Manchester surgery to treat genital prolapse

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1. Brief about genital prolapse

Genital prolapse is a common pathology, often seen in patients who have given birth. This is a phenomenon in which the uterus descends into the vagina or prolapses outside the vulva, often accompanied by prolapse of the anterior vaginal wall and bladder or the posterior wall of the vagina and rectum. The disease is common in women who work hard, give birth many times, give birth unsafely, in the group of 40-50 years old and older. People who have never given birth can also have genital prolapse, but the incidence is lower and usually only cervical prolapse. The disease often has no physical symptoms, so the patient is only discovered when there is a prolapsed mass. The disease is not life-threatening but greatly affects the patient's daily life.

Treatment regimens for genital prolapse are aimed at supportive treatment, mitigating the effects caused by the disease or radically treating it with surgical methods. Medical treatment includes: Rehabilitation, vaginal lifting, use of estrogen supplements is indicated for patients who are too old, have chronic diseases or have no surgical conditions. Surgical treatment (surgery) is aimed at restoring the uterine support system, lifting the bladder, rebuilding the anterior-posterior vaginal wall, suturing the levator muscle, and reconstructing the perineum.
If the degree of genital prolapse is not severe, the use of a long-term lifting ring can improve the condition. In some cases, patients may experience unexpected complications such as: cervical erosion, ulcerative prolapse, difficulty urinating, urinary incontinence, urinary tract infection, difficult defecation, constipation,...

2. Overview of Manchester surgical methods for genital prolapse

2.1 Indications and contraindications Manchester surgery includes: Restoration of the anterior and posterior vaginal walls, with cervical amputation.
Indications for surgery for uterine prolapse:
Young women who still want to have children, have grade 2 genital prolapse; Older women with grade 2 genital prolapse but not eligible for Crossen surgery or total abdominal hysterectomy. Contraindications to uterine prolapse surgery:
Patients who are old and weak, not healthy enough or have serious medical diseases; People who have an infection of the genital tract; People with pelvic inflammatory disease, stick a lot in the pelvis. 2.2 Preparation for surgery Performer: Specialist doctor; Facilities: Vaginal hysterectomy kit, the patient is fully explained about the reason for the surgery, signed a written commitment for surgery, the patient lies in the gynecological position, under general anesthesia, and prepares medical records, performed in the operating room. 2.3 The process of performing Manchester surgery to treat genital prolapse Stage 1: Dilating the cervix with instruments; Stage 2: Incision and dissection of the mucosa of the anterior vaginal wall; Stage 3: Dissect the prolapsed bladder and push the bladder upward; Stage 4: Dissection of the posterior vaginal mucosa; Stage 5: Pair of cervical pedicle and lateral ligament; Stage 6: Cervical amputation; Stage 7: Covering the vaginal mucosa over the posterior cervical cerclage; Stage 8: Fix the cervical amputation process anteriorly and posteriorly with a Fothergill suture to secure the amputation in this position; then 9: Restoration of the cervical opening; Stage 10: Suture to restore the anterior vaginal wall; Then 11: Suture to restore the posterior vaginal wall. 2.4 Monitoring the patient's health after surgery Monitor the state of the whole body, special vital signs in the first 24 hours after Manchester surgery; Monitor the patient's vaginal bleeding and intra-abdominal bleeding; Monitor and care for bladder catheters; Hygiene: Use betadin solution or other antiseptic solutions to wipe the patient's vagina and perineum; Diet: Give the patient a liquid diet early and exercise soon after surgery to quickly recover health.

3. How to limit the risk of genital prolapse?

To prevent the risk of genital prolapse, women should pay attention to the following issues:
Planned birth, should only have 1 - 2 children; The ideal childbearing age is a woman aged 22 - 29 because at this time the body parts have not been degraded, so it is easy to recover; Not giving birth early or laying thick; Giving birth at reliable specialized facilities to be monitored by highly qualified doctors and treated promptly; Do not let labor take a long time, do not push for too long, perform procedures such as suturing the torn perineum after birth to ensure the correct indications and techniques; After giving birth, it is important to rest enough time for the pelvic muscles and ligaments to contract again. Absolutely do not work early before 3 months after giving birth, do not do hard and hard labor. If you have to do hard labor, you should only work again after 6 months of giving birth; Should regularly change positions to rest and relax when working; Early detection and treatment of chronic diseases that cause frequent increase in abdominal pressure such as long-term constipation, chronic cough because this is the cause of genital prolapse; Eat enough, live in moderation, exercise regularly according to the doctor's advice to strengthen the flexibility of the muscles and the muscles of the perineum. When being assigned to perform Manchester surgery to treat genital prolapse, the patient needs to absolutely follow the doctor's instructions to ensure the highest treatment effectiveness and avoid unpredictable complications.
Vinmec International General Hospital implements treatments for genital prolapse with outstanding advantages:
Experienced doctors in Obstetrics and Gynecology surgery. Modern equipment, high treatment efficiency. Professional services: Modern civilized disease prevention system, comprehensive care, meals, rest, exercise, health education, each room is equipped with amenities like a hotel apartment 5 stars, patient information is confidential. Hybrid operating room is the most modern operating room system in the world today, integrating operating room and advanced imaging equipment (CT scan, MRI, ultrasound...) to help reduce surgery time. and bring the best surgical effect to the patient. In anesthesia resuscitation, Vinmec adheres to anesthetic protocols, anesthesia safety guidelines, anesthesia checklists for 100% of surgeries to minimize incidents and unwanted effects.

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