Health is a very fragile thing, because it is so easy to lose. Women's health must be constantly monitored. In the case of an inattentive attitude to seemingly small problems, such surgical intervention as a Manchester operation can become.
Women's Health Secrets
The body of a woman was created in order to give rise to a new life. Conception, bearing a child and his birth - this is the main area of his work. Unfortunately, absolutely all women in their lives are faced with diseases or developed pathologies of the reproductive system, which bring not only discomfort, but also a significant deterioration in the quality of life. In many cases, gynecologists during examinations reveal vaginal pathologies that require surgical intervention with the help of such a treatment method as the Manchester operation.
When is surgery indicated?
During a woman’s life, her reproductive system undergoes constant changes - from monthly menstruation to periods of hormonal adjustment. In addition, the life responsibilities that many women have to carry out leave their imprint on her health. One of the often diagnosed diseases is pelvic and vaginal prolapse. In the absence of the results of conservative treatment, a woman will have to undergo a surgical intervention, for example, such as the Manchester operation in gynecology. The postoperative period of this method of treating reproductive system problems will be another test for the female body.
Surgical intervention is indicated for women in many cases of disorders of the genitourinary system. First of all, these are neoplasms that have a local location. They are removed in order to preserve the functionality of nearby organs, then a histological examination of the seized material is carried out to determine its nature. If the tumor is malignant, then the woman will have to go through a course of additional therapy, which will be prescribed by the attending physician.
Manchester surgery in gynecology is one of the most effective ways to help women in solving the problems of the reproductive system while maintaining the possibility of conception, bearing and giving birth in the future. Naturally, pregnancy after such an intervention will have its own characteristics, and its course must be observed by a qualified specialist.
Unusual name for gynecological intervention
One of the methods of surgical treatment of gynecological problems is the Manchester operation. She received this name after the doctor who first used it in practice, Donald Manchester. It was in the late 80s of the 19th century. The invented surgical technique has been improved over decades and is now used in gynecological practice around the world, helping millions of women maintain their health and potential opportunity to experience the happiness of motherhood.
What is the essence of the intervention
The Manchester operation in gynecology has an official name: isthmic hysteropexy in combination with anterior colporaphia and colpoperineoraphy. To understand its essence, it is necessary to understand the terms that create its name.
So, the word "colporaphia" means a surgical intervention in which the walls of the vagina are sutured, with the specification of the "front", the area of application of the operation becomes clear - the front wall of the vagina is sutured. Colpoperineorephia is also a vaginal operation performed on the posterior wall of the organ together and perineum in order to restore the muscles of the pelvic floor. Hysteropexy is the type of uterus-related surgical intervention, as the name implies, because hystero (hystero) in Greek means the female reproductive organ - the uterus. And the second part of the term - "pexia" - comes from pexis, also an ancient Greek term for attachment. So it turns out that the word "hysteropexy" is the term for a surgical procedure designed to attach or strengthen the uterus. Well, the term "isthmic" means "belonging to the cervical canal."
Potential negative
Manchester surgery complications are quite problematic, which in case of occurrence will require not only long-term treatment, but also often repeated surgical intervention. It:
- Narrow and highly located vagina as a result of maximum excision of tissues. May cause discomfort during intercourse.
- Urinary peritonitis against the background of perforation of the bladder.
- Injury to the uterine artery or vessels of the cervix can cause severe bleeding, which will require additional surgical procedures.
- Perforation of the rectum.
- Infectious complication.
In the vast majority of cases, the occurrence of a particular complication after amputation of a part of the cervix and its strengthening depends only on the qualifications of the medical staff performing the operation itself, postoperative care for the patient, and the woman's compliance with all recommendations for the rehabilitation period.
Postoperative Duration
One of the surgical procedures that help women maintain their health is the Manchester operation. Complications after such an intervention determine the duration of the postoperative period. It is divided into two main stages (early and late), determined by many factors.
Helps women to return to the normal state of the genital organs through surgical procedures - Manchester operation. The postoperative period should be the beginning of recovery after the intervention to consolidate the result. The early period passes within 1-2 days, the late can last up to several weeks.
