After abortion of eggs: In which cases need hysterectomy?

The article is professionally consulted by Specialist Doctor II Tran Thi Mai Huong - Department of Obstetrics and Gynecology - Vinmec Hai Phong International General Hospital

In the case of an ovum, ectopic pregnancy is a mandatory treatment option. In addition, in some specific cases, patients after abortion are also indicated for total hysterectomy for definitive treatment. The question many patients are interested in is in which case complete hysterectomy is needed?

Normally, after the sperm fuses with the ovum, it becomes a fertilized egg, which develops into the fetus and its appendages such as the placenta and amniotic sac. In some cases, the trophoblastic cells grow too quickly while the connective tissue and capillaries of the umbilical cord blood vessels in the placenta do not develop in time. As a result, the placenta is degraded, edematous, forming fluid-filled sacs that stick together like bunches of grapes, occupying most of the uterine cavity. This phenomenon is called oviposition.

Ovarian disease, if not treated early, will lead to many dangerous complications such as blood loss, malnutrition or hemorrhage. Not only that, oocyte pregnancy can also cause malignant complications such as invasive oocyte pregnancy and trophoblastic cancer (malignant cancer, which can cause systemic metastases and has a very high mortality rate).

When it is confirmed that she is pregnant, the patient will be assigned to remove the egg mass from the uterus by dilatation or curettage. After the first curettage, the patient will have the second curettage after 2-3 days. Next, the organization of the scraped tissue will be pathologically performed.

When the ovum has serious complications such as invasive ectopic pregnancy and perforation of the uterus, laparoscopic total hysterectomy after ectopic pregnancy will be applied. This method is also indicated for women who do not want to have children anymore or who are over 40 years old.
The advantage of the laparoscopic total hysterectomy is to remove the entire ovum invasively and treat the disease thoroughly. Not only that, laparoscopic surgery also has the advantage of helping patients reduce trauma, less pain, faster recovery, without too large surgical scars like the previous open surgery method. At the same time, although the cost of laparoscopic surgery is higher than that of open surgery, the hospital stay is short, the drug is used less and the patient recovers quickly, so the total cost of treatment is not high.

Vinmec Ha Long is currently applying laparoscopic total hysterectomy for patients:
Uterine fibroids; Large uterine fibroids, size > 12 weeks gestation; Uterine fibroids cause compression of other organs, causing many malignant complications, causing infertility. The tumor is located in the broad ligament of endometrial hyperplasia, which has not been successfully treated with endometriosis. Menorrhagia with no results from internal treatment of cervical lesions: CIN II, CIN III, CIS. Endometrial cancer early stage After abortion, there is indication for hysterectomy.

Patients can experience the most advanced techniques such as:
Full HD laparoscopic and gynecological surgery system, tissue cutting machine when the tumor is too large, with uterine pusher for surgery, tools to close the vagina. . Equipped with the Hybrid operating room, which is the most modern operating room system in the world today, integrating modern equipment, it helps to reduce surgery time and bring the best laparoscopic total hysterectomy results for patients. patient. Patients with laparoscopic surgery in the Hybrid operating room will recover quickly, have small scars and have higher safety compared to conventional open surgery techniques. Advantages of the method:
Get the entire tumor, completely solve the source of the clinical symptoms, besides, laparoscopic surgery will help the patient reduce trauma, be more aesthetic and the patient will also recover. Faster recovery after surgery than open surgery as before. High aesthetics for the patient: if laparoscopic surgery is almost no scar, only 3 holes in the trocart size 0.5cm, compared with open surgery 10cm scar. Total laparoscopic hysterectomy is an advanced technique that helps the patient recover quickly, leaving no bad scars on the abdominal wall Less pain after surgery: after surgery, the patient has little pain or only mild pain on the first day, during the first day of surgery. open surgery pain 3-5 days. Quick recovery: after laparoscopic surgery, the patient can walk and eat normally the next day. Short hospital stay: on average, laparoscopic surgery only requires 3 days, and open surgery 5-7 days. Less expensive: although the cost of laparoscopic surgery is higher than that of open surgery, the hospital stay is short, the drug is used less, and the recovery is quick, so the total cost of treatment is not high. Highly qualified and experienced medical team:
Specialist II Bach Cam An - Head of Obstetrics and Gynecology Department, Vinmec Ha Long International Hospital, with more than 40 years of experience in the field of Obstetrics and Gynecology He is also a member of the Vietnam Association of Obstetrics and Gynecology. Specialist II Bui Minh Phuc - Department of Obstetrics and Gynecology, Vinmec Ha Long International Hospital, with more than 18 years of experience in the field of Obstetrics and Gynecology, proficiently performs basic and specialized techniques in the field of Obstetrics and Gynecology. specializing in obstetrics and gynecology. Specialist Doctor II Le Thi Phuong - Department of Obstetrics and Gynecology, Vinmec Ha Long International Hospital, with 29 years of experience in the field of Obstetrics and Gynecology, proficiently performs surgeries with high technical requirements: Surgery. Removal of uterine fibroids, Laparoscopic surgery to preserve the fallopian tube in the treatment of ectopic pregnancy,... Ths.BS Nguyen Thanh Vinh - Department of Obstetrics and Gynecology, Vinmec Ha Long International Hospital , with many years of experience in the field of obstetrics and gynecology and certifications at home and abroad: Certificate of Intrauterine Insemination in infertility treatment, Pelvic floor surgery for genital prolapse and urinary incontinence. ,.... In anesthesia resuscitation, Vinmec Ha Long always adheres to anesthesia protocols, anesthesia safety instructions, anesthesia checklists for 100% of surgeries in order to minimize incidents and unwanted effects.