Definitive treatment of menorrhagia: When is surgery needed?

This is an automatically translated article.

The article was professionally consulted with Specialist Doctor II Tran Thi Mai Huong - Obstetrician and Gynecologist - Department of Obstetrics and Gynecology - Vinmec Hai Phong International General Hospital.
Menorrhagia can be a manifestation of many dangerous diseases such as uterine fibroids, polycystic ovaries, carcinoma, etc. In some cases, the doctor will prescribe a total hysterectomy. for the definitive treatment of menorrhagia. So when should surgery to treat menorrhagia?

1. How dangerous is menorrhagia?

Menorrhagia is a menstrual disorder lasting more than 7 days, the amount of blood lost during menstruation is more than 80ml. Menorrhagia can cause many adverse effects on women's health because excessive blood loss leads to anemia and is accompanied by many other uncomfortable symptoms such as abdominal pain, fatigue, dizziness, headache. , difficulty breathing,... Not only that, when the body's blood is lost a lot, dangerous bacteria will have conditions to invade the private area, causing inflammation and the formation of many gynecological diseases. In particular, menorrhagia is also a manifestation of a number of dangerous gynecological diseases such as uterine fibroids, polycystic ovaries, endometritis, the risk of infection, carcinoma,... If menorrhagia is not treated promptly, this phenomenon will lead to many other dangerous complications that seriously affect the health of women.

2. When to have menorrhagia surgery?


If the menorrhagia is only mild, the patient usually does not need to be treated or only alleviate the symptoms of anemia by adding iron to the body through food or taking iron tablets. In case of prolonged menorrhagia, a lot of blood, and ineffective medical treatment, doctors may prescribe laparoscopic total hysterectomy for the patient. Besides, if the cause of menorrhagia is due to uterine fibroids, tumors compressing other organs, causing many malignant complications, ... then the patient is also indicated for complete hysterectomy.

3. Laparoscopic total hysterectomy to treat menorrhagia at Vinmec Ha Long


Phẫu thuật nội soi cắt tử cung toàn phần tại Bệnh viện Đa khoa Quốc tế Vinmec
Phẫu thuật nội soi cắt tử cung toàn phần tại Bệnh viện Đa khoa Quốc tế Vinmec

Total hysterectomy is a highly effective and safe treatment for menorrhagia. Currently, Vinmec Ha Long International Hospital is implementing this technique for patients who are prescribed surgery to treat menorrhagia and many other gynecological diseases.
Applicable subjects include:
Patients with uterine fibroids; Large uterine fibroids, size > 12 weeks gestation; Uterine fibroids cause compression of other organs, causing many malignant complications, causing infertility. The tumor is located in the broad ligament. Endometrial hyperplasia has not been successful with endometrial therapy. Menorrhagia with internal treatment has not been effective. Cervical lesions: CIN II, CIN III, CIS. Endometrial cancer early stage After egg curettage indicated hysterectomy Advantages of the technique:
The advantage of laparoscopic total hysterectomy is to remove the entire tumor, solve thoroughly the source of menorrhagia. Not only that, laparoscopic total hysterectomy also brings many benefits to patients such as:
High aesthetics: laparoscopic surgery has almost no scars, only 3 holes of 0.5cm size are still open. open scar line up to 10cm long. Therefore, this technique helps patients not to have bad scars on the abdominal wall. Less pain after surgery: patients have less pain after surgery or only mild pain on the first day, while in open surgery, patients usually have pain for about 3-5 days. Fast recovery: after laparoscopic surgery, the patient can walk and eat normally the next day, so his health is restored quickly. Short hospital stay: on average, women undergoing laparoscopic total hysterectomy for menorrhagia only need to stay in hospital for 3 days. Meanwhile, if the surgery is open, the patient will need to stay in the hospital for at least 5-7 days. Less expensive: although the cost of laparoscopic surgery is higher than that of open surgery, the hospital stay is short, the drug is used less, and the recovery is quick, so the total treatment cost is not high. Doctor:
Doctor of CKII Bach Cam An: Over 40 years of experience in the field of obstetrics and gynecology. Doctor recognized by the Ministry of Home Affairs as Senior Doctor in 2008. Doctor CKII Bui Minh Phuc: Over 18 years working in the field of obstetrics and gynecology. Doctor Bui Minh Phuc proficiently performed basic and specialized techniques in the field of obstetrics and gynecology. Master, Doctor Nguyen Thanh Vinh: Has many years of experience in major hospitals such as Hue Central Hospital, Hue University Hospital of Medicine and Pharmacy and is the main doctor who practices medicine at Ha Ha Obstetrics and Gynecology Hospital. Interior. Dr. CKI Le Thi Phuong: Has 29 years of experience in obstetrics and gynecology, former head of obstetrics and gynecology department of Cam Pha Hospital and Bai Chay Hospital, Quang Ninh. Highly qualified doctor, successfully treated many difficult cases; Skilled in Obstetrics and Gynecology Surgery. Vinmec Ha Long International General Hospital has advantages such as: Modern equipment; Professional service; Team of experienced doctors in obstetrics and gynecology surgery; Vinmec Ha Long's Hybrid operating room is the most modern operating room system in the world today, integrating operating room and advanced imaging equipment (CT, MRI, ultrasound...) to help reduce surgery time and bring the best surgical effect for the patient, minimize the risk of hospital infections, complications during laparoscopic surgery to help patients less trauma, recover quickly, leave scars very small and especially the safety is very high compared to conventional open surgery... Vinmec Ha Long is a prestigious address in the treatment of gynecological pathology in general.

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