What is the best way to treat adenomyosis?

There are also many women who suffer from uterine diseases, but the types of uterine diseases in most female patients are different, so different treatment methods are needed during treatment. Adenomyosis is a common uterine disease, so if a woman is diagnosed with this disease, she doesn't have to worry too much. So what is the best way to treat adenomyosis?

If the patient cannot have an IUD installed and does not want to have her uterus removed, laparoscopic excision of the adenomyoma lesions can be performed to basically restore the uterus to normal size, and medication can be used 6 months after the operation to control the recurrence of the disease. In the past, women who have given birth and no longer have the desire to have children were generally treated with conservative treatment and surgical removal of the hysterectomy. Surgical removal can achieve the goal of radical cure, but because part of the blood supply to the ovaries passes through the uterus, women are at greater risk of premature ovarian failure after hysterectomy. Therefore, hysterectomy is outdated, and clinical experts can now achieve the goal of complete treatment through efficient removal of targeted lesions.

Most people understand that laparoscopic surgery should be used for lesion removal, but open surgery is beneficial for improving the cure rate, reducing intraoperative bleeding, and avoiding surgical complications. Because the lesions of adenomyosis are diffuse and have no pseudocapsule, the lesions cannot be seen clearly with the naked eye. During laparotomy, the normal muscle layer or lesions can be touched and identified by hand, and scattered lesions can be found and removed. 3-4 layers of absorbable micro-sutures can be carefully sutured to achieve satisfactory hemostasis without leaving any cavity, to prevent hematoma due to uterine wound, poor wound healing, low fever or infection after surgery. For patients with a history of surgery, the abdominal cavity can be entered along the patient's original surgical incision, and a uterine tourniquet can be used during the operation. There is basically no bleeding when the lesions are removed during the operation.

Patients with adenomyosis often have severe pelvic adhesions, especially lesions on the posterior uterine wall and high adhesions of the intestinal flexures. If adhesions are separated and hemostasis is stopped by electrocautery under laparoscopy, the intestinal flexures may be injured. In contrast, open surgery can use fingers to carefully separate adhesions, suture to stop bleeding, and remove visible lesions. Open surgery is more time-saving and convenient than minimally invasive surgery to remove large lesions. After the operation, anti-adhesion drugs are applied to the surgical wound of the uterus, so the open method is better than the minimally invasive method. Open surgery can remove lesions more thoroughly than laparoscopy, and the recurrence rate of laparoscopic treatment is much higher than that of open surgery.

Now that you know the best treatment for adenomyosis, do you feel a little relieved? In fact, if you have this disease, you still need to be examined by a doctor and see which treatment method is most suitable for you based on your actual situation. This way you can effectively control the disease and minimize damage to your body.