PHẪU THUẬT BÓC U XƠ CƠ TỬ CUNG TẠI BỆNH VIỆN PHỤ SẢN TRUNG ƯƠNG

Abstract

Objective: To review the surgical approaches of myomectomy be operated at NHOG. Subjects: 217 patients had uterine leiomyomas, underwent the surgical procedure to remove uterine fibroids, had pathology results was benign uterine leiomyomas, at NHOG from January to December of 2021. Methodology: observational study. Results: The rate of patients had laparoscopic myomectomy was 25.3%; these rate for abdominal myomectomy was 66.9%, these rate for laparoscopic surgery changed to abdominal myomectomy was 7.8%. There were 6 patients underwent hysterectomy (2.8%); where 3 patients were under 40 years old; 3 patients did not get the ideal number of children: 1 patient had 1 child, particularly 2 patients had no child. The reasons of uterine preservation fail included: abdominal adhesion, blood loss, large sized myomas, and the common reason was the myomas’ location was difficult to perform the surgery, such as the uterus posterior, the uterus isthmus, the fibroid is deep within the muscular layer of the uterus, and the board ligament (68.8%). The rate of patients had uterine mucosal damage after open abdominal myomectomy was 9.2% (20/217), was higher than those had laparoscopic myomectomy (1.8%; 4/217). Conclusions: The rate of patients undewent laparoscopic myomectomy was 25.3%, %, these rate for laparoscopic surgery changed to abdominal myomectomy was 7.8%. There was 2.8% of patients had failure of uterine preservation. The rate of patients had uterine mucosal damage due to abdominal myomectomy was 9.2%, higher than those had laparoscopic myomectomy 1.8%.