肌瘤切除术

子宫肌瘤切除术是非常有效的，但肌瘤可以重新生长. The younger you are and the more 肌瘤 you have at the time of myomectomy, the more likely you are to develop 肌瘤 again in the future. 女人接近 更年期 are the least likely to have recurring problems from 肌瘤 after a myomectomy.

子宫肌瘤切除术有几种不同的方法. 取决于大小, 子宫肌瘤的数目和位置, 你可能有资格做腹部子宫肌瘤切除术, 腹腔镜子宫肌瘤切除术或宫腔镜子宫肌瘤切除术.

腹部肌瘤切除术

也 known as an "open" myomectomy, an abdominal myomectomy is a major surgical procedure. It involves making an incision through the skin on the lower abdomen, 被称为“比基尼式剪裁”,从子宫壁上切除肌瘤. The uterine muscle is then sewn back together using several layers of stitches. 在手术过程中你会睡着.

Blood loss during the surgery may require a blood transfusion. Some women store their blood before the operation in order to receive their own blood rather than blood from the blood bank.

Most women spend two nights in the hospital and four to six weeks recovering at home. 手术后, you will have a four-inch horizontal scar near your pubic hair or "bikini" line.

子宫肌瘤切除术后, your doctor may recommend a Caesarean section (C-section) for the delivery of future pregnancies. This is to reduce the chance that your uterus could open apart during labor. The need for C-section will depend on how deeply the 肌瘤 were embedded in the wall of the uterus at the time of surgical removal.

It is also important to note that new 肌瘤 may develop, resulting in recurrent symptoms and additional procedures.

风险

Like any surgical procedure, an abdominal myomectomy does have some risks, though rare. About 5 percent of women develop an infection after surgery that is treated with antibiotics in the hospital for as many as five days. 大约5%的女性会出现伤口感染. 虽然伤口感染是在家里治疗的, frequent visits to the doctor's office for up to six weeks is required.

腹腔镜肌瘤切除术

Only certain 肌瘤 can be removed by a laparoscopic myomectomy. 如果肌瘤很大, 子宫内的大量的或深嵌在子宫内的, 然后可能需要腹部子宫肌瘤切除术. 也, sometimes during the operation it is necessary to switch from a laparoscopic myomectomy to an abdominal myomectomy.

在手术过程中你会睡着, which is performed in the operating room. 第一个, four one-centimeter incisions are made in the lower abdomen: one at the navel (belly button), one below the bikini line (near the pubic hair) and one near each hip. The abdominal cavity is then filled with carbon dioxide gas. 一个瘦, 点燃的望远镜, 叫做腹腔镜, 是通过切口放置的吗, 让十大赌博平台排行榜看到卵巢, 输卵管和子宫. Long instruments, inserted through the other incisions, are used to remove the 肌瘤. 子宫肌肉被缝合在一起. At the end of the procedure, the gas is released and the skin incisions are closed.

Most women spend one night in the hospital and two to four weeks recovering at home. 手术后, you will have small scars on your skin where the incisions were made.