Minimally invasive surgery for uterine fibroids

Minimally invasive surgical methods for uterine fibroids mainly include laparoscopic surgery, hysteroscopic surgery, vaginal surgery, radiofrequency ablation, high-intensity focused ultrasound therapy, etc. Uterine fibroids may be related to genetic factors, abnormal estrogen levels, etc., and usually manifest as symptoms such as increased menstrual flow and bloating in the lower abdomen.

1. Laparoscopic surgery

Laparoscopic surgery is a minimally invasive surgery in which laparoscopic instruments are inserted through a small incision in the abdominal wall. During the operation, 3-4 small holes with a diameter of 5-10 mm are made in the abdomen, and the intra-abdominal conditions are displayed on the display screen through a camera. The doctor uses special instruments to remove the fibroids. This method has less trauma and faster recovery, and is suitable for cases where the volume of subserosal fibroids or intramural fibroids is less than 10 cm.

2. Hysteroscopic surgery

Hysteroscopic surgery is a minimally invasive surgery performed by inserting a hysteroscope through the natural channels of the vagina and cervix. The operation does not require an incision in the abdomen. The hysteroscope is directly inserted into the uterine cavity through the vagina. The doctor observes through the display screen and uses an electric resection ring to remove the submucosal fibroids. This method is suitable for submucosal fibroids in the uterine cavity, especially for young women who wish to preserve their uterus.

3. Vaginal surgery

Vaginal surgery is a surgical method that removes fibroids through the natural orifice of the vagina. The doctor makes a small incision in the posterior vaginal vault and enters the pelvic cavity through the vagina to find and remove the fibroids. This type of surgery has little interference with the pelvic cavity and allows for quick recovery after surgery. It is suitable for cases with good uterine mobility and low-lying fibroids.

4. Radiofrequency ablation

Radiofrequency ablation is a minimally invasive treatment method that uses a radiofrequency electrode needle to puncture the inside of the fibroid under image guidance, and uses high-frequency current to generate heat to cause coagulation and necrosis of the fibroid tissue. The surgery does not require an incision and can be completed through vaginal or abdominal puncture with minimal trauma. This method is suitable for patients who are unwilling to undergo surgery or cannot tolerate surgery, but it is important to note that the fibroids may not completely disappear.

5. High-intensity focused ultrasound treatment

High-intensity focused ultrasound therapy is a non-invasive treatment method that uses the principle of ultrasonic energy concentration to cause coagulation necrosis of fibroid tissue. During the treatment, the patient lies supine on the treatment bed. The doctor uses magnetic resonance or ultrasound guidance to accurately locate the fibroids, and then uses high-intensity ultrasound to focus on the fibroids for ablation. This method requires no incision and no radiation, and is suitable for patients who are afraid of surgery.

Patients with uterine fibroids should pay attention to rest after surgery, avoid strenuous exercise and heavy physical labor within 1 month after surgery, and keep the vulva clean. In your diet, eat more foods rich in high-quality protein and vitamins, such as fish, eggs, fresh vegetables, etc., and avoid foods containing high estrogen, such as royal jelly, snow clams, etc. A follow-up ultrasound is required 3 months after the operation to understand the recovery of the uterus. If there is abnormal bleeding or abdominal pain, you should seek medical treatment in time.