What are the surgical methods for uterine fibroids? What are the advantages of uterine fibroid surgery?

Uterine fibroids are one of the most common benign tumors in the female reproductive organs and one of the most common tumors in the human body. They are also called fibroids and uterine fibroids. Because uterine fibroids are mainly composed of the proliferation of uterine smooth muscle cells and a small amount of fibrous connective tissue exists as supporting tissue, they are more accurately called uterine leiomyoma. Uterine fibroids.

1. Hysterectomy

Applicable population: patients with large fibroids, severe symptoms, ineffective conservative treatment or malignant diseases.

Advantages: The uterus is completely removed and symptoms are eradicated.

Disadvantages: Patients lose their fertility and no longer have menstruation. 34% of women experience ovarian failure and menopausal symptoms within 2 years after surgery. Hysterectomy affects the integrity of the pelvic floor, shortens the vagina, and affects sexual life. After hysterectomy, premature ovarian failure reduces estrogen and increases cardiovascular morbidity. Patients are prone to adverse reactions such as obesity, hypertension, heart disease, and osteoporosis. Patients need a 4-8 week recovery period after surgery.

2. Hysteroscopy and laparoscopic myomectomy

Advantages: small incision, less pelvic adhesion formation, fast recovery after surgery, most patients can walk and eat in the afternoon; less wound pain and postoperative fever, seldom use of sedatives and analgesics; small and beautiful incision, in line with the aesthetic psychology of young people; shortened hospitalization time, generally 48 hours after surgery.

Defects: Large (over 5 cm) submucosal fibroids are weak