Condition after surgery
The question of most women who underwent a Manchester operation in gynecology: when can I sit? Indeed, surgical incisions in the perineum, vagina are quite painful. In addition, the scope of this type of treatment is mucous membranes, the cervix, which are rich in blood vessels, and therefore the state of the vascular system is fraught with the appearance of blood clots against the background of not only the intervention itself, but also the use of coagulants to prevent the development of bleeding. That is why, before the start of the operation itself and for two days, at least a woman must wear compression underwear, which helps keep the vessels in good shape. There are features of the state of the intestine in the period after surgery. Firstly, the patient must observe bed rest on the first day or two after surgery. Secondly, the area of intervention affects the large intestine. And even if there was no damage to it, it is necessary to help the body normalize the processes of movement of feces and their removal by natural emptying of the intestine.
The entire postoperative period for a woman who underwent surgery associated with the reproductive organs, it is necessary to observe certain restrictions in sexual activity.
Early rehabilitation period
The consequences of the Manchester operation are quite problematic if its conduct was associated with the characteristics of the patient’s body, with a certain lack of professionalism of medical workers, as well as non-observance of the recovery period by the woman herself. The early rehabilitation period lasts up to two days, during which a woman is shown strict bed rest. This type of intervention requires the use of special compression stockings, which the woman puts on before the operation and removes only after two days. This helps to normalize blood flow in the pelvic and lower extremities. This is also facilitated by such physiotherapy as variable pneumocompression, carried out with the help of special cuffs covering large parts of the body. Also, in the first two days the patient receives infusion therapy with certain drugs, which include anticoagulants, antiseptics or biologically significant substances, which are prescribed only by the attending physician.
During the Manchester operation, when do the sutures dissolve? Naturally, this process cannot occur in the first days after the intervention. The basis of early rehabilitation is anesthesia and restoration of the functionality of the pelvic organs.
Early Rehab Problems
The main task of the early and late postoperative periods is to prevent uterine prolapse after Manchester surgery, as well as the development of bleeding and inflammatory processes. But for the very first days of the recovery period, other features are also important. The female body must gain strength for recovery and quality rehabilitation. For this, bed rest, infusion therapy, and nutritional features that contribute to the normalization of intestinal function are used. Since it is impossible for a woman to carry out hygienic care of the perineum in the first postoperative days, antiseptic treatment is necessarily used. Inflammations are dangerous negative consequences of any surgical intervention, especially if it is carried out in such a delicate zone with a special microflora. It is necessary to adjust the diet in accordance with the surgery.
A woman is contraindicated in any tension of the muscles of the pelvis during the entire recovery period and even attempts to defecate in the first few days. Therefore, all dishes should contribute to the normalization of the digestive system. Food is cooked from easily digestible products by steam or boiled, all ingredients are rubbed through a sieve or blended to get a puree consistency, seasonings, especially spicy, carbonated drinks, coffee and strong tea, as well as vegetables that activate peristalsis, are excluded. Sweet desserts are contraindicated. The diet is strict in the first two to three days after surgery, then the diet is gradually replenished with new dishes.
Bed rest is canceled gradually, on the second or third day a woman is allowed to get up. Internal and external sutures are a feature of such a procedure as the Manchester operation in gynecology. When can I sit? The question of an individual decision, depending on the state of health of the woman. The ongoing course of anesthesia is gradually changing. If the first day or two are strong analgesics or narcotic drugs administered intravenously, then the injections are carried out intramuscularly only with painkillers with a gradual transfer of the patient to taking tablets of this group of drugs.
Late rehabilitation period
Any surgical intervention is stress for the body. Manchester operation is no exception. The postoperative period for the patient is divided into early and late, having their own characteristics. When the operation was successful, the third day is marked by the fact that the patient is prescribed daily douching, which helps to heal soft tissues and regenerate the vaginal mucosa. It is carried out by decoctions of herbs that have anti-inflammatory properties, for example, chamomile. But the choice of a medical solution for douching remains with the attending physician. Therapy with drugs that prevent the development of the inflammatory process and the formation of blood clots continues in the late recovery period, because varicose veins after Manchester surgery is one of the potential complications.
