The curative effect analysis and nursing measures of the transvaginal myomectomy and transabdominal myomectomy

Abstract

To analyze the curative effects of the transvaginal myomectomy (TVM) and the traditional transabdominal myomectomy (TAM). The group with traditional TAM received routine preoperative nursing guidance and postoperative care. While the group with TVM received preoperative strengthened psychological care, vaginal preparation and postoperative strengthened vagina nursing, paying attention to the prevention and treatment of complications, and maintaining effective pelvic draining and other nursing measures. After that, the statistical processing and analysis were used to compared the intraoperative blood loss, operating time, postoperative infusion time, hospitalization time, postoperative eating, postoperative ambulation, the usage rate of postoperative analgesic, postoperative morbidity and postoperative complications between the two groups Comparison between TVM group and TAM group showed that the difference of the operating time, postoperative infusion time, hospitalization time, postoperative eating, postoperative ambulation, the usage rate of postoperative analgesic, postoperative morbidity and postoperative complications between the two groups were statistically significant (P<0.05). While the difference of intraoperative blood loss between the two groups were not statistically significant (P>0.05). The operating time in TVM group was shorter than TAM group; the postoperative eating, postoperative ambulation were earlier than the TAM group; the duration of postoperative transfusion and hospitalization in TVM were shorter than the TVM group; and the usage rate of postoperative analgesic and postoperative morbidity and complications in TVM group were less than the TAM group. TVM have the advantages of minimal invasion, quick recovery, less pain, shorter hospitalization duration and notable curative effect etc. Strengthening nursing care is the key to the success of treatment.