What are the methods for removing uterine fibroids?

Everyone hopes that they can have a healthy body. However, many women in life always suffer from some gynecological diseases due to their poor physical constitution. Among them, uterine fibroids have a very high incidence rate. It has a certain impact on women's physical and mental health. Many women with uterine fibroids always have a particularly heavy psychological burden. As long as you master the method, you can remove the fibroids. Let's learn about the method of removing uterine fibroids.

Uterine fibroid removal method

1. Incisions: midline incision in the lower abdomen or transverse incision above the pubic symphysis.

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

3. Blocking the blood supply to the uterus Before removing the uterine body myoma, make a small incision in the avascular area of ​​the left and right broad ligaments of the isthmus of the uterus, insert a rubber tourniquet through it, tie up the uterine artery and vein, and temporarily block their blood supply (Figure 1). If the operation time is long, loosen the tourniquet for 1 minute every 10 to 15 minutes. Uterine contractions can also be injected into the myometrium during surgery to reduce bleeding.

4. Removal of intramural fibroids: In the area with fewer blood vessels on the surface of the fibroid, a longitudinal, fusiform or arcuate incision is made depending on the size of the fibroid (Figure 2), deep into the fibroid capsule, and blunt separation is performed along the surface of the capsule (Figure 3). When there are more blood vessels at the base, the tumor can be clamped and cut out (Figure 4), and the residual end can be sutured (Figure 5). Use absorbable sutures to form an "8" shape or continuously suture 1 to 2 layers of the muscle layer (Figure 6). Be careful to avoid dead space when suturing. The seromuscular layer is sutured with interrupted or continuous mattress sutures using No. 0 absorbable sutures (Figure 7). For multiple myomas, multiple myomas should be removed from one incision whenever possible. For fibroids close to the uterine cornu, the incision should be made as far away from the uterine cornu as possible to prevent postoperative scars from affecting the patency of the fallopian tubes. Medical All Online www.med126.com

5. Resection of subserosal myomas This type of myoma often has a pedicle. The pedicle can be clamped close to the uterine wall and the myoma can be removed (Figure 8). When the tumor pedicle is wide, a fusiform incision can be made at the base (Figure 9) to remove the superficial muscle layer of the fibroid and uterine tumor pedicle.

6. Submucosal myoma resection: If the myoma obviously protrudes into the uterine cavity, it is necessary to enter the uterine cavity to remove the tumor. When suturing the myometrium, the mucosal layer should be avoided to prevent the endometrium from implanting into the myometrium and artificially causing endometriosis. For pedunculated submucosal fibroids, they can be removed through the vagina.

The above is an introduction to the methods of removing uterine fibroids. After understanding it, we know that surgery is not the only way to treat uterine fibroids. It must be treated in combination with one's physical condition and whether or not one has given birth before. Once the uterus is blindly removed, it will affect women's future pregnancy and childbearing.