Surgical treatment of uterine fibroids

Uterine fibroids - a benign tumor that can be accompanied by pain in the abdomen, bleeding and be the cause of infertility and inexpressive pregnancy. Over time, myoma increases in size, so it is important to remove it in the early stages through minimally invasive intervention.

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Uterine fibroids is a benign neoplasm of the myometrium, which can be found in women aged 25-50 years. The main factors of influence are hormonal failure, when estrogens prevail over progesterone.There are subserous fibroids (located under the serous membrane of the uterus) and submucosal fibroids, when the node is found closer to the inner surface of the uterine layer and deforms the organ cavity, as well as the nodes on the leg.Functional gynecology at OLYMP CLINIC can significantly reduce the time of surgical intervention, exclude pathology, reduce the risk of tissue damage and speed up the patient's recovery process.

Показания и противопоказания


Symptomed fibroids with pain syndrome, cervical localization of a myomatous node

The occurrence of a benign tumor in the cervix

Below pain in the lower abdomen, plentiful long menstruation

Discomfort sensing during menstruation

Large tumor size

Fibroids, large in size than a pregnant uterus for a period of 12 weeks

The presence of a submucous node

Benign formation under the mucous membrane of the uterus

The presence of a subserogenic node of myoma on the leg

Subserosis node associated with the body of the uterus with a leg

Infertility, familiar inexpressive

Inability to conceive and take out a child at a childbearing age

Процесс проведения

Surgical treatment of uterine fibroids


Consultation before the operation

During the initial consultation, a gynecologist-surgeon conducts a clinical examination of the patient. Complex diagnosis is prescribed: blood and urine tests, a smear from the vagina for Bakposev. Dressed laboratory diagnostics may be prescribed depending on the related diseases. An ultrasound of the pelvic organs is also performed, diagnostic hysteroscopy. According to the testimony, consultations of other narrow specialists are held. Based on the data obtained, the doctor selects the type of operation, determines the time of its conduct. Typically, minimally invasive surgery is carried out in the first half of the menstrual cycle. A few days before the planned date of the operation based on the results of the examination, the patient meets an anesthesiologist for the individual selection of anesthesia.


Gynecological surgery

Hospitalization takes place in the morning on the day of the operation. The last intake of water, solid food should be at least 6 hours before planned surgery. Immediately before the operation, it is necessary to empty the intestines and bladder. Surgical treatment of uterine fibroids is carried out using spinal or general anesthesia. Laparoscopy gives access to the foci of myoma nodes through micro -proocols on the front wall of the abdomen. With the help of a laparoscope, a gynecologist-surgeon finds a tumor and performs the necessary manipulations with special tools under visual control. Laparoscopy minimizes the cuts of the abdominal wall, allows you to carefully remove the pathology without the risk of the formation of adhesions, to prevent complications. Hysteroreusectoscopy is performed using a hysterosectoscope, which is inserted into the uterine cavity through the vagina. The doctor carefully examines the organ: accurate visualization allows you to study the size, relief and thickness of the mucous membrane, the condition of the mouths of the uterine pipes. At the same time, localization, dimensions and form of altered tissues are studied. Then they are excised using laser or electrosurgical tools. An extract occurs, as a rule, 1-2 days after surgery.


Postoperative period

After the operation, the appointments and recommendations of the attending physicologist are issued. It is necessary to temporarily refuse to visit the sauna, bath, solarium, avoid hypothermia, control menstruation and note sore discharge. Typically, the next step after minimally invasive surgical intervention is prescribed conservative treatment in order to prevent the relapse of the disease.


Surgical treatment of uterine fibroids

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Surgical treatment of uterine fibroids
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