How to treat adenomyosis best

The uterus plays an important role in the female reproductive system, so this also indirectly reflects the importance of the uterus in the female body. However, if the uterus has some adverse symptoms, it will often cause great damage to a woman's body. The types of adverse symptoms of the uterus are also quite diverse. Among them, adenomyosis is a common uterine disease. So what is the best way to treat adenomyosis?

In daily life, we know that the importance of the uterus to women is self-evident. Once some adverse symptoms appear, it will cause great harm to women's physical health and fertility. So, how should the adverse symptoms of uterine adenomyosis be treated? Let us find out below!

If the patient cannot have an IUD installed and does not want to have her uterus removed, she can undergo laparoscopic removal of the adenomyoma lesions to basically restore the uterus to normal size, and then take medication 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 Therefore, hysterectomy is outdated, and clinical experts can now achieve the goal of complete treatment through efficient removal of targeted lesions.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 performed under laparoscopy, the intestinal flexures may be injured. In contrast, laparotomy can use fingers to carefully separate adhesions, suture to stop bleeding, and remove visible lesions. Laparotomy is more time-saving and convenient than minimally invasive surgery to remove large lesions. After the operation, anti-adhesion drugs are applied to the uterine surgical wound.