If you have endometrial cancer, you must first undergo preoperative examinations before surgery, including routine surgical examinations, gynecological examinations, and tumor-related examinations, and then make good preoperative preparations. After that, the surgical method will be selected according to the condition, including sub-radical hysterectomy and radical hysterectomy, and monitoring work needs to be done after the operation. If women do not pay attention to the maintenance of their uterus, they are prone to uterine diseases, many of which are endometrial diseases. In severe cases, endometrial cancer may occur. This malignant tumor is very harmful. After the onset of the disease, it will cause adverse symptoms such as uterine bleeding. Only timely surgical treatment can improve the condition. So what are the surgical treatments for endometrial cancer? 1. Preoperative examination of endometrial cancer 1. Routine surgical examination <br/>Endometrial cancer patients should undergo routine surgical examinations before surgery, including routine blood and urine tests, blood biochemistry tests, and a full coagulation test. In addition, they should also undergo anti-HIV, anti-HCV and other tests. 2. Gynecological examination <br/>Gynecological examination is also one of the examination items that must be done before surgery, mainly including cervical cancer prevention smear and transvaginal gynecological color ultrasound examination. 3. Tumor-related examinations <br/>Tumor-related examinations are also very important before surgery, such as biopsy pathology examination and tumor marker examination. 2. Preoperative preparation for endometrial cancer <br/>Before surgery for endometrial cancer, the patient should undergo skin preparation and blood matching, as well as a penicillin skin test. The patient should fast and abstain from water for a period of time before the surgery. In the afternoon before the surgery, the patient can take oral dehydrating agents as prescribed by the doctor. An enema should be performed the night before the surgery, and a cleansing enema should also be performed before the surgery. In addition, vaginal filling and indwelling catheters should be performed. 3. Surgical options for endometrial cancer 1. Sub-radical hysterectomy <br/>Stage 1A and 1B endometrial cancer usually requires extrafascial hysterectomy or sub-radical hysterectomy and bilateral salpingo-oophorectomy. If the cancer cells of such patients are poorly differentiated or have special histological types, or if they are stage 1C patients, pelvic and para-aortic lymph node resection is required at the same time. 2. Radical hysterectomy <br/>If the endometrial cancer lesions are extensive, a radical hysterectomy and bilateral adnexectomy are usually required, as well as lymph node resection. 4. Postoperative monitoring of endometrial cancer <br/>After endometrial cancer surgery, changes in vital signs such as body temperature, pulse, and blood pressure should be monitored. At the same time, the drainage volume and properties of the drainage tube should be observed, as well as the exudation and healing of the wound. If there are any abnormalities, the doctor should be informed in time. The patient's intestinal peristalsis recovery also needs to be paid more attention. In addition, the retention time of the catheter needs to be determined according to the scope of the operation, and the problem of urinary retention should be always vigilant during the indwelling of the catheter. |