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Thursday, 28.03.2024, 22:52
Main » Gynecology » Uterine fibroids - organ-saving operations 
19:21
Uterine fibroids - organ-saving operations


Uterine fibroids - organ-saving operations

Organ-operation in the treatment of uterine fibroids

To date, the relevance of organ preservation treatment of uterine fibroids is extremely high due to the rejuvenation of Pathology and sustained upward trend in age of women who are planning the first and subsequent pregnancies. This dictates the need to preserve the uterus and does not deny the patient the ability to bear children.

For these patients, the gold standard remains conservative myomectomy. It shows the presence of symptomatic uterine fibroids, subserous node on the stem, the tumor, deforming body cavity, cervical canal or the mouth of the fallopian tubes, as well as tumors with a diameter of 8-10 cm and myomas combined with idiopathic infertility, ovarian cysts, endometriosis or other gynecological pathology that requires surgical treatment.



Uterine artery embolization



Types of organ operations

In recent years a large number of minimally invasive treatments for fibroids: uterine artery embolization, kriomioliz, FUS-ablation, and other elektromioliz with satisfactory results in terms of preserving the body. Their use in patients who wish not to lose fertility, requires further study.

Transabdominal MRI-controlled cryotherapy. Under the control of magnetic resonance imaging in the myoma node introduces several krioprob, activation of which leads to the destruction of the tumor. The method requires further investigation.

Uterine artery embolization is the introduction of these vessels through the femoral artery of a special substance that blocks the blood flow in myomatous node, causing a heart attack the tumor. A healthy myometrium supplied with blood at the same time as usual. The downside of this intervention in addition to lack of data concerning the effect on the reproductive function of women is the lack of information about long-term results.

Myolysis performed by laparoscopic access using electric current or laser, with which removes fibroids and narrow the adjacent blood vessels. When kriomiolize use liquid nitrogen, freezing the tumor. Regarding the efficacy and safety of these methods to date are insufficient data in the absence of the necessary evidence.

If hysteroscopic resection of endometrial ablation with the uterine cavity is entered hysteroscope, performed resection of submucous myoma node, mucosal scraping and burning to create amenorrhea. After this intervention fertile potential is zero. Perhaps the development of pulmonary embolism, infection, adenomyosis.

FUS-ablation - the destruction of a distance of uterine fibroids with focused ultrasound, which is controlled by magnetic resonance imaging. Is an experimental technique that, along with other existing contraindications limit its scope.

While there is a further development of experimental techniques in gynecological practice of organ interventions remains a priority myomectomy is performed by abdominal, laparoscopic or hysteroscopic access.



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