Selection of surgical methods for uterine fibroids

1. Transabdominal surgery or laparoscopic surgery Hysteromyomectomy is suitable for young patients who have fertility requirements and want to retain the uterus. Laparoscopy or laparotomy mainly depends on the technique of the operator and the condition of fibroids. For multiple fibroids, the diameter of fibroids is greater than 10cm, and special sites such as cervical fibroids have a history of surgery that is suspected of severe pelvic adhesions. Open surgery may be considered unless the evil is possible. For large fibroids, a large number, no fertility requirements, and suspected malignant transformation can be done with uterus. 2. Hysteroscopy surgery Type 0 submucosal fibroids, type Ⅰ submucosal fibroids, type II submucosal fibroids are less than 5cm in diameter, the uterine volume is less than 8-10 weeks in size, and the uterine cavity is less than 12cm deep. Microscopic surgery. 3. Transvaginal surgery The main choice for transvaginal fibroids removal is married patients. The number of fibroids is less than 2cm and the diameter of fibroids is less than 6cm. Cervical fibroids or fibroids in the lower uterus can be used for pelvic organ prolapse simultaneously. .

Can only a large knife be used for intrahepatic bile duct stones?

The patient repeatedly had symptoms of bile duct inflammation such as abdominal pain, fever, jaundice, and a MRI examination revealed stones in the common bile duct, stones in the left intrahepatic bile duct, and hepatic duct dilatation. This usually requires surgical treatment to remove part of the liver that has been diseased, together with the stones inside. This kind of liver cutting used to require an open scalpel and a large scalpel. The abdomen can be completed with a nearly 30 cm incision. The recovery time after surgery is long and the recovery is slow. At present, with the development of laparoscopic minimally invasive technology, this liver cut can also be performed under minimally invasive, as long as a few holes are made in the abdomen, the entire operation can be completed. Patients can generally open their diet and get out of bed after 6 hours. Therefore, at present, most surgical operations can be performed by laparoscopy, and the efficacy is not much different from traditional laparotomy, and the recovery of patients after surgery is significantly shortened.

What is liver cyst? Is it serious?

What is a liver cyst? Hepatic cysts are abnormal sacs in the liver that may contain liquid or solid cells. &nbsp. Hepatic cysts are simply “blisters” in the liver. The cause of the occurrence is unclear. The harm of liver cysts is that “blisters” occupy a certain space in the liver, which compresses normal liver tissues around them, thus making the site Of normal liver tissues are decreasing. Moreover, the cysts have a tendency to continue to grow. As they grow larger, the local liver tissue will be crushed and destroyed more. Under normal circumstances, a single or 2 to 3 cysts will not cause serious damage, nor It can lead to poor liver function (because 60% of liver function is damaged, it can be normal). If it is a polycystic liver (the entire liver is covered with cysts of different sizes), it may lead to poor liver function. Because small cysts squeeze the liver less, the damage to the liver tissue is very small (that is, not serious), so no treatment is required. If the cyst is larger than 5cm (there is no unified standard to determine how much it needs to be treated), you can consider the treatment: 1. Open abdominal drainage of cysts and windows The traditional method is to open abdominal drainage of cysts and windows. The purpose of windowing and drainage is to let The fluid in the cyst flows into the abdominal cavity. These fluids can be absorbed by the peritoneum. In rare cases, partial liver resection is required to eliminate the cyst. This method is the most thorough. However, the laparotomy is invasive and is generally not used now. . 2. Laparoscopic cyst fenestration drainage Laparoscopic cyst fenestration drainage, this is currently the most used method, using minimally invasive techniques to achieve the purpose of open surgery, allowing the fluid in the cyst to flow into the abdominal cavity to be absorbed by the peritoneum, thus eliminating the cyst ; 3. Ultrasound-guided cyst puncture catheterization drainage and curing B-ultrasound-guided cyst puncture catheterization drainage and solidification of cyst endothelium, the tube must be repeatedly injected with a curing agent to achieve better results, the purpose of curing is to destroy the cyst The endothelial cells on the inner wall make the cyst endothelial cells no longer secrete fluid, thus achieving the purpose of eliminating cysts.