Text/Yangcheng Evening News All Media Reporter Zhang Hua
Correspondent Lin Huifang
Photo/Visual China
Admission at 7:30 in the morning, surgery at 8:00, You can get out of bed and walk 2 hours after the operation, and you will be discharged from the hospital the next morning! Ms. Zheng did not expect this major gynecological operation to be done in one day!
According to the reporter’s understanding, Ms. Zheng, who is in her 40s, has been plagued by dysmenorrhea for many years, and her monthly period is so painful that she went to the hospital for treatment and was diagnosed with “adenomyosis”. According to doctors, this is a benign lesion caused by the invasion of the endometrium into the myometrium, which can cause symptoms such as dysmenorrhea, increased menstrual flow, and enlarged uterus. Although there is effective drug treatment, the effect is not satisfactory. She also thought about taking the doctor’s advice for surgery, but she has been unable to make up her mind. The current condition is worsening, which affects her daily life.
Ms. Zheng went to the gynecology department of Tianhe District, Guangdong Maternity and Child Health Hospital. After examination, the doctor found that her uterus was significantly enlarged, such as 2+ months of pregnancy Da, considering that Ms. Zheng’s drug treatment is ineffective, she has no plans to conceive again, and her current symptoms have seriously affected her quality of life, the doctor advised her to remove the uterus.
Complete hysterectomy is possible, which belongs to the fourth-level operation in gynecological surgery (the operation level can be divided into first-level, second-level, third-level, and fourth-level, and the difficulty is presented in a progressive relationship), that is, the operation difficulty coefficient is high. Surgery, if traditional methods are used, generally requires a week of hospitalization. After learning about Ms. Zheng and her family’s concerns about the long hospital stay for the operation and the unattended family, Director Luo Xiping of gynecology and her team decided to carry out the operation for her after detailed discussions based on Ms. Zheng’s condition and her own situation. “Day surgery” for total hysterectomy incorporating the concept of enhanced recovery surgery!
However, Ms. Zheng is slightly fat, and her uterus is enlarged like 2+ months of pregnancy. It is difficult to expose the visual field during the operation, which undoubtedly adds a lot of difficulty to the operation. However, after detailed evaluation and careful preparation during the perioperative period, coupled with the escort of an experienced day surgery team, in the end, this fourth-level surgery in the day mode was successfully completed! “After the operation, I can get out of bed in two hours. Early the next morning, I went through the discharge procedures accompanied by my family members. After the follow-up examination, I recovered very well.” Ms. Zheng said about the operation. Very satisfied.
Sun Xiaoli, Deputy Chief Physician of the Department of Gynecology of Guangdong Maternal and Child Health Hospital, introduced to reporters that the so-called day surgery refers to the operation on the day of admission and discharge on the same day or the next day, and the planned hospitalization is completed within 24 hours. , surgery, short observation and discharge after a surgical mode. This operation mode can greatly shorten the time of consultation and hospitalization, promote the rapid recovery of patients after surgery, save hospitalization costs, and at the same time facilitate the patients, and also make medical resources more rational and efficient use! Especially during the normalized prevention and control of the epidemic, day surgery can also reduce the time that patients and their families stay in the hospital, and to a certain extent, reduce the risk of nosocomial infection.
However, the entry criteria are also high to be eligible for day surgery. Sun Xiaoli said, “Day surgery requires a strong surgical team, including professional surgery, anesthesia and nursing teams, etc., to ensure safe surgery and adequate postoperative follow-up.”