There are several ways to surgically treat uterine fibroids

Uterine fibroids are a disease with a very high incidence rate among women. They also have a great impact on women's physical health. First of all, it will cause women to have a certain degree of pain, and will cause many women to have symptoms such as irregular menstruation. However, generally the most thorough treatment for uterine fibroids is surgical treatment. However, many women have some concerns and think that surgical treatment means complete removal of the uterus. Let's take a look at several methods of surgical treatment of uterine fibroids.

There are several ways to surgically treat uterine fibroids

Surgery

The adaptability is as follows:

① Those with obvious symptoms, such as menorrhagia, irregular vaginal bleeding, pain or urinary retention caused by fibroid compression, etc.;

② The fibroids are larger than the size of a 3-month pregnancy, as they are not easy to shrink but are prone to degeneration;

③Myomas grow rapidly and may become malignant;

④Submucosal pedunculated fibroids, especially those that protrude from the cervical os;

⑤ Cervical fibroids;

⑥ When the pedicle of the fibroid is twisted or infected (but the infection must be controlled first);

⑦ Young women who have not yet given birth can undergo myoma removal as early as possible to prevent myoma from affecting fertility;

⑧ The diagnosis is unclear and there is a possibility of ovarian tumor. The scope of surgery includes myomectomy, total hysterectomy, subtotal hysterectomy and central uterine body resection; the surgical approach can be abdominal, vaginal, hysteroscopy, and laparoscopy.

Myomectomy

Hysteromy myomectomy can not only preserve the patient's fertility, but more importantly, it can maintain the physiological function of the uterus, maintain the integrity of the pelvic floor anatomical structure, and minimize the impact on the hypothalamus-pituitary-ovary-uterus axis. Compared with hysterectomy, its disadvantages include: high postoperative recurrence rate; surgery has no effect on the size of the uterine cavity, and the symptom change for those with menorrhagia due to an enlarged uterine cavity may be limited; the formed uterus may rupture during delivery after pregnancy, etc.

1. Open and laparoscopic myomectomy: Meng Hui et al. compared the residual myoma, recurrence and pregnancy outcomes after laparoscopic and open myomectomy and found that laparoscopic myomectomy (LM) and open myomectomy (TAM) have their own characteristics. The size, number and type of myomas removed by the two methods are different, especially the weight of the removed myomas is significantly different.

2. Airless laparoscopic myomectomy: In recent years, some scholars have tried to use airless laparoscopy to complete myomectomy of larger diameters and achieved good results.

3. Vaginal myomectomy: A newly developed procedure for myomectomy is vaginal myomectomy.

4. Hysteroscopic myomectomy: Hysteroscopic myomectomy (HM) is the best method for treating submucosal uterine fibroids, especially for women with symptomatic fibroids who wish to preserve their uterus and retain or improve their fertility.

Hysterectomy

1. Total hysterectomy: The traditional procedure, which is also the most widely used procedure in clinical practice.

2. Subtotal hysterectomy: Suitable for those under 40 years old with normal cervical examination.

3. Central uterine body resection: also known as surgery to preserve part of the uterine body and endometrium.

In summary, non-surgical treatment of uterine fibroids has certain therapeutic effects, but it cannot completely cure uterine fibroids and there is a possibility of recurrence. There is currently no effective drug that can cure fibroids. Before using the drug, other reproductive system diseases and malignant changes of uterine fibroids should be ruled out. For asymptomatic small myomas, no drug treatment is required, and regular follow-up is required. Patients with clear surgical indications need timely surgical treatment to avoid malignant transformation or hemorrhagic anemia. Appropriate treatment should be selected for different cases. Surgical treatment is the best treatment for patients with symptomatic fibroids.

The above is an introduction to several methods of surgical treatment of uterine fibroids. I hope that many friends with uterine fibroids can dispel some of their fears. In fact, surgical treatment of uterine fibroids does not mean removing the uterus. It is worth noting that uterine fibroids must be treated in a regular specialist hospital. This is relatively safer, and the doctor is more experienced and will not misdiagnose.