Pathology of the late period
The Manchester operation, the consequences can be quite negative if many conditions of quality intervention and the rules of rehabilitation were violated. In the late rehabilitation period, the following may occur:
- urinary incontinence;
- prolapse of the uterus or cervix;
- sensory disturbances during intercourse;
- bleeding due to open sutures;
- inflammatory processes.
In order to avoid these adverse effects, a woman must comply with the conditions of quality rehabilitation. In the late postoperative period, all appointments of the attending physician related to drug therapy, treatment with physiotherapy, the implementation of a course of therapeutic exercises, certain nutritional features, and compliance with the conditions of rehabilitation should be strictly observed.
Do I need gymnastics?
Some patients believe that therapeutic exercises can only help if the disease directly affects the musculoskeletal system. But any surgical intervention requires its own course of exercise therapy to normalize the work of all organs and systems affected by the operation. A set of physical exercises helps activate the muscular, lymphatic and vascular systems.
Urinary incontinence after Manchester surgery is a fairly common complication. It also helps prevent a specific course of therapeutic exercise. The most sparing, shown to be performed from the second day after the operation, are presented below:
- Lying on your back, stretch your arms along the torso. Then, at a calm pace while inhaling, raise your hands up, spread them apart. As you exhale, lower your arms along your torso.
- Lying on your back, arms are located along the torso. Then you should bend and unbend your arms in the elbow joints, while maintaining uniform, deep breathing.
- Lying on your back, arms are located along the torso. Squeeze and unclench the hands and at the same time bend and unbend the feet. The pace of this exercise should be fast enough.
- Lying on your back, arms along the torso. To bend alternately legs at the knees, in the rhythm of breathing.
- Lying on your back, arms are extended along the body, bend both legs at the same time as follows: while exhaling, bend your legs, while inhaling, straighten again, the pace of the exercise is slow.
- From a supine position, arms along the torso, raise both legs without bending them at the knees, at an angle of 45 0 , raise the legs on the exhale, lower it on the inhale.
- Sit on a chair, keep your back straight, bend your arms before your chest. Extend your arms to the sides on the inhale, return to the starting position on the exhale.
- Sit on a chair, lower your arms along the body, straighten your legs. Flatten and straight legs apart.
- Sitting on a chair, lower your arms down along your body. Feet put together. On the exhale, raise the bent legs up, on the inhale, lower them to the floor.
- Sit on a chair, put your hands on your waist. Imitate walking with your feet, raising your knees as high as possible.
The full range of exercises that the patient needs to perform in the postoperative period will be recommended by a physiotherapy specialist. Manchester surgery in gynecology will help a woman to restore the health of the reproductive system. Reviews of the women themselves who underwent such an intervention suggest that compliance with all the recommendations of specialists during the recovery period helps with quality rehabilitation in the shortest possible time.
Patient Reviews
Diseases of the reproductive system, uterus or cervix in particular cause a lot of problems for a woman. Some of these pathologies can be resolved with a surgical procedure called the Manchester operation. Reviews about it leave the patient quite controversial.
Some women who have had to undergo such an intervention consider it the only solution that the doctors suggested. For example, uterine prolapse is well eliminated by the Manchester operation in gynecology.
The postoperative period for absolutely all patients has become the most difficult, because the limitations of the usual rhythm of life are quite significant - bed rest and limitation of mobility, the small weight of objects that can be lifted by a woman for a long time. In some cases, such surgical intervention has to be transferred to women who have a young child who needs to be nursed and carried in her arms. But at the same time, patients note that a properly organized recovery period is able to return life to its usual course, and you need to get used to the limitations, come to terms with them and find an alternative to prohibitions.
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The opinion of experts
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Helps in rehabilitation and compliance with all doctor's recommendations for the recovery period. Those women who strictly perform their assignments are engaged in physiotherapy exercises and reasonably organize their life, restore health after surgery faster and without complications.