What Is a Laparoscopic Myomectomy?

When the number of uterine fibroids is too large or the fibroids are too large, laparoscopic myomectomy has the defects that small fibroids are easy to remain and residual sutures are difficult to stop bleeding, while vaginal uterine fibroids removal can make up for such defects and Without losing minimally invasive.

Myomectomy

This entry lacks an overview map . Supplementing related content makes the entry more complete and can be upgraded quickly. Come on!

When the number of uterine fibroids is too large or the fibroids are too large, laparoscopic myomectomy has the defects that small fibroids are easy to remain and residual sutures are difficult to stop bleeding, while vaginal uterine fibroids removal can make up for such defects and Without losing minimally invasive.

Chinese name

Myomectomy

Affiliation

Advantages of vaginal myomectomy

1. Little interference to the abdominal cavity, small surgical trauma and no abdominal wall scars;

2. Fast recovery and short hospital stay;

3. The degree and incidence of heat absorption after surgery are low.

4. The short period of postoperative use of antibiotics reduces the financial burden on patients. ^[1]

Large fibroids are located in the anterior and posterior walls of the uterus.

A few days ago, Tianjin Women's Health Rescue Center and Ultra-Minimally Invasive Rescue Base for Uterine Fibroids were officially listed in cooperation with Tianjin Women's and Children's Development Foundation and the PLA 464 Hospital. ^[1]

Traditional Chinese medicine treatment adopts the method of plaster external application. Traditional Chinese medicine surgical plaster is based on the principle of traditional Chinese medicine, and uses the effectiveness of the coordination of drugs to form a large compound of multi-flavor drugs in order to exert the good effect of the drug. Because the plaster is used for thin patching of the muscle surface, a thick-smelling medicine is taken from the plaster, and the drug is led to lead the group of medicines, and the stagnation and stagnation go directly to the clinic. It has a good effect on uterine fibroids under 5cm.

[Party name] Yanzhihua tumor patch

[Ingredients] Chinese herbal medicines such as Danshen, Xiangfu, Curcuma, Sanling, Astragalus, Angelica, Baiji, Shudi, etc.

[Attending] uterine fibroids

[Usage] This prescription is a black plaster of traditional Chinese medicine. Each patch is divided into two patches. Take a small patch to the lower abdomen "Guanyuan Point", and a large patch to the back waist "Mingmen Point". Wipe the skin of the corresponding application area. Each payment can be posted for three days, and ten payments is a course of treatment.

Generally speaking, surgical treatment is recommended for fibroids with a size of 2CM or more. Uterine fibroids are common, and the reasons are deep. Most experts believe that it is related to the relatively high level of estrogen in the body of female friends. For example, female friends and husbands' uncoordinated lives, too much family life and work load, and too much stress can cause depression, cause neuroendocrine system dysfunction, sexual hormone imbalance, and the uterus is prone to develop fibroids.

Uterine fibroids are generally treated with drugs and surgical treatments. Which method to implement depends on the size of the tumor. If the tumor is less than 2CM, then medication can be taken. If it is above 2CM; it causes a large amount of bleeding, or excessive menstrual blood for a long period of time, an anemia that is too long, and the drug cannot be cured; the development of fibroids is too fast, or after menopause, not only does the fibroids not shrink but increase When waiting, surgical resection should be carried out immediately.

Whether to remove the uterus during surgery depends on the location and size of the fibroids, as well as the patient's age, fertility status, and severity of symptoms. Although uterine fibroids are benign tumors, the rate of malignancy is only one percent. However, patients need to pay close attention to going to the hospital for examination and treatment as early as possible to prevent ovarian fallopian tube disease and induce uterine adenocarcinoma and cervical cancer. ^[2]

Preoperative cervical smears and diagnostic curettage to exclude cervical and

1. Mid-incision incision in the lower abdomen or transverse incision in combination with the pubic bone.

2. Explore and understand the location, size, and number of uterine fibroids to determine the uterine incision.

3. Block the uterine blood supply before excision of the uterine body fibroids, make a small mouth in the left and right lateral ligament wide vascular ligament avascular zone, pierce the rubber tourniquet, bundle the uterine arteries and veins, temporarily block its blood supply. If the operation takes a long time, relax the tourniquet every 1 to 15 minutes. Contractions can also be injected into the myometrium during surgery to reduce bleeding during surgery.

4.

1. The level of bleeding is not clear when it is separated, and it is not separated along the tumor capsule, which can cause bleeding. Sometimes, although the level is appropriate, fibroids are densely adhered to blood vessels or muscle layers. Do not force it at this time.

1. Patients with uterine fibroids must have a regular lifestyle, healthy eating habits, regular skin care, and a scientific daily maintenance method. Try to eat less oily, fried and smoked foods.

2. Although it does not affect pregnancy, it should be noted that the patient cannot be pregnant immediately after surgery, because there are scars in the uterus to remove fibroids; some fibroids are larger and deeper. Like a cesarean section, the uterus requires a certain recovery process. If the patient's wound is not fully healed and immediately becomes pregnant, there is still a risk of uterine rupture.

3. If uterine fibroids have severe anemia after surgery, they need to eat more foods with high iron content, such as pork liver, black sesame, grapes, laver, wolfberry, and mushrooms. Eat more vegetables and fruits, especially tomatoes. Also keep a happy mood.

4, regular quantitative diet after uterine fibroid surgery, not overeating. Stick to a low-fat diet and eat lean meat, eggs, green vegetables, and fruits. Often eat nutritious dried fruit foods, such as peanuts, sesame, sunflower seeds, etc. In general, foods that have the effect of contracting the uterus, such as barley and hawthorn, have little to do with the occurrence and development of uterine fibroids.

5. After surgery, if the patients are relatively old or weak, they should eat liquid food to help digestion, but there is one point to remind patients, liquid food should pay attention to, nutrition, nutrition for patients who are recovering Is very important.