Endometrial coherence and node imaging procedure

The article is professionally consulted by Master, Doctor Nguyen Van Phan - Head of Interventional Imaging Unit - Department of Diagnostic Imaging and Nuclear Medicine - Vinmec Times City International General Hospital. Doctor Nguyen Van Phan is an interventional radiologist and radiologist.

Endometriosis is a common gynecological disease in women of reproductive age. The disease causes painful menstrual symptoms and potentially causes infertility and infertility. There are many methods to treat endometriosis, but the method of imaging and embolization in the treatment of endometriosis offers many outstanding advantages.

Endometriosis (Adenomyosis) is a condition in which the endometrium is present inside the muscle of the uterus. The most common symptom of the disease is dull pain in the lower abdomen, dysmenorrhea, heavy menstruation and menorrhagia. This is a benign disease, most often in women 35-50 years old.

Currently, there are many methods to treat endometriosis such as:
Drug treatment Surgery Treatment of endometriosis in the myometrium by embolization method. Each treatment method has its own advantages and disadvantages. However, the treatment of endometriosis by the embolization method has outstanding advantages over other methods such as:
The procedure is relatively safe. The procedure time is short, only about 45 minutes, the possibility of Quick recovery can be discharged after 1-2 days of intervention, without affecting the patient's working health later. Leaving no scars and minimizing post-operative complications Especially with this technique, the patient can completely get pregnant by preserving the entire uterus.

In the following cases, the treatment of endometriosis in the uterus is indicated by embolization.
In case of endometriosis causing abdominal pain and menorrhagia, pain relief and hormonal therapy are ineffective and there is no indication for surgical treatment. Endometriosis in those who need to preserve the uterus for childbirth or improve quality of life Patients with endometriosis with blood counts, coagulation function, function liver and kidney function and vaginal cells were normal. According to the professional requirements of the doctor.

People with infections People with liver failure, kidney failure, heart failure People with hemophilia, diabetes People with a history of allergy to iodine-containing products, bronchial asthma Pregnant people, inflammation adnexal infection and suspected malignancy in the uterus and cervix.

Performer:
Interventional radiology specialist Interventional radiology technician Anesthesiologist/technician (if the patient is difficult to cooperate); Nursing. Means of use:
Digital angiography eraser (DSA); Image storage system, film printer, film; Specialized contrast injection machine; The lead skirt, shirt and collar help shield X-rays. Medicine:
Antiseptic solution for skin and mucous membranes. Local anesthetics General anesthetics (if necessary) Water-soluble iodinated contrast agents; Heparin and Heparin neutralizing drugs; General medical supplies:
Syringes 1, 3, 5, 10ml and pumps for contrast injectors. Physiological saline; Etroley car. Surgical clothing; Sterile kit (scissors, knife, tongs, tool tray, etc.); Cotton gauze, surgical medical adhesive tape. Special medical supplies:
Arteriocentesis needle; Standard conductor 0.035 inch; Circuit opening set 5F - 6F; Microcatheter 1.9F – 2.7F, microwire 0.014-0.018 inch; Angiography Catheter 4F - 5F Set of Y-connectors Embolization materials:
Bio-foam to help stop bleeding; Synthetic resin (PVA); Bio-adhesive (Histoacryl); Metal coils (coils) of all sizes. Patients need to prepare:
To be thoroughly explained about the procedure to coordinate with the doctor; Clinical examination before the procedure; Fasting before 6 hours, do not drink more than 50ml of water; If the patient cannot lie still, sedation will be prescribed.

The patient was admitted to the hospital the day before the procedure and was thoroughly explained about the procedure for peace of mind. Before the procedure, the patient needs to be catheterized and defecated. Nursing the patient on the table, placing an intravenous line, placing an electrocardiogram and a vital function monitor, covering the genitals close to the body. Widespread inguinal region on both sides. The nurse disinfects the groin area on both sides and spreads sterile sheets and bandages on the patient. Anesthetize the common femoral artery about 1cm below the inguinal fold. Make an incision in the skin and insert a needle into the artery. Insert the lead and the catheter into the femoral artery. Under the guidance of DSA background scan, insert the catheter into the uterine artery and take an examination, if satisfactory, PVA resin mixed with contrast material is injected until the entire artery supplying blood to the lesion is blocked. then stop. Take a DSA check again. Withdraw the angiographic catheter and the catheter, and apply pressure to the puncture site. After the procedure, the patient lies motionless for about 6-8 hours, then the compression bandage can be removed. After the endometrial junction in the myometrium, the patient should take antibiotics to avoid infection. After 1-2 days, the patient can be discharged from the hospital.

Almost no serious complications occur, but there are still some complications such as: Bleeding, hematoma in the puncture site.
For the best treatment for endometriosis in the uterus, you should choose a reputable medical facility. Vinmec International General Hospital is a high-quality medical facility in Vietnam with a team of highly qualified medical professionals, well-trained, domestic and foreign, and experienced.
A system of modern and advanced medical equipment, possessing many of the best machines in the world, helping to detect many difficult and dangerous diseases in a short time, supporting the diagnosis and treatment of doctors the most effective. The hospital space is designed according to 5-star hotel standards, bringing patients comfort, friendliness and peace of mind like at home.
For detailed information, please contact the hospitals and clinics of Vinmec health system nationwide.

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