Laparoscopic Surgery And Open Surgery In Gynecology Clinic Application

Objective:since 1946 laparoscopic techniques were introduced, and its gynecologic area small trauma, less bleeding, pain, shorter hospitalization time, gastrointestinal function recovery and postoperative incision pelvic adhesion, beautiful is widely applied in clinic. Laparoscopic techniques can not only doctored benign gynecologic and gynecological malignancy have achieved remarkable progress. Laparoscopic techniques in clinical widely applied in 10 gynecological diseases (uterine fibroids, ovarian tumor, benign teratomas, ectopic pregnancy, endometriosis, pelvic adhesion cause infertility), surgical methods have nearly 20 species (hysteromyoma resection, oviduct disadvantage stripping fallopian tube, eliminating the, ovarian cyst, pelvic adhesion release), etc. successfully completed its operations should not only have abdominal surgery doctors what specialized technology and perfect medical equipment, but also to the communication with the patient and family, enhance the understanding of laparoscopic surgery patients.Laparoscopic preoperative preparation (1) with the patient and family to talk, make its treatment technology and anesthesia laparoscopic have certain knowledge, introduces general surgery, preoperative, preoperative and postoperative attention, eliminate patients laparoscopic techniques for the fear, anxiety, make patient are fully prepared for. (2) vaginal prepared with open surgery, preoperative preparation, and pay special attention to the skin clean, lest fibre-optic umbilical plexus eye, celiac infection pollution. Preoperative fasting, preoperative half an hour, at the same time, muscle detaining urethral catheter 0.5 mg, lu atropine note that 0.1, and sent to the operating room mg. (3) evaluation according to the history and mental status, indications and contraindications strict control.Although the feasibility of laparoscopic surgery, safety and treatment effect has been most patients, but when laparoscopic surgery under difficult operation, and microscopically and operating space is limited, can replace completely open surgery. This article aims to explore laparoscopic surgery and open surgery in the clinical application of gynecological diseases, the advantages and disadvantages of the diagnosis and treatment of diseases of gynecology provide a more comprehensive, safe, accurate and small trauma treatments.Methods:the study selection March 2007-2010 February in dalian medical university hospital affiliated 2 obstetrics and gynecology hospital in dalian do the same gynecological surgery patients 155 patients for research object.155 patients, including two group used laparoscopic surgical treatment for 80 cases of laparoscopic group is the observation group, open surgery for the open group is 75 cases. Patients are benign lesions, married at times, with surgery, no significant difference. By general surgery. Laparoscopic surgery patients with tall head low. After the effect-acting anesthesia, regular disinfection and operation, first in umbilical round tip cut skin, insert needle biopsy, inject CO2 gas measured about 3L, internal pressure of 13mmHg after incision 1.1 cm insert, and then insert puncture casing laparoscopic observations. Finally in both McIntosh points respectively,1.1 cm puncture and 0.5 cm in operation on casing needle. Laparoscopic surgery procedures refer to specific learning< Practical gynecological endoscopic study>[1]and LiGuangYi[2]method [3]. Open surgery specific steps routine. Compare two operative time, on average, bleeding and postoperative hospital stay, average temperature, time, and postoperative recover gastrointestinal heating rate, the number, the application of antibiotics sedative, time, and healing of incision.Results:the mean hospital stay and contrast average temperature, and postoperative recovery time, gastrointestinal anus exhaust time, heating rate, the number, the application of antibiotics sedative, time, and incision healing observation and control group were significantly different.Conclusion:compared with traditional open surgery, laparoscopic surgery has small incision, less postoperative basin celiac adhesion, less bleeding, fewer complications, quick recovery, therapeutic effect etc, exactly can be used widely in gynecological disease diagnosis and treatment.