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asbryobvrz · Wysłany: Czw 7:19, 17 Mar 2011

Causes of complications of tubal ligation and Countermeasures

Ampulla; also be re-mentioned tube, fully exposed to light mention homeopathy,[link widoczny dla zalogowanych], straighten out the distortion of the fallopian tubes, re the next step. (3) to see if the fallopian tubes and other delicate fragility of the pathological state of adhesion, should follow the light, clever, fine principles fallopian tubes. 2.4.1 Analysis of bleeding 2.4 (1) blind pursuit of small incision, high speed, hasty operation, resulting in tissue damage during surgery for more. (2) intraoperative bleeding is not complete. (3) by the surgeon poor health, poor clotting function before surgery was not detected in clotting time. (4) the amount of bleeding during maternity. Recovery is poor, and some even showed anemia-like,[link widoczny dla zalogowanych], have not been timely corrected and treatment. Cases in this group, I cut cases in which subcutaneous fat when walking through the small arterial bleeding point only for conventional clamping of bleeding, without a suture treatment Erzhi bleeding. 1 case of postpartum recovery is poor, patients were anemia, coagulation decreased. 2.4.2 Preventive measures (1) should be carefully examined before surgery, a suspicious object on the physical differences should be detected clotting time, strictly control indications. (2) strictly abide by the rules, not the blind pursuit of speed, especially on the bleeding point bleeding point should be dubious artery ligation of bleeding, no bleeding before the confirmation to the next step]. (3) technical level, should attach great importance to every surgical procedure, when the focus into the abdominal subcutaneous fat layer of the bleeding point, blunt separation of the rectus abdominis should be a one-time place. Together when the layers of the abdomen was closed,[link widoczny dla zalogowanych], leaving no dead space, Do not suture closure before the rectus sheath. (4) fixed tube clamp should choose the avascular area of broad ligament, fallopian tube may damage the bottom of the vascular network. 2.5 Analysis 2.5.1 wound infection cases of wound infection in this information are rare. All cases were in the hospital operating room, with good sterile environment, surgical instruments were sterilized. Severe infection in 1 patient, the other end of the rejection of all lines, resulting in delayed wound healing, removal of line could soon end after the healing. The main reason is the lack of sterile women, some ideas, finger into the dressing within the itching, the concept of poor personal hygiene, perspiration, urine, milk stains, etc. inadvertently contaminated wound dressings. Strict preventive measures 2.5.2 operating room equipment sterilization measures to strengthen the concept of sterile medical guide patients to improve self-protection awareness and sterile concept,[link widoczny dla zalogowanych], there is rejection of the individual to consider using absorbable thread (its expensive , still not working) after conventional and rational use of antibiotics. 2.6 preoperative counseling of surgical quality Analysis 2.6.1 (1) by the majority of patients who lack medical knowledge and mental health knowledge, fear of surgery, such as pain, fear of the danger, fear of a hangover, for fear there complications, and even fear of sexual life, so there is a variety of physical and psychological reactions to occur and mental illness may be [. (2) health care because of language carelessly, to explain properly, long operation time, pain and other adverse stimuli, so that by the surgeon thought of doubt. (3) - Women account by patients who often have to withstand from family, society, environment concept behind the negative effects of fertility. 2.6.2 Preventive measures (]) through the amiable attitude of medical staff, in plain language, clearly fluent expression, patiently and carefully explained, won by the surgeon's understanding and trust, thereby eliminating the ideological concerns by the surgeon, happy to accept surgery. Therefore, the disabled blame, ridicule,[link widoczny dla zalogowanych], censure and other injuries language E53, should be symptomatic, suggesting that psychological counseling and treatment. (2), introduced in line with the essentials of operation. Such as avoiding tension, maintaining pleasant stay, learn how to do deep breathing and effective abdominal contraction action. To shorten the operation time, reduce the pain response. (3) while also concerned about the social environment of patients who have a profound impact, helping them to correctly understand themselves and society, a reasonable reconstruction of the emotional structure, enhance adaptive capacity to comprehensively improve the quality of operation. 【
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