The most common uterine pathology that women encounter is hysteromyoma. According to statistics, the chance of its occurrence during a woman’s life is from 25 to 50%. Usually women from 30 to 50 years old experience this disease, but in the modern world this age is constantly decreasing. For example, in our practice, we often diagnose uterine fibroids in patients aged 18-25 years.
A myoma is a benign tumor-like formation, usually formed and growing in the muscular layer of the uterus. Malignant myomas are rare.
Depending on the location of uterus layers, subserous, intramural and submucosal fibroids are distinguished.
The location of a myoma also determines the symptoms that it can likely cause. Myomas located closer to the inner layer of the uterus (submucosal location) will more often cause a failures in the nature of menstruation and reduced fertility. At the same time, a myoma located closer to the outer layer of the uterus is more likely to cause pain or be asymptomatic – about 50% of these myomas do not manifest themselves at all and usually appear during ultrasound reviews.
Not all myomas require surgical treatment. In addition, until a woman sees the doctor, she may not even suspect having such a disease.
However, in many cases, myomectomy (one or more nodes) or even the entire uterus is necessary.
In any case, when hysteromyomas are detected, it is necessary to consult with a specialist in order to choose a tactic and determine the need for treatment.
Below we provide a list of indications for surgical treatment of myoma:
We perform operations to remove myomas laparoscopically. Laparoscopy is a modern surgical method during which the operation is performed without a large incision on the anterior abdominal wall. A camera and instruments are inserted through small, 5-10-millimeter long incisions on the skin in the amount of 3-4. Thanks to a special surgical camera with optics, the surgeon can better see the tissues of the uterus, and high-tech instruments with a diameter of 5 mm ensure delicate and confident operations.
After myoma removal, we carefully suture the uterine wall in layers using licensed suture materials, which provides for correct matching of the uterine wall layers and eliminate possible complications during a future pregnancy.
Such an operation can be an alternative to the conservative treatment of quite a few pathologies of the uterus in case a woman’s reproductive plans have already been implemented, or if the woman is in her menopause. In any case, we leave the final decision on the planned volume of surgical intervention to the patient, giving a detailed consultation about the pros and cons of the treatment options available.
In our surgical center, mainly laparoscopic surgical interventions are performed, since this method has a lot of well-known advantages over open access surgery. This applies to both the operation technique itself – better visualization allows performing high-quality surgeries, reducing tissue trauma, reducing the risk of bleeding and other complications, facilitating postoperative recovery (the postoperative period is much easier and faster, our patients return to their normal habitual lifestyle in 1-2 days after the operation).
For the treatment of particularly complex and non-standard cases, our clinic uses robot-assisted surgery using the Da Vinci Surgical System. This allows us to perform even the most complex surgical interventions in gynecology with particular accuracy and minimal risks.
Миома матки
Uterine fibroids are the most common benign tumor in women in the modern world.
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* the results of treatment are individual and depend on many factors.
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