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02 January 2022, Volume 38 Issue 1 Previous Issue    Next Issue

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Several issues that need attention in quality control of surgical treatment for cervical cancer. CHEN Chun-lin, LI Zhi-qiang 2022, 38(1): 22-24.  DOI: 10.19538/j.fk2022010106 Abstract ( )   Abdominal radical hysterectomy plus bilateral pelvic lymph node dissection with（or without）para-aortic lymph node dissection is the standard surgery for early cervical cancer.In cervical cancer surgery it is needed to pay attention to the surgical approach，the surgical resection range of parametrium, the control of complications，the standardization of adjuvant treatment，specimen observation and anatomy as well as enhanced recovery after surgery.

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Quality control of surgery for endometrial cancer. ZHANG Qing-quan, WANG Shi-jun 2022, 38(1): 25-27.  DOI: 10.19538/j.fk2022010107 Abstract ( )   Endometrial cancer is a common malignant tumor in gynecology. Surgical treatment is an important treatment for patients with endometrial cancer. To ensure the effect of surgical treatment and improve the prognosis of patients，strict surgical quality control standards need to be formulated. The quality of endometrial cancer surgery involves preoperative diagnosis and evaluation，selection of surgical methods and determination of the scope of surgery, principles of tumor-free surgery，postoperative pathological diagnosis as well as molecular classification and surgeon training and qualifications. Based on domestic and foreign researches，the key points are clarified，and clear and feasible quality control standards are summarized.

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Quality control of surgery for ovarian cancer.  CAO Dong-yan, XIANG Yang 2022, 38(1): 29-32.  DOI: 10.19538/j.fk2022010108 Abstract ( )   Cyto-reductive surgery is the most important therapeutic option for patients with ovarian cancer. The goal of surgery is to achieve RO resection，which means thorough resection of both primary and metastatic tumors. High-quality surgery performed by gynecological oncologists is essential to improving the prognosis of patients with ovarian cancer and their survival.  The quality control of cyto-reductive surgery includes （1）professional preoperative evaluation and decision-making；（2）high-level professional surgical procedures；（3）postoperation standardized histological examinations and reports. Multi-disciplinary team co-operation plays an essential role in the surgical management of ovarian cancer.

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Quality control of laparoscopic myomectomy.  LIANG Jing, LING Bin 2022, 38(1): 32-36.  DOI: 10.19538/j.fk2022010109 Abstract ( )   The trend of medical development is inevitably shifting from tremendous to minimal invasiveness. Minimally invasive surgery represented by laparoscopy is a milestone in the development of modern medicine. Laparoscopic surgery is instrument- and technology-dependent surgery，and the surgical quality can directly affect the curative effect on patients. In the historical critical period of the wide-ranging and rapid transition from traditional open surgery to laparoscopy，it is necessary to have more objective，scientific and comprehensive understanding about the advantages and disadvantages of laparoscopy. Therefore，it is of great significance to establish a corresponding medical quality evaluation system and strengthen medical quality control.It is an important approach to establish and perfect the quality evaluation system to assess and continuously improve the existing methods and measures and sum up the experience and lessons of medical practice，which is risen to the level of theory and management system and then put into practice for verification and perfection. This article summarized the related quality control indexes，analyzed the structural indexes of medical hardware facilities，the procedural indexes of medical management system and procedures，and the outcome indexes of clinical practice techniques，and generalized the surgical quality control standards of laparoscopic myomectomy.

