Laparoscopic removal of uterine fibroids

This is an automatically translated article.


Posted by Doctor Nguyen Chi Quang - Department of Obstetrics and Gynecology - Vinmec Central Park International General Hospital
Uterine fibroids are the most common benign disease of women of reproductive age. On average, 1 in 4 women has uterine fibroids. Most fibroids do not cause complications, and women can live peacefully with the disease. However, uterine fibroids can also cause very ominous complications.

1. Complications of cervical fibroids


Complications of cervical fibroids include:
Pelvic pain: Many levels, sometimes only pain during menstruation, sometimes cause dull lower abdominal pain every day, outside of the menstrual cycle. More severe can cause pain during intercourse
Menstrual disorders: Causes hypermenorrhea: large amount of blood loss, changing more than 6 tampons/day, blood clots making the patient dizzy and tired. Or menorrhagia means menstruation lasts more than 7 days. The above symptoms make women lose blood, reduce quality of life, seriously threaten health
Affect fertility: Increased risk of miscarriage, difficulty conceiving, or pregnancy but placenta is abnormally positioned. .

Biến chứng của u xơ cổ tử cung gây đau vùng chậu của người bệnh
Biến chứng của u xơ cổ tử cung gây đau vùng chậu của người bệnh

2. When is laparoscopic fibroid removal surgery performed?


Once indicated for the treatment of uterine fibroids, depending on the severity of the symptoms of the disease, as well as the woman's desire to get pregnant, the doctor will choose different treatment methods. In which, uterine fibroid removal surgery proved to be the superior treatment method when:
Women with uterine fibroids causing menorrhagia, failed with endocrine treatments. Patients with uterine fibroids with infertility, or with a history of recurrent miscarriages. Performing surgery in this case not only helps to resolve the tumor and its symptoms, but also provides an opportunity for the doctor to have a comprehensive pelvic exam to evaluate the causes of infertility associated with infertility. According to blocked fallopian tubes, pelvic endometriosis, uterine polyps... are inherently hidden causes that are difficult to detect through conventional ultrasound.

Sau khi thăm khám, bác sĩ sẽ là người quyết định phương pháp điều trị phù hợp cho người bệnh
Sau khi thăm khám, bác sĩ sẽ là người quyết định phương pháp điều trị phù hợp cho người bệnh

3. How is uterine fibroid removal surgery performed?

Uterine fibroid removal surgery can be performed through 2 methods:
Open surgery with an incision about 15 cm long, similar to a cesarean section. Advantages: can solve large tumors. Cons: a lot of pain after surgery, because of a lot of tissue damage, a long scar that is unsightly, prone to infection of the incision, 5-7 days in hospital, slow recovery time Laparoscopy: with only surgical scars 0.5 - 1 cm. Advantages: very gentle, less painful, cosmetic scars, less infections, 2-3 days hospital stay, When discharged from the hospital can quickly return to daily work. Cons: often limited to unresectable fibroids > 8 cm

Phương pháp mổ nội soi giúp người bệnh hạn chế đau sau mổ
Phương pháp mổ nội soi giúp người bệnh hạn chế đau sau mổ


However, at Vinmec Central Park International General Hospital, with modern surgical equipment: 3D laparoscopic surgery staging, new generation tissue planer, together with highly trained Doctor Nguyen Chi Quang on laparoscopic surgery, has overcome the disadvantages of this surgery. Currently, at Vinmec Central Park, many successful laparoscopic surgery to remove uterine fibroids have been performed with tumor sizes up to 10-12 cm
.
Conclusion: Laparoscopic fibroid removal surgery not only provides a radical treatment solution: both remove the tumor and solve the complications caused by the tumor, but also helps the woman to preserve her death. supply, preserving the reproductive function as well as motherhood. Moreover, after surgery, the results are satisfactory: less pain, less infection, longer hospital stay and quick recovery.
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