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How are uterine fibroids removed?

The article was professionally consulted by Doctor Nguyen Chi Quang, Department of Obstetrics and Gynecology - Vinmec Central Park International General Hospital.
Uterine fibroids are a common gynecological disease in women, especially between the ages of 30 and 45. Most uterine fibroids are benign, but there are still cases that require surgical removal of the fibroids.

1. What are uterine fibroids?

Uterine fibroids, also known as uterine fibroids, appear in the smooth muscle of the uterus. The size and number of tumors are different in each patient. The cause of the formation of fibroids in the uterus is often explained by an increase in the level of the hormone estrogen in the female body.
Uterine fibroids can affect the ability to conceive, is one of the causes of infertility in women. Uterine fibroid surgery is a simple method to treat the disease, while avoiding dangerous and unwanted complications.
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2. Surgical removal of uterine fibroids

Surgical treatment of uterine fibroids is considered the most definitive treatment. Cases that need surgery for uterine fibroids, include:
Uterine fibroids are as big as a uterus about 12 weeks pregnant, causing compression, uterine malformations or hindering the ability to get pregnant (miscarriage (miscarriage) pregnancy, premature birth, fetal malformations) Symptoms appear to compress the ureter, causing hydronephrosis. Patients with menorrhagia, heavy bleeding, or prolonged hypermenorrhoea fail to be treated internally. Uterine fibroids with stalk or torsion stalk Uterine fibroids thrive after menopause The tumor is in the broad ligament The doctor suspects cancer. Uterine fibroid removal surgery is one of the surgical methods for uterine fibroids often indicated in the following cases:
The fibroid is not too big The uterus still has healthy tissue The fibroids are under the mucosa or on the side In the ligaments The patient still wants to have a baby or keep the uterus... Treatment is by surgical removal of uterine fibroids with the aim of removing the fibroid while leaving the healthy tissue of the uterus (preserving) uterus).

3. The risks will be encountered when delaying surgery for uterine fibroids

Delaying treatment for uterine fibroids will cause the tumors to grow larger, causing complications that severely affect the patient's health and daily activities:
Pelvic pain Delayed period, Menorrhagia leads to severe anemia. Married life is disrupted. Negatively affects psychological well-being as well as family happiness. In particular, with the growth of fibroids, it changes the lining of the uterus, making it difficult for the fertilized egg to implant in the uterus. In the case of large fibroids in the cervix, the fallopian tubes will prevent sperm from reaching the egg for fertilization.
More dangerous, even when pregnant, uterine fibroids also make it difficult for the fetus to develop normally, prone to miscarriage, premature birth and other complications.
To avoid dangerous complications, people with uterine fibroids need to be treated by surgical removal of uterine fibroids, in order to preserve the uterus and ensure health safety.
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4. Types of surgery to treat uterine fibroids

Uterine fibroid surgery is performed by the following techniques:
Open surgery Conventional laparoscopic surgery and robotic laparoscopic surgery - The most preeminent method in uterine fibroid surgery. From September 2019, Vinmec Central Park General Hospital (HCMC) has deployed a new technique - Robotic surgery with hand-held robots, applied to digestive and urological surgeries. and gynecology.
This method has many advantages compared to both classical laparoscopic surgery and robotic surgery with:
Instruments with surgical heads that work as flexibly as wrist joints to help access narrow angles, increasing the possibility of dissection. separates and causes less damage to the surrounding areas compared to classical laparoscopic surgery Endoscopes are automated through voice, laser, eye tracking,..., helping the doctor to actively control and have vision Better visibility and control, increased accuracy and safety in surgery With the advantage of compact, robotic arm surgery is less invasive and has many advantages such as small incision, less pain, risk low infection, thereby helping customers less blood loss during surgery, quick recovery The cost of implementation is much lower than robot surgery. Customers will be operated by Doctor Nguyen Chi Quang - Department of Obstetrics and Gynecology - Vinmec Central Park International General Hospital. Before becoming a Doctor of Obstetrics and Gynecology at Vinmec Central Park, Dr. Nguyen Chi Quang used to work at Tu Du Hospital and University of Medicine and Pharmacy Hospital in Ho Chi Minh City. Dr. Quang has many years of deep professional experience and strength in the treatment of obstetric and gynecological diseases such as:
Laparoscopic surgery Uterine fibroids Laparoscopic surgery for ovarian tumors Laparoscopic surgery for genital prolapse For more detailed advice about the Gynecological surgery discount program and to book an appointment for examination and treatment at Central Park International General Hospital, please contact Hotline: 0283 6221 166 or register online HERE .
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