Laparoscopic myomectomy - ka wā a me ka mea ia hana?

Laparoscopic Myomectomy - heʻoki kino i hana no ka uterine myoma. Ua komo ai i ka wehe 'ana o pathological aka wahi ma punctures paha incisions ma luna o ka abdominal paia. E like me ka rula, hoʻohana 'ia i loko o ka ka loaʻaʻana o ka nui fibroids a myomas hanana o loa complications (kahe ana ke koko, infertility).

pono o ka hana

Kekahi o ka loa nui pono o ka laparoscopic (makeʻe kulana) myomectomy o ka malama o ka uterus, a pau kona oihana, a me menstruation. No hoi, he nui ia Morohiha hiki ke kapaia he uuku traumaʻoki kino a me ka hoʻokēʻai ke ola manawa ma hope o ka meaola.

keakea ana

ʻoki kino, e wehe i na fibroids i wale i kekahi mau, akā, he kaumaha drawbacks. Ka mea mua i kekahi ke ke kapa i ka pilikia o ka recurrence o ka maʻi i loko o ka makahiki kakaikahi ma hope o ka hana. Ke kumu no keia o ka impossibility iʻoki kino, e hooholo i ke alo o nodules liʻiliʻi, a e ho'ōla mahuahua ma ka buke. Ka lua o drawback - ia mea hiki poino i pili na nā loko - naʻau liʻiliʻi, a me ka bladder ureter.

I ka wa a ka poe mea he makeʻe kulana myomectomy?

Nui na kauka kūkā iho e akoakoa ai i keia hana, wale na wahine opiopio, ka poe e hoʻolala i ka hāpai keiki i loko o ka kokoke loa manawa, fibroids mahuahua i ka ia he nui i ka lapaʻauʻia lapaʻau 'aʻole e haawi aku i ka makemake kanawai. Akā, ua mau wāhine, ka poe i makemake ole hou ia i keiki, e e oi ka naauao, e hoʻomakaʻoki kino no ka hysterectomy. No, ma aneane nā hihia o ka maʻi ma luna o 5 makahiki e ia he relapse.

Nō hoʻi, laparoscopic myomectomy ua hoonohoia ma ka hihia i ka wa e haule ana na contraindications no uterine artery embolization - E komo ae embolization o ka lāʻau i loko o ka ipu koko o ka kūikawā catheter ma ka femoral artery puncture.

Laparoscopic Myomectomy: contraindications

• E hoʻohuoiʻia no ka malignantʻeho.
• A nui helu o interstitial kahua, ae hookaawale i ka mālama 'ana i reproductive kuleana pili i mea e hiki.
• Ke alo aku o ka mau contraindications e laparoscopy, a hiki ia i ka hoʻoweliweli 'ana i ka wahine o ka ola.

E like me ia he nui gynecologists, obesity papa 2 a me 3, a me ke alo o adhesions mea he contraindication no ka hana.

Hana laparoscopic myomectomy

Ke ae pā o kēiaʻoki kino o ka trocar puncturing ka anterior abdominal pā i ka eha wahi. I kekahi puncture (piko) ua hoʻolauna laparoscope i loko o ka 'ē aʻe ekolu (abdomen) -ʻoki lāʻau lapaʻau manipulators. No ka oi pono ana o ka abdominal lua ua hoʻolauna o carbon dioxide. A laila, dissect i kaʻoki lāʻau lapaʻau lima o ka uterus, a ua weheʻia miomnye aka wahi, a ua lawe mai ka mea o ka electrocautery kahe ana ke koko, e oki. I kaʻili, kahi o nā aka wahi i irrigated me Saline, a me nā kaua i'ōlelo mai iā lākou iho e wehe, ke kaumaha ma muli o ko lākou nui: ma ka puncture (me ka meaʻuʻuku nui), a i hoʻolauna i na mea paahana, a ma ka vaginal Dome oki (no ka nui nui). Laparoscopic myomectomy hana ma lalo o kekahi mau anesthesia. Ka lōʻihi like 'ole o ka hana ma waena o 60 a me 180 minuke. Kēiaʻano o kaʻoki kino ka mea i like loa ana, e wehe i ka hernia abdomen (laparoscopic hernia? Aiiio), i ka i hanaʻia ma ka puncturing ka abdominal lahilahi Tube.