How to perform surgery for multiple uterine fibroids? Which surgical method is best for multiple uterine fibroids?

Experts say that the treatment of uterine fibroids depends on factors such as the patient's age, symptoms, location, volume, growth rate, number, uterine deformation, whether to retain fertility, and the patient's wishes. Then, the following are the main surgical methods, and patients can choose according to their own requirements. I hope you can choose the method that best suits your health.

Four common surgical methods are used: (1) Myomectomy: This is a surgery to remove the fibroids on the uterus and preserve the uterus. It is mainly used for women under 45 years old, especially those under 40 years old. This is not only for infertile women who have no children, but also for women who have children, have large fibroids with a diameter greater than 6 cm, have heavy menstruation and are ineffective with conservative medication, or have compression symptoms, have submucosal fibroids, or have rapidly growing fibroids. Resection should also be performed for psychological health. As for the number of fibroids, it is usually limited to 15.

(2) Hysterectomy: If treatment and drug therapy are not expected to improve the patient's symptoms and the surgeon is not qualified for myomectomy, hysterectomy should be performed. Hysterectomy can be performed by total hysterectomy or vaginal hysterectomy. Hysterectomy is mainly performed in the abdomen. If the individual tumor is small, there is no inflammation or adhesion in the appendages, the abdominal wall is too fat, and there is abdominal wall eczema, vaginal hysterectomy can be considered.

(3) Uterine fibroid twisting surgery: This type of uterine fibroid surgery is only suitable for certain cervical fibroids that are located lower and can be twisted directly out of the vagina.

(4) Hysteroscopic surgery: An endoscope is placed in the uterine cavity through the vagina to remove protruding fibroids in the uterine cavity. It is suitable for submucosal fibroids and some intramural fibroids. It requires high surgical skills. Uterine fibroids are often the cause of infertility in middle-aged women, and many women pay special attention to prevention.