Complications after tubal ligation
Introduction
Introduction to complications after tubal ligation Tubal ligation is safe, simple, long-lasting, and less painful, and is accepted by women of childbearing age. However, during the operation, violation of surgical procedures or neglect of surgical indications can cause sequelae of surgery and bring undue physical and mental pain to the subject. basic knowledge The proportion of illness: 0.02% Susceptible people: women Mode of infection: non-infectious Complications: abdominal pain, autonomic dysfunction, irregular menstruation, abdominal distension, abscess, sepsis, shock
Cause
Causes of complications after tubal ligation
Incision infection (25%):
There are 2 cases in this group mainly caused by potential infection in the body, and 6 cases are caused by the doctor not taking the medicine according to the doctor's advice and not paying attention to the health of the incision.
Uterine re-pregnancy (15%):
Among them, 3 cases were double-layered ligation, mainly because the fallopian tube was thick and hard, and the ligation was caused by loose ligation line. One case was the heart-filling method, which was mainly caused by less than 1?
Abdominal wall hematoma (20%):
It mainly occurs in the muscular layer and the extraperitoneal pubic space, which is caused by inaccurate and incomplete hemostasis.
Bladder injury (10%):
The main reason is that the bladder is filled during surgery, the abdominal cavity is stuck, and the reflexed peritoneum of the bladder is mistakenly treated as the peritoneum.
Attachment injury bleeding (10%)
Mainly caused by inflammatory adhesions in the pelvis, caused by excessive force.
Pelvic adhesions (5%):
Mainly due to the preoperative examination is not strict, the pelvic cavity is caused by inflammation and congestion.
Neurosis (5%):
The reason is that the surgeon is nervous, and the understanding of the surgery is not enough, and the doctor's explanation and comforting work are not done well.
Prevention
Prevention of complications after tubal ligation
From the analysis of this group of data can be: strengthen the concept of aseptic operation, necessary preoperative examination, grasp the indications and contraindications of surgery, communication with the surgeon; careful examination during operation, careful operation; postoperative Careful care is the key to reducing complications after tubal ligation. And prevention of complications is more important than treatment, and treatment is also to grasp the key points to deal with.
As a qualified technician, we must constantly improve our technical level and enhance our sense of responsibility in order to better provide better services for women of childbearing age and make greater efforts for family planning.
Complication
Complications of complications after tubal ligation Complications, abdominal pain, autonomic dysfunction, irregular menstruation, abdominal distension, abscess, septic shock
Complications after tubal ligation such as:
1, abdominal pain. The reason is caused by adhesion of the pelvic cavity and the fallopian tube ligation. The clinical manifestations are abdominal pain and abdominal swelling.
2. Neurosis. Due to lack of understanding of surgery, mental stress leads to nervous system excitability and inhibition process, caused by autonomic dysfunction. The clinical symptoms are emotional instability, depression, depression, heartiness, irritability, ribs, fatigue, fatigue, menstrual disorders, loss of appetite, dizziness, restlessness, sleepless nights.
3, irregular menstruation. The reason is that a very small number of surgeons are not careful in the operation, so that the vascular branches of the ovary and uterus in the fallopian tube system are reversed, and the ovarian blood vessels are caused by disorders, most of which are caused by other factors, and have nothing to do with surgery. The clinical manifestations are temporary menstruation, or irregular, with more or less menstrual flow, lower abdominal pain, and sore back.
4. Incision infection. Due to the original infection in the body, the operation rules were not strictly observed, and the hemostasis was insufficient. The clinical symptoms are abscess, tenderness and fever in the surgery, which can cause pelvic and abdominal infections, sepsis, and even shock.
Symptom
Symptoms of complications after tubal ligation Common symptoms Pelvic pain, pelvic sputum, lower abdominal pain, uterine bleeding, wound infection, pelvic abscess, pelvic fluid
Due to factors such as fistula, new umbrella formation, organic lesions or improper surgery, there are very few cases of recent or long-term complications.
Examine
Examination of complications after tubal ligation
Ovarian function test, tubal patency check, fallopian tube angiography.
Diagnosis
Diagnosis and diagnosis of complications after tubal ligation
diagnosis
Due to accidental injury to the intestine during surgery, the rough surface is large, the abdominal cavity is infected, and the mesangial hemorrhage forms a hematoma. When the peritoneal suture is sutured, the free end of the large omentum is sewn to form a adhesion. The clinical manifestations were: paroxysmal abdominal pain, bloating, nausea and vomiting, constipation, and colic before bowel movement. A small number of cases are caused by local tube ligation distortion, which affects venous return. The clinical symptoms are lower abdomen, lower back pain, sensation of swelling, vaginal discharge, increased menstrual flow, purple in the vagina and cervix, and tenderness on both sides.
