Surgical treatment of uterine fibroids

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.

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.

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.