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Quality control of uterine cavity reconstruction for intrauterine adhesion.  DUAN Hua, GAN Lu 2022, 38(1): 36-40.  DOI: 10.19538/j.fk2022010110 Abstract ( )   Intrauterine adhesion（IUA）is caused by endometrial basal layer injury，seriously affecting the reproductive function and physiological health of female patients.With the popularization of uterine cavity reconstruction，the diagnosis rate and treatment effect of IUA have been significantly improved. Hysteroscopy can show the degree and nature of adhesion formation and make it possible to carry out quantitative staging under direct vision. Hysteroscopy adhesionlysis is regarded as the gold standard method for the treatment of intrauterine adhesion，which significantly improves the surgical efficacy and fertility outcomes of patients. However，contrary to the reality，there are still many problems in the clinical implementation of IUA reconstruction surgery. Hospitals of different levels and the surgeons have different outcomes for the treatment，resulting in repeated postoperative adhesions and operations，which seriously affects the overall effect of the treatment of IUA. Therefore，it is very important to establish the quality control system and strengthen the quality standard of IUA surgery for further improving the diagnosis and treatment level of uterine cavity adhesion in gynecology clinic. In accordance with the requirements of the Chinese Expert Consensus on the Clinical Diagnosis and Treatment of Uterine Adhesions，the core content of surgical quality control is to follow evidence-based medical evidence，implement standardized operation and refine perioperative management.

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Surgical quality control of adenomyomectomy.  XU Ping, ZHANG Xin-mei. 2022, 38(1): 40-44.  DOI: 10.19538/j.fk2022010111 Abstract ( )   Adenomyosis is a common disease in women of reproductive age. It causes excessive menstruation，severe dysmenorrhea and infertility，which has a serious impact on the physical and mental health of patients. Nowadays，women's demand for fertility and uterus preservation is becoming stronger and stronger. For women with poor drug treatment effect or who still have fertility requirements，adenomyomectomy has become the first choice instead of hysterectomy. From the aspects of preoperative evaluation，preoperative quality control，surgical indications，intraoperative quality control and postoperative quality control，this paper puts forward the whole-process surgical quality control standard and standardized management process of adenomyometomy，and puts forward the recommended quality control check form，so as to achieve the goal of homogenization and optimization in the management of disease and operation.

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Quality control of laparoscopic ovarian endometriosis cystectomy. LU An-wei, ZHOU Li, YIN Mi-nuo 2022, 38(1): 44-47.  DOI: 10.19538/j.fk2022010112 Abstract ( )   Laparoscopic ovarian endometriosis cystectomy is the first-choice procedure for the surgical treatment of endometriosis cyst. The loss of normal ovarian tissue and the use of energy instruments during operation may lead to the reduction of ovarian reserve and，in severe cases，premature ovarian failure. Therefore，in laparoscopic endometriosis cystectomy，the cysts should be radically removed and energy instruments should be used rationally，in order that normal ovarian tissue can be retained as much as possible to protect normal ovarian function and to reduce the damage to ovarian function.

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Quality control of tubal pregnancy surgery.  HAN Lu, SUN Dan, QIU Ming-yao 2022, 38(1): 47-51.  DOI: 10.19538/j.fk2022010113 Abstract ( )   Tubal pregnancy surgery is a relatively basic operation in the field of gynecology. Secondary medical institutions and doctors with the title of attending physician are qualified to perform the operation. The recipients are mostly young women with fertility requirements. The establishment of a quality control system for tubal pregnancy surgery，the strengthening of quality control standards for tubal pregnancy surgery in terms of the mastery of surgical indications，the selection of surgical routes and surgical methods，postoperative pathological diagnosis and postoperative follow-up，and the standardization of surgical techniques will help improve the level of surgical treatment for tubal pregnancy in China.

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Quality control of artery embolization for uterine myoma and adenomyosis. WANG Shao-guang, CHEN Yong-hua 2022, 38(1): 51-55.  DOI: 10.19538/j.fk2022010114 Abstract ( )   Quality control of artery embolization for uterine myoma and adenomyosis includes preoperative diagnosis，clinical symptom evaluation，mastering of surgical indications and contradictions surgical skills，postoperative assessment of effects，complication managements，follow-up and many other aspects. Each aspect needs to have clear quality standards and meet the principle of general application，therefore，we can establish a fine management system of standard clinical pathway.