyp in the good visual space of the dilated uterus. Insert the Nd:YAG optical fiber through the rubber cap through the hysteroscopic biopsy channel. Under direct vision, insert the optical fiber into the root of the polyp to output laser. Adjust the laser output power according to the size of the polyp root. When the polyp turns crimson purple, any that can be removed from the base will be removed. For sessile and smaller polyps, the needle can be directly inserted to solidify and the whitening will stop.

Hysterectomy is just a minor operation and has little impact on the female body, so there is no need to be too nervous.

The following points should be noted after uterine polyp surgery:

1. Pay attention to cleanliness and hygiene after treatment. The couple is prohibited from having sexual intercourse within one month, and should go to the hospital to check their recovery status after one month.

2. Pay attention to rest and avoid fatigue. Although cervical polyp surgery is very simple, short and minimally invasive, patients still need to pay attention to allowing their bodies to recover to normal levels as much as possible to prevent pathogenic bacteria from invading and wreaking havoc when the patient's immunity is low.

3. Take medicine on time and have regular check-ups. Patients should take anti-infective drugs as required by the doctor and should not stop taking the drugs or increase or decrease the dosage at will. In view of the high chance of recurrence of this disease, it is best for patients to have a check-up every 2 months to reduce subsequent effects.

4. Eat a light and nutritious diet. After surgery, patients can choose some foods that are easy to digest and rich in vitamins, such as tomatoes, apples, etc. However, patients are advised to eat less or no spicy, irritating, greasy, and high-sugar foods because they are not conducive to wound healing.

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