Uterine fibroid dissection: When can laparoscopic surgery be possible?

The article was consulted professionally by Specialist I Nguyen Thi Plum – Obstetrics and Gynecology Department – Share99 Da Nang International Health Hub. The doctor has more than 10 years of experience in the diagnosis, consultation and treatment in the field of Obstetrics and Gynecology.

Uterine fibroids are a very common disease in women of child age, especially those with oestrogen intensity, who do not give birth or give birth late. Uterine fibroids are a benign disease, which if detected early will cure very easily. Laparoscopic surgery of uterine fibroids is an effective way to treat the disease. So when laparoscopic surgery is possible, there will be details in the article below.

Although uterine fibroids are usually not dangerous, they can cause discomfort and can lead to complications such as anemia, causing fatigue, severe blood loss.

Fibroids usually do not affect pregnancy. However, it is possible that uterine fibroids – especially lower mucosal fibroids – can cause infertility or miscarriage. Fibroids can also increase the risk of causing certain pregnancy complications, such as limiting fetal growth and premature birth.

2.1. In which cases are in which uterine fibroid surgery is in order to be operated on

• When uterine fibroids are as large as a uterus that is more than 12 weeks pregnant because in this case the tumour is more likely to cause complications that squeeze on the intra-abdominal muscles and are prone to degeneration.
• When the tumour squeezes the ureter, causing the kidneys to stagn.
• When there are symptoms of menstruation, hemolysis, prolonged neuroded nerves, end endo noisy noisyhist treatment does not improve.
• Uterine fibroids are located under the mucous membranes.
• The u is located in the wide ligament.
• When malignant melanoma is suspected.
• Surgical treatment can be tumor peeling or a uterus removal depending on age and as you wish to have children.

Cases of small, unhinged uterine fibroids will be monitored periodically for 3-6 months to re-evaluate the condition of the tumor and complications.

In some special cases, endogenous treatment of estrogen antagonists will be considered to preserve the uterus for patients who wish to have children. These drugs should be prescribed by a doctor.

2.2. When patients are prescribed endoscopy for uterine fibroid dissection

• Large uterine fibroids, equivalent to fetuses in the 4th month (about 5cm or more), have not caused uterine bleeding and have not yet encroached on the entire area of the uterus.
• The tumor has complications that squeeze into the abdomen and degenerate.
• Females suffer from menstrual disorders, menstruation, unstable hormones.
• Fibroids are located under the mucosa or inside the ligaments.
• There are symptoms that progress to melanoma.

In addition, depending on the state of health, the size of the fibroids and the desired need for childbirth of each patient, the doctor will decide whether to have a laparoscopic surgery of uterine fibroids? Most patients with uterine fibroids are prescribed surgery in the form of dissection or removal of the uterus,… use laparoscopic surgery if eligible.

2.3. Advantages of uterine fibroid surgery by laparoscopy

• Endoscopic surgery of uterine fibroids is highly aesthetic, the incision only left small scars (from 0.5-1cm) on the patient's abdominal wall. This technique helps patients not to hurt, can stop bleeding well, leave no scars and limit dangerous complications after surgery.
• Fast recovery time after surgery: About 3-5 days and can fully recover in about 2-3 weeks, much shorter than the method of opening uterine fibroids. Post-surgery patients have less pain, fewer infectious complications, and are discharged earlier than open surgeries.

Article reference source: Mayoclinic.org