Laparoscopic hysterectomy helps to preserve the uterus and appendages

This is an automatically translated article.

The article was professionally consulted by Doctor Nguyen Chi Quang, Department of Obstetrics and Gynecology - Department of Obstetrics and Gynecology - Vinmec Central Park International General Hospital.
Laparoscopic removal of uterine fibroids is gradually gaining dominance in gynecology. So how does laparoscopic hysterectomy help preserve the uterus and appendages?

1. Advantages of laparoscopic hysterectomy


Ứng dụng kỹ thuật phẫu thuật mổ nội soi được đánh giá là ưu việt nhất trong điều trị bằng phẫu thuật u xơ tử cung
Ứng dụng kỹ thuật phẫu thuật mổ nội soi được đánh giá là ưu việt nhất trong điều trị bằng phẫu thuật u xơ tử cung
Depending on the size of the uterine fibroid, the patient is prescribed by the doctor to remove the nucleus by open surgery or laparoscopic surgery. When uterine fibroids are large, the doctor will appoint the patient to open surgery. Although the open surgery method is safe, with an incision of about 10-15 cm long, the patient has to endure a lot of pain after surgery, a long scar, a 5-day hospital stay, and a lot of rest.
On the contrary, when conducting laparoscopy, the surgery will be done quickly and without pain. Normally, laparoscopic surgery for uterine fibroids only takes about 60 minutes, which can keep the uterus intact and preserve the patient's fertility. In addition, endoscopy helps small scars heal quickly, ensuring aesthetics, less pain, less blood loss, patients quickly return to their daily routine, and limit antibiotic use.
With the application of laparoscopic surgery technique, it can be considered as an important step forward in the surgical treatment of uterine fibroids, ovarian cysts, ectopic pregnancy, and infertility. female birth ... especially for women with uterine fibroids at risk of premature birth , abnormal fetal position , placenta attached in an abnormal position ( placenta previa , placenta interlaced ). Large tumors make women unable to give birth, have to have surgery and have a higher risk of bleeding, even uterine rupture. Laparoscopy will be the most effective method for pregnant women.
In fact, uterine fibroids are benign gynecological diseases but still have complications that seriously affect women's health. The disease is common in women of reproductive age, especially those who have experienced at least one pregnancy and childbirth. Tumors are not harmful when they are small, but as they grow, a woman's life can be at risk.
Uterine fibroids can cause infertility due to changes in the endometrium, not favorable for the implantation of eggs at fertilization and can cause recurrent miscarriages.

2. Where should laparoscopic removal of uterine fibroids be?

Vinmec Central Park International General Hospital is applying the laparoscopic technique to remove uterine fibroids in the treatment of uterine fibroids, with many advantages in terms of personnel and equipment:
Technique by Dr. Nguyen Chi Quang - who has nearly 15 years of experience in Vinmec laparoscopic surgery using the FullHD Gynecological Endoscopy System; Tumor grinder (removing the tumor through the endoscope, without the 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. %. Currently, tumor size is no longer a barrier to laparoscopic surgery. If in the past, if the fibroids were larger than 8 cm, open surgery was often required, but now at VMCP, laparoscopic fibroid removal surgery with tumors up to 10-12 cm can be performed. Before becoming a Doctor of Obstetrics and Gynecology at Vinmec Central Park International General Hospital, Dr. Nguyen Chi Quang worked at Tu Du Hospital and University of Medicine and Pharmacy Hospital in Ho Chi Minh City. Dr. Quang has many years of deep professional experience and strength in the treatment of obstetric and gynecological diseases such as:
Laparoscopic surgery Uterine fibroids Laparoscopic surgery for ovarian tumors Laparoscopic surgery for genital prolapse

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