Abdominal fibroid removal surgery

The article was professionally consulted with Specialist Doctor II Pham Thi Tuyet Mai - Obstetrician and Gynecologist - Department of Obstetrics and Gynecology - Vinmec Hai Phong International General Hospital.

Uterine fibroids are a common gynecological disease in women. Fibroid ablation is a surgical treatment that preserves the entire uterus and prevents disease progression.

Uterine fibroids can affect fertility, which is one of the causes of infertility in women. Fibroids appear in the smooth muscle of the uterus, and the size and number of tumors are different in each patient.
Abdominal fibroid removal surgery aims to completely remove fibroids located in the uterine muscle, preserving the uterus and preserving the appendages, this is a procedure to remove uterine fibroids through an incision in the abdomen. The doctor will make a horizontal incision in the abdomen and remove the fibroids from the uterus through the incision.
Open abdominal fibroid removal surgery should only be performed when the patient cannot do surgery by other methods. Because this method has many disadvantages, patients will recover longer, bleed heavily and leave large scars.

Conditions required for transabdominal fibroid removal surgery include:
Not having too many nuclei because too much dissection will cause bleeding. The fibrous nucleus is not too large, stuck in the subframe. In cases where it is necessary to preserve fertility, caution should be exercised in the indication because it may fail and require hysterectomy. There are clear fibrous nuclei, concentric fibromuscular layers, surrounded by loose, easy-to-separate organizations. On the ultrasound image, it creates a clear border, different from the muscle organization. Visible fibroids in the uterus without signs of infection, especially during surgical removal of the submucosal fibroids. The location of the fibroid is far from the uterine horn. Indications for abdominal fibroid removal in the following cases:
The uterus has fast growing fibroids, causing fibroids to grow, causing pain to the patient. Fibroids degenerate, causing pain (detected by ultrasound) Fibroids grow into the mucosa causing bleeding, affecting health. Removal of fibroids during cesarean section.

Step 1: Preparation The patient and family are explained the reason for the surgery. Patients will be enema, personal hygiene, abdomen and vagina, bath with antiseptic solution. Patients need to fast, fast for at least 8 hours before surgery. Medical staff need to prepare surgical instruments and medical records as prescribed. When examining the patient's general condition, it is necessary to test for preoperative prognosis because there are large, fibrous uterus without clearly separated fibrous nuclei. Detect associated diseases, especially gynecological infections for preoperative treatment. Choose the time after the menstrual period to have surgery. Step 2: Carry out surgery Before conducting surgery to remove uterine fibroids, the patient is placed with a urinary catheter, general anesthesia and mechanical ventilation, disinfecting the abdomen and thighs. Then proceed to the surgical steps:
Stage 1: Open the abdominal wall Stage 2: Expose the tumor for dissection Stage 3: Use an electric knife or a normal knife Stage 4: Dissect the tumor Then 5: Sew the dissection cavity closed Step 6: Close the abdomen After surgery to remove uterine fibroids through the abdomen, the patient needs to:
Get up early to avoid complications of thrombosis and infection, causing uterine adhesions and infertility. Follow up the menstrual cycle after surgery, if the return of menstruation is a sign of the balance of hormonal activity and the uterine lining returns to normal. Abdominal fibroid removal surgery is a procedure to remove uterine fibroids through an incision in the abdomen, with the aim of completely removing the fibroids located in the uterine muscle, preserving the uterus and preserving the appendages. After surgery, patients need to be closely monitored to prevent postoperative complications, so when seeing any abnormal signs, it is necessary to immediately notify medical staff for timely intervention.
In order to help customers detect and treat other gynecological diseases early, Vinmec International Hospital has a basic gynecological examination and screening package, helping customers detect early inflammatory diseases Easy, inexpensive treatment. Screening detects gynecological cancer (cervical cancer) early even when there are no symptoms.