Laparoscopic myomectomy

The trauma is small, the postoperative recovery is fast, and the hospital stay is short. Surgery costs are high and need to be completed by a trained doctor. Treatment of diseases: uterine fibroids Indication Patients with symptoms or infertility, uterine fibroids 3cm. Contraindications Multiple uterine fibroids; more than 3 uterine fibroids 5 cm in diameter; increased uterine volume over 16 weeks of gestation; single uterine fibroids 15 cm in diameter. Preoperative preparation Cervical smear and diagnostic curettage were performed before surgery to exclude cervical and uterine malignant tumors. complication Treatment of fibroids and treatment of residual cavities: Large intermuscular fibroids should be carefully treated during the stripping operation. When approaching the uterine mucosa, try not to break into the uterine cavity. When suturing the residual cavity, the suture should be close to the mucosa. Lower layer, avoid entering the uterine cavity. To prevent postoperative infection or endometriosis. Injury: The damage of fibroid resection is more common in cervical fibroids and broad ligament fibroids. As the tumor is gradually enlarged here, the uterine blood vessels and ureters can be displaced. According to the location of the tumor and its growth direction, the ureter can be pushed to the caudal side, the lateral side, or even the cephalad, and is elongated and flat, which is very different from the normal ureter. If it is not noticed, it is easy to be injured. Special attention should be paid to this. Bleeding: There is a blood vessel that nourishes the fibroids in the connective tissue in the pseudocapsular of the fibroid. After the fibroids are removed, the bleeding points in the pseudocapsule are carefully sewed. If the wound surface oozes, you can use the hot saline gauze to stop bleeding, or the muscle wall to inject oxytocin (oxytocin) 10U to reduce bleeding.

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