Author:Sa Jie (Attending Physician of Obstetrics and Gynecology)
In fact, sometimes obstetricians and gynecologists are not only friends of women, some men sometimes turn to Sister Sa, and some men who love to learn will really learn some gynecological knowledge for their girlfriends.
Sister Sa thinks that as long as learning is not to move any crooked eyes, it is a good thing and is worthy of affirmation. But if you go to learn for some small abacus, it will make people feel a little uncomfortable.
For example, the problem that Sajie saw on Zhihu a few days ago:
In fact, this question is not difficult to answer, some people with medical knowledge know what this is doing at a glance, but the owner of the question does not understand ah, they suspect that their girlfriend has any bad experience.
Sister Sa also really encountered such a situation, once a man holding a mobile phone, photographed the three scars on his girlfriend's stomach, and said to me:
"Doctor, I suspect my girlfriend has had an abortion before!" Although I would like to shake his wit and tell him that your girlfriend is a heavenly immortal, and these three scars are the marks left after the fierce battle with the sea king and being stabbed by the trident, but think about it, such a person is not worth my waste of time in this vernacular.
First, what should these three scars be?
One of the most common laparoscopes in our modern medical minimally invasive surgery is the laparoscopic scar.
In ancient times, there was a demon mirror, and now there is a hysteroscopy, which can help people identify demons, and uterine laparoscopy can make it a reality to treat diseases without opening the stomach.
Hysteroscopy enters the uterine cavity, there is no need to punch the eye in the abdomen, only need to apply the expansion of the uterine media to expand the uterine cavity. Laparoscopy is different.
It is a laparoscope illuminated by a cold light source that is inserted into the abdominal cavity through the abdominal wall, and the camera system that is connected to it displays the pelvis and the organs in the abdominal cavity on the monitoring screen.
Depending on the purpose, the examination of the diagnosed disease only through the video screen becomes a diagnostic laparoscope, with the purpose of diagnosing the disease. Surgical instruments that enter the pelvic abdominal cavity are manipulated outside the body and surgically treated for the disease, which is called surgical laparoscopy.
Laparoscopy is not a new thing now, with the continuous update of equipment and instruments, the scope of laparoscopic surgery is also expanding, such as appendicitis excision of the appendix, cholecystitis excision of gallbladder, as well as liver, intestinal diseases, but also have a wide range of applications.
Of course, in gynecology, laparoscopic application is also very common, the International Union of Obstetrics and Gynecology FIGO has proposed that in the 21st century, more than 60% of gynecological surgeries should be completed endoscopically.
Image source: Stand Cool Helo
Second, so what can laparoscopy be used in gynecology?
Diagnostic laparoscopy can be used to diagnose:
Endometriosis. Laparoscopy is also currently the most accurate diagnosis of endometriosis.
Clarify the nature of the pelvic-abdominal mass.
Identify the cause of unexplained acute and chronic abdominal and pelvic pain.
Look for the cause of infertility and identify or eliminate pelvic disease that is causing infertility.
Diagnosis of family planning complications, such as IUD perforation, ectopic aspiration and removal.
Surgical laparoscopy can be used to:
There are indications for performing transabdominal surgery for various benign gynecological disorders, such as ovarian cysts.
Early endometrial cancer staging surgery and early cervical cancer radical resection.
Peritoneal lymph node sampling after chemotherapy and radiotherapy for intermediate and advanced cervical cancer.
Birth control surgery, as well as ectopic IUD aspiration and removal.
Compared with traditional surgery, the biggest advantage of laparoscopy is that the operation only needs to "punch the eye", rather than directly pulling open a large opening. If traditional surgery is compared to tearing down a wall, then laparoscopic surgery is to nail several nails in the wall, and it is self-evident which one has less damage to the wall.
Laparoscopic surgery generally only needs to cut the skin according to the sheath of the cannula needle about one centimeter, as long as the incision puncture is successful, the laparoscopic self-cannula needle sheath enters the abdominal cavity, do a good job of inflating the abdomen, open the cold light source, you can see the situation in the pelvic abdominal cavity.
According to the specific surgical requirements, select the puncture points in different parts of the lower abdomen and insert the necessary instruments for operation, which is the origin of those points on the stomach.
Traditional surgery requires direct surgery and full exposure of the field of vision, although this surgical method has a long history and mature technology, but it also means that the surgical incision and suturing process will bring greater risk and damage.
The emergence of laparoscopy has achieved a more perfect unity of the effect of curing the disease and the trauma of the abdomen. The postoperative trauma is small, the time is short, the patient recovers quickly, the pain is small, the treatment effect is good and the scar is small, what is not satisfied? So let's get back to the point, girlfriend on the stomach, what exactly is this scar?
The correct answer should be, laparoscopy.
But what does laparoscopy represent?
Represents appendicitis surgery, cholecystitis surgery, such as excision of the appendix, removal of ovarian cysts, resection of endometriosis lesions, as well as opening the window of liver cysts, resection of colon tumors, esophageal hiatal hernia repair gastric folding, can also be repaired extra-abdominal hernia, gastrointestinal leiomyoma removal, gastrointestinal cancer, gastrointestinal perforation repair, adhesion intestinal obstruction release, and even splenectomy with hypersplenaticism can be surgically treated.
But I don't think these will be the answers that men who come to counsel with their girlfriends' scars want to know.
Then in fact, there is another one, that is, ectopic pregnancy. However, just by virtue of these few scars, you can imagine that the girlfriend should have been ectopic pregnancy or even had an abortion, this dark and narrow little human heart, is it really suitable for having a girlfriend?
If two people are already boyfriend and girlfriend or even partners, then if you have any questions about each other, the first thing you think of is not to communicate with each other well, but to be suspicious of ghosts, collect evidence, just to prove the suspicion in your subconscious, is it really afraid that the other party is angry and dare not ask?
Sister Sa has also met more than once a man who has come to consult with a B super single:
"Doctor, is there any way to see if my girlfriend has had a miscarriage before?" Can this B super see it? Can you find out with a blood draw?"
In this case, Sajie will generally tell him, sorry, B ultrasound can not see it, there is no way to draw blood can be found out, unless your girlfriend is now pregnant. And about these questions, since you have questions about this, you can ask your girlfriend directly!
"I don't believe what my girlfriend says!" What if my girlfriend cheats on me? What if you don't tell the truth?"
At this time, Sister Sa really endured, and then told them:
"I'm sorry, but the doctor can't do anything about it, because the doctor can't control other people from telling or not telling lies."
In fact, in the depths of Sister Sa's heart, I really want to say:
For their partner's past, the degree of acceptance is different for everyone, we should understand, do not act to force, but direct communication, Sa jie believes that this is not only respect for the other party, but also to avoid unnecessary excessive suspicion and quarrels.
If you don't even have this bit of trust, then why be together? Just divide it, don't find yourself unhappy!
At the same time, the most important thing is to quickly release other people's girls, don't delay others!
* This article is reprinted with permission from the WeChat public account Doctor Girl Zhengchuan.