Is it good to remove uterine fibroids by open surgery?

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Usually, patients with uterine fibroids often have very developed fibroids that cause mucosal bleeding, causing pain for the patient. Therefore, surgery is needed to remove the uterine fibroids. Is abdominal fibroid removal surgery good?

1. Removal of uterine fibroids by open surgery

In order to completely remove the fibroids located in the patient's uterus, preserving the uterus and two appendages, the patient will be appointed by the doctor to have abdominal fibroid removal surgery.
If there is a fibroid in the patient's uterus, that fibroid will grow very quickly and cause pain. In case the fibroid grows, causing pain to the patient, if the fibroid degenerates and grows into the mucosa, causing bleeding, it will affect health.
So under what conditions is the patient prescribed by the doctor to have surgery to remove the uterine fibroids by incision?
Patient has clear fibrous nucleus, concentric fibromuscular layers, surrounded by loose, easy-to-separate tissues. However, there are not too many nuclei because dissection will cause bleeding; On the ultrasound image, it creates a clear border, different from the muscle organization; In cases where it is necessary to preserve fertility, caution should be exercised in the indication because it is possible to have a hysterectomy; The location of the fibroid is far from the uterine horn. After each surgical removal of uterine fibroids by incision, there is a high demand for postoperative care. On the part of the doctor, it is necessary to ensure that the blood clots in the vagina are clean, to avoid infection from the vagina up. As for the patient, should sit up early to avoid complications of thrombosis and infection, causing uterine adhesions and infertility in women. At the same time, the patient needs to especially monitor the menstrual cycle after surgery, if the return of menstruation is a sign of the balance of hormonal activity and the uterine lining returns to normal.
Although undesirable, complications are inevitable after every surgery. In hysterectomy, bleeding is the most common complication. The cause is due to the rough dissection, which tears the deep muscle layer, pulling the uterine lining, and the deep stitches puncture through the uterine lining. In this case, it is necessary to expand the uterine cavity and use sutures to suture the lining of the uterus.
So what is the way to overcome the accident? Use X-tips to stop bleeding either with temporary forceps or temporary gauze insertion. When bleeding is heavy, the prognosis is not to stop the bleeding, so a partial hysterectomy is required. Perforation of the fibroid dissection cavity communicates with the uterine cavity.

2. Where is safe surgery to remove uterine fibroids?

Vinmec Danang International General Hospital has advanced and modern open fibroid removal technique, bringing high efficiency in treatment and minimizing possible complications.
Vinmec Da Nang uses FullHD Gynecological Endoscopy System; Tumor grinder (removing the tumor through the endoscope, no need to make an incision along with the tumor); The success rate of laparoscopic surgery is up to 99%, reducing the rate of complications to the lowest possible: 0.05% in the intestine, 0.1% in the bladder, and 0.5 in the ureter. %.

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