Uterine fibroids: Cases in which surgery is insidical

The article was consulted professionally by Dr. Nguyen Chi Quang, Obstetrics and Gynecology Department – Share99 Central Park International Health Hub.

Uterine fibroids are often detected during regular medical examinations. Patients can also self-check and detect uterine fibroids when lying in the back position, palpation of the tumor emerging under the abdominal skin, if lightly pressed there is a painful sensation to prevent complications and be treated early.

1, Causes of uterine fibroids

Many studies show that the cause of uterine fibroids is due to the high levels of estrogen in the body secreted and strong activity that leads to a rise in muscle organization and the lining of the uterus. Therefore, fibroids can shrink and atrophy when the woman has menopause.

Some documents claim that uterine fibroids are related to reproduction health: repeated miscarriages, rarely, infertility, women giving birth at least … there is also a risk of uterine fibroids. However, the disease is still encountered in women who give birth to many children. In some cases, pregnancy if you have uterine fibroids can lead to some risks such as abnormal pregnancy, premature birth, placenta clinging to abnormal positions (striker placenta, comb teeth …). Uterine fibroids can be seen to affect motherhood, women's health and quality of life.

Uterine fibroid surgery

Uterine fibroids affect motherhood, women's health and quality of life

2, Manifestations of uterine fibroids

Most patients go to the doctor when they find themselves with menstrual disorders, married but forever without children. Or the person has sensations such as: abdominal heavier, abdominal pain, hypoxia or pelvic pit.

Other cases are when large tumors form that can be pressed on neighboring bodies, on the bladder causing a lot of urination or urinary insubation, to the rectum causing constipation or pain during bowel, intestinal, stomach leading to digestive disorders.

Where the patient is found to have fibroids during pregnancy, fibroids will likely cause a number of complications: the tumor will peel off the placenta early, causing the fetus to be anematic, shifting the position of the fetus, making it difficult for the mother to give birth naturally but having to give birth to a cesarean section. Most cases of uterine fibroids during pregnancy still have a normal process of pregnancy development. However, the tumors will grow faster during pregnancy.

Uterine fibroid surgery

The tumors will be larger during pregnancy

3, When are patients prescribed uterine fibroid surgery?

Not all cases of uterine fibroids are surgically in prescribed. Because, for small, unsym complications, patients only need to go to the doctor every 3 months. Or may be prescribed medications by your doctor to help control your menstrual cycle. The goal of using the drug is not to completely eliminate the fibroids that the substances contained in the drug will help to shrink the fibroids.

Surgical treatment is considered to be a thorough treatment, especially in the following cases:

  • Patients with menstrual disorders, menstruation, haemolysis, hypertension that causes anemia, thin, pale bodies and medical treatment are no longer effective
  • After doing some checks, the doctor detects fibroids with stalks or twisted stalks
  • Noticed abnormally fast growing tumors and suspected cancer
  • Uterine fibroids develop after menopause.
  • Large uterine fibroids cause uterine malformations or interfere with the possibility of pregnancy (causing miscarriage, premature birth, fetal malformations).
  • Large tumors that squeeze other parts make people urinate or urinate heavily due to uterine fibroids that overwhelm the bladder, ureter or intestines
  • Large uterine fibroids are equivalent to a uterus about 12 weeks pregnant.
  • Fibroids under the mucous membranes or in the wide ligaments
  • When cancer is suspected.

Uterine fibroid surgery

Patients will be prescribed surgery when cancer is suspected

Depending on the condition of the fibroid, the age and desire to have children of the patient for the treating doctor to prescribe uterine fibroid surgery by means of uterine cirlitar or fibroid peeling.

With the development of science and technology in modern medicine, there are many techniques applied in uterine fibroid surgery such as open surgery, routine laparoscopic surgery and robotic laparoscopic surgery. And currently robotic surgery is a superior method, bringing many benefits to patients in the treatment of uterine fibroids: perform correctly in each operation; remove unnecessary vibrations by robots with 4 hands, equivalent to 2 surgeons; has the ability to operate in difficult positions because it can move freely at 6 angles; safe, unsymliced, no surgical infections; loss of blood helps patients quickly recover.

arm robot

Less invasive surgery with arm robots

From September 2019, Share99 Central Park International Health Hub (HO CHI MINH CITY) Ho Chi Minh City) implements new techniques – Robotic surgery with handheld robots, applied to digestive, urological and gynecological surgeries.

This method has many advantages over both classic laparoscopic surgery and robotic surgery with:

  • Instruments with flexible surgical heads such as wrist joints help to reach narrow corners, increase the possibility of dissection and less damage to the surrounding areas than classic laparoscopic surgery
  • Voice automation endoscopic lamps, lasers, eye tracking,…, help doctors actively control and have better vision and control, increase accuracy and safety in performing surgery
  • With the advantage of compactness, robotic arm surgery is less invasive and has many advantages such as small incisions, less pain, low risk of infection, thereby helping customers less blood loss in surgery, surgery, quick recovery
  • The cost of performing is much lower than robotic surgery.

arm robot

With compact advantages, robotic arm surgery is less invasive and has many advantages such as small incisions, less pain, low risk of infection

Customers will be operated on by Dr. Nguyen Chi Quang Obstetrics and Gynecology Department – Share99 Central Park International Health Hub. Before becoming a Doctor specializing in Obstetrics and Gynecology at Share99 Central Park, Dr. Nguyen Chi Quang worked at Tu Du Health Hub and Ho Chi Minh City University of Medicine and Pharmacy Health Hub. Ho Chi Minh City. Dr. Quang has many years of deep professional experience and strengths in the treatment of obstetric and gynecologic diseases such as:

  • Laparoscopic Surgery of Uterine Fibroids
  • Laparoscopic surgery of ovarian tumors
  • Genital laparoscopic surgery

For more advice on the gynecological surgery promotion program and to schedule an examination and treatment at Central Park International General Health Hub, please contact hotline: 0283 6221 166 or register online HERE.


  • Is 32 weeks pregnant with fibroid incision pain prematurely born prematurely?
  • Should uterine fibroids of 90x87mm size be operated on?
  • Is menstrual disorders after 15 months of placing the contraceptive ring due to inappropriate?

About: John Smith

b1ffdb54307529964874ff53a5c5de33?s=90&r=gI am the author of Share99.net. I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.


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