Surgical treatment of uterine fibroids
Applicable people: Uterine fibroids are the same size as the uterus of pregnancy for more than one and a half months. In addition, if the uterine fibroids grow faster, the tumor protrudes into the abdominal cavity and tends to twist, should also be surgically removed. Of course, other indications such as severe anemia, heart disease, and general conditions should also be considered when determining surgery.
1. Hysterectomy
Applicable people: Those with large uterine fibroids, severe symptoms, ineffective conservative treatment, or malignant diseases.
Advantages: The surgery completely removes the uterus and also eradicates its symptoms.
Defect: The patient loses fertility and will no longer have menstruation. 34% of women occurred ovarian failure and menopausal symptoms within 2 years after surgery. Hysterectomy affects the integrity of the pelvic floor, shortens the vagina, and affects sexual life to a certain extent. After a hysterectomy, premature ovarian failure, estrogen decreases, and cardiovascular morbidity increases. Patients are prone to adverse reactions such as obesity, hypertension, heart disease, and osteoporosis. The patient needs a recovery period of 4-8 weeks after surgery.
2. Laparoscopic myomectomy
Advantages: small incision, less pelvic adhesion formation; quick postoperative recovery, most patients can walk and eat in the afternoon of the operation; wound pain and postoperative fever are less, seldom need to use sedative pain medicine; small incision, beautiful, suitable for young People’s aesthetic psychology; shortened the length of hospitalization, and generally can be discharged within 48 hours after surgery.
