What should I pay attention to after laparoscopic surgery?

Patients who have undergone hysteroscopy and laparoscopy should pay attention to personal hygiene. They can use a cotton swab dipped in soapy water or vegetable oil to remove dirt from the navel. Before hysteroscopy and laparoscopy, you should eat a light and easily digestible diet, and avoid eating spicy food, fish, meat, greasy food and other irritating foods to avoid the adverse phenomenon of postoperative intestinal flatulence. Let's take a look at what you should pay attention to after hysteroscopy and laparoscopy.

1. Preoperative

1. The abdominal skin is prepared in the same way as for general abdominal surgery, but special attention should be paid to the cleanliness of the navel, as puncture is required at the navel.

2. Bowel preparation: Give a semi-liquid diet the day before surgery, and fast from 10:00 the night before surgery until before surgery. Cleansing enema is performed the evening before surgery and the morning of surgery.

3. Vaginal preparation For surgeries involving the uterine cavity, vaginal manipulation, and placement of a uterine erector rod, vaginal secretions should be examined and the vagina cleaned before surgery. Patients with vaginal inflammation should be cured before surgery.

4. Blood preparation: A routine blood test should be performed before surgery.

5. Medication before surgery: Take sedatives orally the night before surgery to ensure sleep quality and facilitate cooperation with the surgery. Medication before anesthesia is determined according to the anesthesia method.

6. A urinary catheter must be placed before surgery to empty the bladder.

7. Based on the patient's condition and the size and difficulty of the operation, general anesthesia, epidural anesthesia, spinal anesthesia and local anesthesia may be selected as appropriate.

8. Hysteroscopy is generally best performed 3-7 days after the menstruation ends.

9. Sexual intercourse is prohibited 3 days after menstruation or before surgery.

10. You can hold your urine for a while before the operation to facilitate B-ultrasound monitoring during the operation.

11. Preoperative examination: infectious disease examination (HBsAg, HIV, HCV, RPR), liver function test, renal function test, electrocardiogram, routine blood and urine test, four coagulation tests, routine leucorrhea test.

12. Come to the hospital one week after surgery to obtain pathological results and see a doctor.

13. There may be a small amount of vaginal bleeding within 2 months after hysteroscopic electrosurgical resection, and normal menstruation will not occur until the third month.

2. Postoperative precautions

1. Within 6 hours after surgery, the patient should lie flat without a pillow and with the head tilted to one side to prevent vomit from being inhaled into the trachea;

2. Since most patients feel no pain after surgery, do not neglect to massage the patient's waist and legs, and turn the patient over every half an hour to promote blood circulation and prevent bedsores;

3. The catheter can be removed after the fluid infusion is completed on the same day, and the patient is encouraged to get out of bed and move around;

4. The patient can be allowed to eat a small amount of liquid food, such as rice soup, noodle soup, etc. 6 hours after the operation. Do not give patients sugary drinks such as sweetened milk, soy milk powder, etc.;

3. Notes

The incision for laparoscopic surgery is only 1 cm, so the abdominal dressing can be removed after one week, and you can take a shower and then gradually resume normal activities. You should still pay attention to proper and light activities a week before the event to help your body recover as soon as possible.