There was once a hotly debated question in Zhihu, where a guy asked: “My girlfriend has surgical cuts on the left and right sides of her stomach and belly button. “
When I saw this question, I thought it would not get much attention, but the 10 million hits and hundreds of comments really surprised me. With a curious and gossipy mind, I opened the comment section and browsed through the comments one by one.
Some of the comments were sarcastic about the questioner, but many others speculated that the girl had had an abortion, a cesarean section, or a gynecological problem that required surgery due to a dirty private life. One girl even shared her own personal experience, and her mother’s exact words were, “A good girl with an operation on her stomach, how can she explain it later?
Some people’s comments not only show their ignorance, but also their ugly faces in between the lines.
Okay, let’s put the pressure on and talk about health in a calm manner~.
I. What kind of surgery was done for the “incision in the abdomen”?
First of all, the surgery performed by the questioner’s girlfriend is collectively known as “laparoscopic surgery”. Laparoscopic surgery is a minimally invasive procedure in which an eye is punched into the stomach to allow long instruments unique to laparoscopy to enter the abdominal cavity, through which the surgeon performs the surgery.
Laparoscopic surgery can be considered a very great invention in surgical procedures. Compared to traditional open surgery, laparoscopic surgery has smaller incisions in the abdomen, which not only reduces the pain of abdominal incisions, but also makes it more aesthetically pleasing.
The amazing thing about it is that although the abdominal incision is several times smaller, the surgical range inside the abdominal cavity is not actually reduced.
The first hole of the laparoscope is often chosen at the location of the navel, because the navel is a natural aperture of our body, and the wound of the navel is often invisible if the navel is not opened. The first hole of the laparoscope is designed to place the lens of the laparoscope inside the abdominal cavity, and then under the direction of the lens, the holes are punched on both sides of the abdominal wall in order to allow other surgical instruments to enter.
The exact location and number of perforations depends on the procedure, the content of the procedure, the difficulty of the procedure, and the personal habits of the surgeon.
For example, simple appendix, ovarian cysts, uterine fibroids, ectopic pregnancy, ruptured corpus luteum and other surgeries, in addition to the navel, often 1 to 2 holes can solve the problem; and more complex endometriosis lesion removal and even malignant tumor surgery, only 3 to 4 holes.
Laparoscopic surgery has been widely used in clinical practice and has even replaced most of the laparotomies to a certain extent. Nowadays, surgeons facing extremely difficult operations and some malignant tumors may often opt for open surgery.
Therefore, there are many surgeries that can be done for an eye on the stomach, and it is a very sensible and correct choice if you do suffer from a disease that requires surgery. No girl should be burdened with undue stress and misunderstanding because of a disease.
For those comments that maliciously speculate about others, please treat them as garbage and automatically ignore them.
Will it be obvious if I have had a miscarriage?
As I write this, I can’t help but think of the questions that many of my friends have asked, such as “Will the doctor be able to tell if I have an abortion or a medical abortion?
The doctor will not be able to tell if an abortion or a medical abortion has gone smoothly and normally, because the abortion or medical abortion will not bring any cosmetic changes to the uterus or cervix, so don’t listen to the rumor that the shape of the cervix will change after an abortion!
However, even if you want to conceal your medical history, your doctor may be able to infer the following if they occur.
Decreased or absent menstrual flow
Abortion surgery, and the occurrence of decreased or even disappeared menstrual flow after surgery may mean that the abortion surgery has destroyed the cervical canal or endometrial tissue and formed cervical canal adhesions or uterine adhesions. This abnormality may be detected by ultrasound.
In clinical practice, if a woman has had perfectly normal menstrual periods and then suddenly experiences a dramatic decrease in menstrual flow, it is often a good idea to consider whether or not she has recently had a surgical procedure performed on her uterus.
Of course, in addition to abortion and curettage, hysteroscopic surgery, tuberculosis of the female reproductive system, endometritis, endocrine dysfunction, and other conditions may also cause changes in menstrual flow.
Therefore, if you do experience a similar situation, be sure to be honest with your doctor, as we are the ones who end up delaying the process by concealing our condition.
Cervical Injuries
I once met a patient who wanted to have a TCT and HPV check of her cervix, but her cervical morphology was out of whack and looked very much like the appearance of having had cervical treatment. At first she denied the history of cervical treatment, but eventually, when pressed, told of a previous abortion at a private hospital.
It is possible that the private hospital’s practices were not standardized and caused damage to the cervix, but this is extremely rare and should not be a major concern.
Cervical or birth canal laceration
There is a type of induction of labor called a mid-term induction. The fetus will be significantly enlarged and will eventually need to be delivered in the same way as in the yin tract, which may result in lacerations of the cervix and birth canal as in a normal birth.
A little known fact: in women who have never given birth, the outer cervix is round; in women who have given birth, the outer cervix is shaped like a line.
In these three cases, the doctor will often ask if you have had an abortion before; otherwise, it is difficult for the doctor’s eyes alone to detect the abnormality.
Can I conceal my medical history?
In addition to the question of “will the abortion or medication be detected?”, the most frequently asked questions are “Can I not tell the doctor the history of previous miscarriages?” and “Will the doctor keep my medical records in the hospital? Will my partner see it? The first question is the same.
In response to the first question, the point of view is still the same: withholding medical history will delay treatment, and in the end, it is often your own health that is delayed.
For the second question, regarding medical records, hospitals have a strict case management system and doctors have their own professionalism, so there is no need to worry too much about privacy disclosure. If you are really worried, then it is recommended that you go in person when you make copies of your medical records.
The above is a wonderful moment to show your personal charm through the power of knowledge, criticizing ignorance and boringness, and tearing down rumors. We hope that this explanation will help you to answer your confusion.
I’d like to add that laparoscopic surgery is actually a very advanced surgical technique nowadays, with not only single-port laparoscopy, but also laparoscopic surgery from the yin tract.
A single-port laparoscopy is a procedure where only this part of the navel is perforated, and all the instruments enter the pelvic cavity from the navel to complete the entire operation. All the instruments enter the pelvic cavity from the navel to complete the entire operation. Because the navel is well hidden, the wound is often invisible.
So, don’t worry, doctors can make some simple surgeries as if they were a sac, without leaving a trace.
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