Patient's question:
Patient Gender: Does uterine perforation require hysterectomy?Patient Age: Does uterine perforation require hysterectomy?
Main Symptoms: Does uterine perforation require hysterectomy?
Onset Time: Does uterine perforation require hysterectomy?
Laboratory Test Results: Does uterine perforation require hysterectomy?
Previous Treatment and Effect: Does uterine perforation require hysterectomy...
Doctor's answer:
Symptoms of uterine perforation:1. Sudden lower abdominal pain during uterine surgery.
2. The depth of the instrument entering the uterine cavity is significantly greater than the estimated depth during examination, with no resistance and no sensation of uterine wall resistance.
3. Lower abdominal tenderness and rebound tenderness.
4. If the perforation damages major blood vessels, typical signs of internal bleeding may appear within a short time, leading to rapid shock.
5. Adnexal mass: If the perforation extends from the isthmus into the broad ligament and damages blood vessels, a hematoma may form within the broad ligament.
Diagnostic criteria:
1. The patient suddenly feels lower abdominal pain and abdominal tenderness with rebound tenderness during surgery.
2. The surgeon suddenly feels a loss of uterine wall resistance, a sense of "bottomlessness," and the instrument entering the uterine cavity far exceeds the actual depth.
3. If fat tissue or intestinal loops are expelled, the diagnosis is confirmed.
Treatment for uterine perforation:
1. Conservative treatment: Hospitalization for close observation. If the uterine cavity has been cleared and there are no signs of internal bleeding, uterine contractions and antibiotics can be administered. If the uterine cavity has not been fully suctioned, the perforation is small, there is no significant internal bleeding, and the patient's condition is stable, an experienced doctor may perform suctioning while avoiding the perforation site.