Uterine fibroids: When should fibroids be removed, when should hysterectomy be performed?

This is an automatically translated article.

The article was professionally consulted by Dr. Huynh Thi Hien - Obstetrician and Gynecologist - Department of Obstetrics and Gynecology - Vinmec Nha Trang International Hospital
Uterine fibroids, also known as uterine fibroids, are common in women between the ages of 30 and 45. About 20% of these women have no symptoms. The majority of fibroids are benign, but there are cases when surgical removal of the fibroids or even hysterectomy is required. So is it possible to remove uterine fibroids by laparoscopic surgery and where is the best laparoscopic surgery?

1. When do uterine fibroids need surgery?

Surgical treatment is considered the most radical treatment for uterine fibroids, applicable in the following cases:
● Surgery when the fibroids are large, equivalent to a pregnant uterus about 12 week
● When there are symptoms of ureteral compression, causing hydronephrosis
● When there is a complication of menorrhagia, heavy bleeding or prolonged hypermenorrhea, failure of internal therapy or submucosal fibroids
Uterine fibroids have a stalk or twisted stalk causing abdominal pain
Uterine fibroids develop after menopause
● Large uterine fibroids cause compression, uterine malformation, or interfere with pregnancy (miscarriage, premature delivery , fetal malformation)
When the tumor is in the broad ligament
When cancer is suspected
In cases where surgery cannot be treated, it is possible to continue monitoring or apply medical treatment but only has symptomatic treatment properties, completely does not shrink fibroids.

2. When should fibroid removal, when should hysterectomy?

Depending on the condition of the uterine fibroids, the patient's age and number of children, and consult with the doctor, to decide whether to remove the uterus or remove the fibroids accordingly:
Removal of fibroids in women Young women, no children, this case can still recur and have to have surgery again.
Partial hysterectomy (depending on the case with large uterine fibroids equivalent to 12 weeks gestation, causing complications of uterine compression and deformity) or total hysterectomy in older women. For two ovaries, depending on the age of the patient, the doctor will decide to leave or remove.

3. Can uterine fibroids be removed laparoscopically?

It is possible to remove the uterus with fibroids and remove the fibroids through laparoscopy. The success of laparoscopic surgery depends on the size of the uterine fibroids, the size of the uterus, the location of the fibroids... In addition, it depends a lot on the surgeon's technique.

4. Where is the best place to operate uterine fibroids?

Laparoscopic surgery to remove uterine fibroids at Vinmec Nha Trang International General Hospital has a success rate of over 95%, which is considered the leading preeminent method in the treatment of uterine fibroids.
This is a safe method and minimizes the risk of complications, surgical infection, pain relief, less blood loss, faster recovery and reduced hospital stay, plus surgical scars less. In particular, this technique at Vinmec Nha Trang is performed by a team of good, experienced and highly trained doctors in the field of obstetrics and gynecology at home and abroad:

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