Can ovaries be preserved after cervical cancer surgery? What are the postoperative nursing methods for cervical cancer

Cervical cancer metastasis is very rare, directly infiltrating the parauterine ligaments, vagina or lymphatic tract. If the patient is young or premenopausal, one or both normal ovaries should be kept. This can not only achieve a thorough treatment, but also maintain the patient's ovarian secretion function as much as possible.

Can cervical cancer surgery preserve the ovaries?

In recent years, some countries have found that the incidence of cervical cancer in young women has been on the rise, especially in the 20-24 and 25-29 age groups. So, can these young women retain their ovaries during cervical cancer surgery?

Cervical cancer metastasis is very rare, directly infiltrating the parauterine ligaments, vagina or lymphatic tract. If the patient is young or premenopausal, one or both normal ovaries should be kept. This can not only achieve a thorough treatment, but also maintain the patient's ovarian secretion function as much as possible.

Which cervical cancers are suitable for surgical treatment?

Early clinical indications for surgery. Cervical carcinoma in situ can be treated with total hysterectomy, especially for middle-aged and elderly patients with cervical intraepithelial neoplasia III who do not have fertility requirements. For young patients who need to maintain fertility, cervical conization or cervical loop electrosurgical excision can be performed, and close follow-up should be performed after surgery.

Patients with stage Ia-IIa invasive cervical cancer are suitable for surgical treatment, but due to the large scope of surgery for gynecological malignancies, the operation time is long. The anesthesia surface is wide, the bleeding is relatively more, and the infusion volume is large. The patient needs to be basically normal before the operation, such as no severe anemia, normal liver, kidney, and lung function. It is estimated that the patient can withstand the operation and recover after the operation. Otherwise, the above adverse conditions need to be corrected and improved before the operation. The older the age, the worse the physical condition, and the presence of cardiovascular and cerebrovascular diseases, the fewer surgical indications there are. However, due to the rapid development of anesthesia, monitoring, blood transfusion, and infusion technology, patients with cervical cancer over 70 years old can still choose surgery based on systemic tolerance.

Surgery is also suitable for pregnant patients. In the early and mid-term of pregnancy, extensive hysterectomy does not increase surgical complications. Surgery can be performed for patients with cervical stump cancer, cervical cancer with vaginal stenosis, and cervical cancer patients who are not suitable for radiotherapy. In addition, the patient's psychological state and understanding of the operation are also very important for determining the operation. If the patient is very afraid of surgery, has an incorrect understanding of the operation, and is uncooperative, such as possible intestinal resection, intestinal fistula, the doctor cannot perform the operation.

Postoperative care for patients with cervical cancer

1. Keep the ward environment quiet and the air fresh. Before anesthesia, the patient lies flat on a pillow with the head tilted to one side, keeps the airway open, and pays attention to safety to prevent falling out of bed and getting injured due to restlessness. This is an issue that should be paid special attention to in postoperative care for cervical cancer.

2. Nursing of body position After surgery, patients can be given a suitable lying position according to the needs of their condition. Except for minor operations, after spinal anesthesia, patients lie flat without pillows for 6 hours, and can change to a semi-recumbent position after vital signs stabilize. This position allows the diaphragm to drop to a normal position, which is conducive to ventilation and drainage. Patients who have undergone total lung resection are only allowed to lie down, and avoid full lateral position to avoid excessive displacement of the mediastinum and cardiovascular distortion causing shock. It is forbidden to lie on the non-operative side to avoid compression of the only lung, resulting in severe hypoxia. Patients undergoing orthopedic limb surgery often have to raise the affected limb to promote blood circulation. After cranial surgery, taking a head-high and foot-low position is conducive to venous return in the head and prevents increased intracranial pressure and cerebral edema. After thyroid surgery, a semi-recumbent position should be taken to prevent serious complications such as suffocation caused by cervical hematoma compressing the trachea. After laryngeal reconstruction or tracheoplasty, the head needs to be fixed in a forward position of 25°-30° to reduce the tension of the anastomosis. In short, help patients conscientiously follow the posture required by the doctor.

3. Nursing of drainage tubes Radical tumor surgery has a wide range of resection, and patients often need to place various drainage tubes after surgery, which is necessary to monitor the condition. Such as chest tubes after esophageal cancer and lung cancer resection, rubber roll drainage after colorectal cancer, etc. Medical staff can observe the drainage flow, color and quality of drainage fluid through the drainage tube, understand the exudation and bleeding in the body, keep the drainage tube unobstructed, and pay attention to protecting the drainage tube from twisting, falling off, pressure, and contamination.