Surgery to remove polyps through the uterus

Ovarian polyps if not detected and treated in a timely manner can lead to dangerous complications such as infertility, rarity, increased risk of polycystic ovaries, cervical cancer and bowel cancer, if pregnant, may be miscarriage, premature birth or pregnancy with malformations ,…

Atrial polyps are over-growth of cells of the lining of the uterus (also known as endometriosis). The uterus polyps are round or oval in shape and measure from several millimeters to a few centimeters. Most ovarian polyps are benign, however there are also some polyps that are cancerous or will turn into cancer. This type of cell growth greatly affects the fertility of women and the menstrual cycle.

The exact cause of uterus polyps remains unknown. However, increasing the amount of hormone factors such as estrogen may play a role in causing the disease.

Uterus polyps are found in women of all ages, but are more common in their 40s and rare in women under 20 years of age. This type of polyp usually develops in the pre-menopause or post-menopause. Women can control the disease by reducing risk factors.

Factors that increase the risk of ovarian polyps include:

• Pre-menopause or post-menopause
• High blood pressure
• obesity
• Treatment of breast cancer with tamoxifen

Symptoms of recognition of ovarian polyps include:

• Abnormal intervical bleeding: 64 – 88% of cases of uterus polyps suffer from abnormal hemorrhages, which can usually be mid-cycle, rusty or neuropsyical
• May be accompanied by abdominal pain, anemia
• Vaginal bleeding after menopause
• Vaginal dryness
• Some cases do not show symptoms, are detected when a rare late survey, or a CTC cell test, a uterus biosy.

Uterus polyps if not detected and treated in a timely manner can lead to dangerous complications such as:

• Infertility, rarity: When a polyp mass or polyp mass grows large, the endo endo will deform, which is disadvantaged by the nesting of the pregnancy
• Increased risk of polycystic ovaries
• Easy to cause gynecologic diseases: Ovarian polyps are prone to gynecologic diseases by a lot of vaginal secretion, harmful bacteria develop that cause inflammation such as vatis, va colitis, cervical inflammation…
• Pregnant women: Ovarian polyps during pregnancy are growing, causing the fetus to lose its grip, easily leading to miscarriages, premature births or fetal malformations, strikers,…
• Increases the risk of cervical cancer and cancer of the uterus: Large polyps are very susceptible to necrosis that causes bleeding, otherwise support timely treatment will become inflamed and necrosis, then spread to the endoratus, muscles of the uterus for a long time leading to cancer of the uterus.

To diagnose uterus polyps,the doctor will ask the patient some questions about the menstrual history for the length of the period and its regularity of cycles. If the patient is suspected to have a uteruspolyps, the doctor may perform some of the following tests:

• Pelvic ultrasound: Transvaginal ultrasound (TVUS) is the first option for evaluatine gynecologic pathology in cases where there are ovarian polyps. This method can be up to 90% accurate.
• Ultrasound of ovarian water pumping: During this procedure, the doctor will pump a sterile liquid into the uterus through the cathex to make the uterus expand and provide a clearer picture of any growths in the uterus cavity through ultrasound.
• Endoscopy of the uterus: For the diagnosis or treatment of uterus polyps. During this procedure, the doctor inserts a long, slender and lighted camera that enters the vagina and cervical to examine the inside of the uterus.
• Endometrial biopsy: The doctor will use a straw to collect samples from the end of the uterus and send it to the laboratory to see if there are abnormalities;

Ovarian Polyps Surgery

4.1. Intrained and contrainttrained

• In addition to cutting the uterus polyps when the person has a uterus polyp accompanied by abnormal bleeding symptoms from the uterus; infertility; the risk of cancer.
• Contrainture to cut the uterus polyps in case: cervicalstenosis, the thickness of the remaining layer of the muscle of the uterus is less than 1cm, pregnant women; contrain specify of body anesthesia.

4.2. Steps to perform surgery

• Step 1: The patient is in a gynecological position, disinfecting the genital area for the patient and eptic instruments for uterus diagnosis and surgery.
• Step 2: A full body examination and specialties for the evaluation of coordinated diseases; ultrasound, ultrasound of the ovarian water pump, a uterus scan determines the damage to the uterus chamber polyps.
• Step 3: Relieve the patient's body pain. Ing up the cathees and draining the cathethees; vaginal valves or platypus; clamp the cervical with Pozzi clamps, then probe the uterus by measure.
• Step 4: Place the otoscope toendoscopy the uterus, the otoscope is slowly inserted through the uterus into the uterus chamber, observe the cervical tube, the uterus chamber to determine the location and number of polyps..
• Step 5: Strain the uterus chamber with one of the solutions of high molecular weight: Hyskon or a solution without electrolyses such as manitol, sorbitol, dextran. After that, proceed to observe the entire uterus chamber to assess the damage to the uterus polyps.
• Step 6: Proceed to polyp cutting with a mono-ring. Ensure the principle of cutting only in, pull back the electric knife. Cut from the surface to the deep in turn until the polyps run out or to the point of contact with the surface of the lining of the uterus.
• Step 7: Remove the cut pieces.

4.3. Post-surgery monitoring

• After the surgery to remove polyps through the uterus for several hours, it is necessary to monitor the whole body, pulse, blood pressure, the amount of blood coming out of the vagina.
• Ultrasound ,a scan of the uterus after several months to assess the integrity of the uterus chamber.

4.4. Some complications when having a polyp removal surgery in the uterus

• bleed
• Cervical tearing
• Endometritis
• Perforation of the uterus

In order to help customers detect and treat other gynecologic diseases early, Share99 International Health Hub has a basic gynecologic examination and screeningpackage, helping to detect gynecologic diseases early to improve efficiency and reduce treatment costs. At the same time, screening for early detection of gynecologic cancer (Cervical cancer) even if there are no symptoms.

The basic gynecology examination and screening package for female customers, with no age limit, is having the following symptoms:

• Abnormal bleeding of the vaginal area
• Menstrual problems: abnormally long cycles, irregular menstruation
• Abnormal vaginal translation (bad smell, unusual color)
• Pain, itching of the closed area
• Female customers have a few risk factors such as bad personal hygiene, unsafe sex,abortion,…
• Other symptoms such as itching, pain in the closed area, abnormal vaginal discharge, abnormal vaginal bleeding.

If you have abnormal symptoms, you should be examined and consulted with a specialist.