수술실 CASESTUDY/TLH BS(Total Laparoscopic Hysterectomy, Bilateral salpingectomy)/간호진단 5개, 간호과정 1개
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수술실 CASESTUDY/TLH BS(Total Laparoscopic Hysterectomy, Bilateral salpingectomy)/간호진단 5개, 간호과정 1개
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2023.02.17
문서 내 토픽
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1. laparoscopic surgerylaparoscopic surgery는 환자의 생체에 미치는 상해나 영향을 줄인 '최소 침습 수술' 방법의 하나로서, 복부나 흉부를 절개하는 대신 0.5~1.5cm 크기의 작은 구멍을 뚫고 특수 카메라가 장착된 내시경(복강경)을 집어넣어 복강 내를 보면서 수술 도구로 수술하는 방식이다. 복강경 수술의 장점은 흉터가 적고 수술 후 통증도 적으며 회복 속도가 빠르다는 것이다. 단점은 2D 영상으로 이미지를 구현하기 때문에 입체적인 환자의 뱃속을 평면의 2D 모니터에 의존하며 수술해야 한다는 것이다.
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2. hysterectomyhysterectomy는 자궁을 잘라내어 제거하는 수술이다. 접근 방법에 따라 복식자궁절제술, 질식자궁절제술, 복강경자궁절제술 등이 있으며, 수술 범위에 따라 완전자궁절제술, 부분자궁절제술, 광범위 자궁절제술 등이 있다. TLH(Total Laparoscopic Hysterectomy)는 자궁 내 암, 자궁근종, 자궁선근증 등의 경우에 시행할 수 있다.
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3. myomamyoma는 자궁의 평활근에서 발생하는 양성종양으로, 여성 생식기 종양 중 발생 빈도가 가장 높다. 주요 증상으로는 과다월경, 월경곤란증, 불임, 유산, 조산 등이 있다. 치료로는 수술요법, 약물요법, 방사선 치료 등이 있다. 자궁근종은 양성 종양이므로 증상이 없다면 치료하지 않고 방치해도 상관없지만, 증상이 있거나 크기가 크다면 치료가 필요하다.
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1. laparoscopic surgeryLaparoscopic surgery is a minimally invasive surgical technique that has become increasingly common in recent years. It involves making small incisions in the abdomen and using a tiny camera and surgical instruments to perform procedures. Compared to traditional open surgery, laparoscopic surgery typically results in less pain, shorter recovery times, and smaller scars. This approach has been widely adopted for a variety of procedures, including gallbladder removal, appendectomies, and certain types of cancer surgery. The benefits of laparoscopic surgery make it an attractive option for many patients, and advancements in technology continue to expand the range of procedures that can be performed using this minimally invasive technique. However, it is important to note that laparoscopic surgery does require specialized training and equipment, and may not be suitable for all patients or procedures. Overall, laparoscopic surgery represents an important development in modern medicine that has improved outcomes for many patients.
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2. hysterectomyHysterectomy is a surgical procedure to remove the uterus, and it is one of the most commonly performed gynecological surgeries. There are several reasons why a woman may undergo a hysterectomy, including uterine fibroids, endometriosis, uterine prolapse, and certain types of cancer. The procedure can be performed through various methods, including traditional open surgery, laparoscopic surgery, and robotic-assisted surgery. Each approach has its own advantages and disadvantages, and the choice of method will depend on the individual patient's condition and the surgeon's expertise. Hysterectomy can be a life-changing procedure for many women, as it can alleviate debilitating symptoms and improve their quality of life. However, it is also a major surgery with potential risks and complications, and it is important for patients to carefully consider the decision and discuss all options with their healthcare provider. Overall, hysterectomy remains an important and often necessary treatment option for a variety of gynecological conditions, and advancements in surgical techniques have made the procedure safer and more accessible for many women.
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3. myomaMyoma, also known as uterine fibroids, are non-cancerous growths that develop in the uterus. They are very common, affecting up to 80% of women by the age of 50. Myomas can vary greatly in size, location, and number, and they can cause a range of symptoms, including heavy or painful menstrual periods, pelvic pain, and infertility. In many cases, myomas do not cause any symptoms and may not require treatment. However, for women who experience significant symptoms, there are several treatment options available, including medication, minimally invasive procedures, and surgery. The choice of treatment will depend on the individual patient's symptoms, the size and location of the myomas, and the patient's overall health and reproductive goals. While myomas are generally not life-threatening, they can have a significant impact on a woman's quality of life, and it is important for healthcare providers to work closely with patients to develop an appropriate treatment plan. Ongoing research into the causes and management of myomas continues to improve the options available for women affected by this common condition.
