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The Application of Chitosan in the Prevention of Vaginal Hysterectomy Clinical Care of Postoperative Adhesions

YU Ding-feng,Lin Liang-di,WEI Xiao-yan Bstetricsand Gynecology Department of People' Hospital in Lechang City,Lechang,512200,Guangdong Province  
Objective To investigate the clinical value of chitosan on the prevention of intestinal adhesions and pelvic adhesions after vaginal hysterectomy.Methods In our hospital from January 2009 to December 2011,180 cases of vaginal hysterectomy(VTH) patients were randomly divided into control group and experimental group,with 90 cases in each group.Control group used usual care,including routine examination in the preoperative,intraoperative anesthesia and surgery with postoperative observation of vital signs,but without taking any measures to prevent adhesions;while experimental group added care to improve the preoperative,postoperative quality of care and preventive measures,postoperative medical chitosan applied to the surgical wound surface and surrounding abdominal organs,then observing postoperative intestinal adhesion and pelvic adhesions in both groups.Results 90 patients in the experimental group patients were followed up for 6 months,no case of adhesive intestinal obstruction,postoperative lumbosacral pain,abdominal pain,bloating and other symptoms appearing and decreasing significantly(P0.05).Conclusion Prevention of vaginal hysterectomy complications of postoperative intestinal adhesion and pelvic adhesions in gynecological vaginal hysterectomy by improving preoperative,postoperative quality of care and preventive measures,intraoperative application of medical chitosan can effectively reduce the occurrence of complications of postoperative intestinal adhesion and peritoneal adhesions,to promote the rehabilitation of patients,and it is worthy to promote the use of vaginal surgery.
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