Gynecology:Treatment of Uterine Fibroid with Hyperplasia and Secondary Dysmenorrhea (Painful Periods) with Hysteroscopic Myomectomy (Enucleation)
Surgical treatment of uterine fibroids is recommended for large nodes or in the presence of pronounced pain with the patient. The intervention technique is determined by the form of pathology. When the formations are located under mucosa, their removal (enucleation) through the vaginal access is preferred. This surgery is called a hysteroscopic myomectomy.
The procedure is performed in the first phase of the period under epidural or general anesthesia. Using the retractor, the surgeon expands the walls of the vagina and inserts the hysteroscope, a tube with a camera on its end, into the uterus. Under visual control, the fibroids are excised by a laser or electrocoagulation loop. The removed tissue is removed with vacuum apparatus. Depending on the number and size of nodes, the surgery is carried out in one or two stages.
After intervention, the woman is transported to the ward, where she receives meticulous care on the part of the clinic personnel. For a few days, she may report pain compensated by intake of analgesics. In order to prevent, complications the physician prescribes antibiotics.
The patient is discharged on day 3 after the follow-up examination by the gynecologist. To prevent the recurrence, the patient may be recommended hormonal therapy.Hide
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