Uterine Drainage

Intrauterine drainage is the introduction of uterine effusion after uterine effusion (pus) caused by cervical adhesion, endometrial inflammation, uterine tuberculosis, or cervical cancer, endometrial cancer, etc. It is also used to understand and determine the nature of uterine fluid. Treatment of diseases: endometritis, uterine empyema Indication 1. Cervical adhesions, endometrial inflammation, intrauterine tuberculosis and other uterine effusion (pus). 2. Cervical effusion occurs after radiation therapy such as cervical cancer and endometrial cancer. 3. Understand and determine the nature of uterine effusion. Contraindications Severe cervicitis, did not rule out malignant changes. Preoperative preparation Empty the bladder before surgery and do a good job of disinfection. Surgical procedure 1. Position: The position of the stone. 2. Exposure of the cervix: After vaginal and cervical disinfection, place the vaginal speculum and fix the cervix with a cervical clamp. 3. Detecting the uterus: use the probe to detect the depth of the uterus in the direction of the dorsiflexion of the uterus. After the exploration, the uterine effusion is expanded with the cervical dilator to expand smoothly (Fig. 1). Consult if necessary. complication 1. The uterus is blocked: the uterine effusion is mostly caused by cervical adhesions and blockages of various reasons, and it is often difficult to enter the uterine cavity during surgery. Therefore, there should be a clear understanding of the size, direction and nature of the uterus before surgery. If you encounter resistance when visiting the palace, you should adjust the angle and curvature of the probe, and add a certain strength, the success rate is higher. 2. Perforation: Most of the uterine perforation caused by the probe device may be caused by incorrect judgment of the uterus's flexion, use of violent operation or lesions to make the wall weak and fragile. Perforation can reach the abdominal cavity, broad ligament, anterior rectum or posterior wall of the bladder. If the uterine perforation is found, stop the operation immediately, observe the patient's pulse, blood pressure, abdominal pain, etc., and give the uterine contraction agent and antibiotics. Mild perforation can be restored with conservative treatment. If there is major bleeding or visceral injury, it should be treated with laparotomy.