Are there risks in removing multiple uterine fibroids?

Multiple uterine fibroids are a disease that women are prone to. This disease is a disease of the female reproductive system. If we discover the disease in time, it is relatively easy to treat. Generally, it is mainly treated with Western medicine. Traditional Chinese medicine has basically no effect on multiple uterine fibroids. Generally, the most effective and direct treatment method is uterine fibroid removal. So, are there any risks in removing multiple uterine fibroids? Let’s learn more about it through the following introduction.

Traditional and commonly used surgical methods include laparoscopic myomectomy (LM) and abdominal myomectomy. Therefore, it is necessary to further understand the advantages and disadvantages of these two surgeries.

Surgical method: routine blood and cardiopulmonary function tests are performed before surgery, and bimanual gynecological examination and color Doppler ultrasound examination are performed to determine the size and location of the uterine fibroids. Do not eat or drink for 12 hours before surgery and have a cleansing enema.

Laparoscopic myomectomy: The bladder is in the lithotomy position, a uterine manipulator is placed in the vagina (except for unmarried women), an incision of about 10 mm long is made at the umbilicus, pneumoperitoneum puncture is performed, and the intra-abdominal pressure is < 15 mmHg. A laparoscope with a diameter of 10 mm is selected to explore the abdomen, and a second operation port is made on the left and right sides of the lower abdomen. The myometrium at the uterine fibroid is incised with a monopolar method, the uterine fibroid is clamped with forceps and removed, and bipolar electrocoagulation is used to stop bleeding or absorbable sutures are used for suturing.

Abdominal myomectomy: The abdominal cavity is routinely entered through the abdomen, a hole is made in the broad ligament, the uterine blood vessels are tied with a catheter at the level of the isthmus of the uterus, and the muscle wall is cut to perform the myomectomy. The uterine muscle wall was sutured with 2-0 absorbable sutures, and the superficial muscle layer and serosa were sutured with 4-0 absorbable sutures. After rapid intravenous infusion of 10 units of oxytocin, the urinary catheter was released, and protein glue was injected on the uterine incision to stop bleeding and prevent adhesion. Oxytocin was continued to be dripped intravenously (500 ml of glucose solution plus 20 units of oxytocin) while the abdomen was closed layer by layer.

The selection of surgical procedures for uterine fibroid removal should follow two principles: first, the patient's right to know should be respected. Before the operation, the physician should fully inform the patient of the pros and cons of various procedures and respect the patient's choice as much as possible; second, the surgical method should be determined based on the location, size, and number of the tumor obtained during the preoperative examination. For example, patients with large numbers of deep uterine fibroids are not suitable for endoscopic surgery. Abdominal surgery has a wider range of applications, but it also causes greater damage. It can be used as a remedial surgery when other surgical procedures fail. In general, you should start by choosing the least harmful treatment option.

Through the above introduction, we know whether there are risks in removing multiple uterine fibroids? We should not worry too much after suffering from such a disease. Generally, the effect is good after treatment. The main thing is that the patient should adjust his mentality. In addition, he should pay attention to his diet and lifestyle habits in normal times to prevent recurrence.