Abdominal incision after cesarean section endometriosis 9 Cases


Experiment, has now been confirmed endometrial blood and lymph node metastasis can be made by planting in some far away from the pelvic area, such as nasal cavity, pancreas, kidney, lymph nodes J,ralph lauren shop, and, perineum and abdominal wall incision EM verified the iatrogenic spread (planting) the establishment of the theory _4J. In addition, studies have shown that ectopic endometrial once planted in the success of most of the local impact of the endometrium by ovarian hormones,ralph lauren outlet, as occurs with the cyclical endometrial proliferation, secretion, bleeding and the formation of periodic changes in the tumor and pain _5J. Low incidence of incisional EM, only 0.03 ~ 0.47% [, more medical staff during surgery due to small endometrial fragments inadvertently left behind Author: 312500 Xinchang County, Zhejiang Province People's Hospital, 1199 · stay planted in the abdominal wall incision is made to continue to grow, because there is a cyclical ectopic endometrial bleeding and surrounding tissue fibrosis, repeated bleeding and dense adhesions, scarring, gathering into nodules of varying sizes and packages the block. Patients in a few months or years after the abdominal incision scars typical of endometriosis lesions, showing a deep scar on the skin scar induration, each in the period when the pain is there. At present, most hospital operating room linen one-time surgery, abdominal incision attached to protect the skin, no longer protected after abdominal incision incision,abercrombie and fitch sale, while the lower uterine segment incision rupture, amniotic fluid at the same time just to absorb the fetus was delivered fast, clean and a lot of bureaucratic routine flushing , select a higher lower uterine segment incision,moncler jacken, full-thickness incision suture, had increased endometrial damage caused by direct planting and the opportunity to suture the uterus of the needle, absorbable, equipment, surgeon gloves, re-use and so on. 2.2 treatment experience generally easier to diagnose. Treatment: drug treatment is poor, this 9 cases, 4 cases have anti-inflammatory, anti-endometriosis and other drug therapies, and finally surgical treatment. It is appropriate for surgical treatment,mbt outlet, as long as a thorough debridement surgery, postoperative adjuvant therapy does not require _7J, the recurrence rate is low, in order to prevent recurrence after remaining 13 small lesions can be treated with oral medication after 3 months, effective up to 100%. 2.3 prevention of endometriosis according to article 9 cases, 3 cases surgical indications for the social factors, the following six cases occurred in the county hospital, 4 patients in the new transverse incision, and the increased incidence in recent years Therefore, in order to reduce its incidence, prevention of its occurrence, must do the following: (1) The first master cesarean section, rational use, to reduce unnecessary cesarean section, is to reduce postoperative abdominal incision different the basic conditions for disease. (2) the surgeon from the ideological emphasis on cesarean section, not one-sided pursuit of speed and wound appearance, more importantly, think of how to improve the quality of surgery and a good prognosis, reduce postoperative complications. (3) intraoperative strict operating practices: ① uterine incision before abdominal incision is preferred gauze to protect against endometrial fragments implanted in the abdominal wall tissue. ② the same time the lower uterine segment incision to avoid rupture, rupture of the first break of a small mouth, as the fetus was delivered after the exhaustion of amniotic fluid. ③ Enter the bureaucratic dressings, disposable gloves should be used, cleaning contaminated equipment in a timely manner. ④ uterine incision sutured, the stitches do not penetrate the uterine lining. ⑤ abdomen was closed before the net absorption of intra-abdominal residual liquid, if necessary, clean the abdominal cavity with normal saline. ⑥ suture the peritoneum, the abdominal incision washed with saline, and then layered suture.