Minimally invasive treatment of uterine fibroids

Indications from the surgery, the choice of open surgery patients should be the condition of most, if fibroids too much, you can use medication from January to March, so that the tumor shrinking, reducing operation difficult. Of fibroids in the open before local injection of oxytocin, to promote uterine contraction and reduce bleeding. Carefully designed uterine incision in the position, at least as far as possible with the incision, stripping out most of the fibroids. Vascular encountered in the operation, the condensate after the first cut, carefully distinguish between anatomical level, layered closure of cavity. As long as there are minimally invasive medical awareness of the details carefully designed, can in large incision minimally invasive surgery to achieve the objective.

A surgeon has said that surgery is the doctor to withdraw his name engraved on patients process. We want to stay on patients is not filled with pain and regret the injuries, but full of love and breadth of our skills superb works of art. Minimally invasive treatment of patients on the maximum psychological and physical rehabilitation for the ultimate goal. Here the physical covers the treatment of patients suffering of the extent and consequences, and the psychological covers the patient's fear and sense of beauty after, minimally invasive is an art.

uterus is not only the cradle of life, is also involved in formation of menstruation, the role of endocrine regulation. Hysterectomy after ovarian blood supply affected, decreased ovarian function, endocrine disorders, vaginal dryness, sexual dysfunction, depression, aging, one against one after another, emerging from the physical pain of torture, mental and crashed into the suffering of the Abyss, in ensuring the quality of medical care under the premise, with the superb skills of medicine with cancer, preservation of the uterus, is not only a woman returned to the organs, but health, happiness, charm and dignity. Uterine fibroids are the most common gynecological benign one, its treatment of the complex and volatile, as long as conditions allow, to retain the uterus.

Under what circumstances the choice of minimally invasive surgical treatment »

When small fibroids, there is no discomfort, or close to menopause, can choose to observe the dynamic, every 3-6 months to do a B-, monitoring fibroids change. Drug treatment for fibroids little less serious symptoms, close to menopause or poor physical condition of patients can not tolerate surgery because of drug treatment can not cure, long-term medication side effects, and very easy to relapse after treatment, and other defects, the clinical Application to be careful. When in the following situations will require surgical treatment:

1, Changde Tai uterine fibroids, more than three months of pregnancy size.

2, fibroids oppression bladder, rectum, a urine abnormalities.

3, fibroids cause serious irregular bleeding, menorrhagia, has caused anemia.

4, fibroids grow too fast, worried about the possibility of a malignant change.

5, the location of fibroids long bad, such as cervical fibroids, fibroids should be broad ligament surgery as soon as possible, otherwise, as the fibroids grow up, will lead to changes in local anatomical structure, operation, greatly increased ureteral injury, and other serious complications The incidence rate.

Accurately identify symptoms, a reasonable choice preservation of uterine surgery

Symptoms 1: submucous fibroids

When we decided to do with fibroids removed, if the submucosal fibroids, less than 5 cm in diameter, should choose hysteroscopy; hysteroscopy the vagina, without any abdominal wound, injury, but not the muscle Complete removal of only the fibroids 1.1 points, "dug up" operation a long time, the need for effective monitoring tools. Choose this operation, full consideration must be given to the patient's condition, physical condition and doctors have the technical proficiency and to prevent perforation of the uterus or near organs (ureter, the tube), vice injury.

2 symptoms: a small number of subserosal fibroids

If it is subserosal fibroids or muscle intramural fibroids, the number of fibroids are not too many (less than 10), the modest size (more than 4 centimeters less than 10 cm), ruled out the possibility of fibroids malignant peritoneal Endoscopic surgery should be the best option, but laparoscopic surgery, the doctor's hands can not touch directly into the abdominal hysterectomy, may be missing hidden small fibroids, very easily lead to surgery did not completely, after doing that have fibroids B - , Or shortly after fibroid recurrence. In addition, the laparoscopic operation bleeding fibroids removed, suture cavity of difficulties, surgery a long time, patients receiving prolonged anesthesia, causing unnecessary harm. Therefore, doctors in the operation before, during the operation more difficult to make timely and accurate estimates, the development and decisive adjustments surgery, to minimize surgical trauma.

3 symptoms: multiple fibroids or a large number of subserosal fibroids

If too many fibroids number (more than 10), are far too large (more than 10 cm), the volume is too small (less than 4 cm), could not rule out the malignant the best choice laparotomy. Indications from the surgery, the choice of open surgery patients should be the condition of most, if fibroids too much, you can use medication from January to March, so that the tumor shrinking, reducing operation difficult. Of fibroids in the open before local injection of oxytocin, to promote uterine contraction and reduce bleeding. Carefully designed uterine incision in the position, at least as far as possible with the incision, stripping out most of the fibroids. Vascular encountered in the operation, the condensate after the first cut, carefully distinguish between anatomical level, layered closure of cavity. As long as there are minimally invasive medical awareness of the details carefully designed, can in large incision minimally invasive surgery to achieve the objective.