Ms. Yang, 50, can finally breathe. After nearly 4 hours of surgery, 14 pounds of huge uterine fibroids, which have grown up for many years, have been removing smoothly at the general gynecological department of Luohu Hospital.
Ms. Yang lived in Hong Kong. She found uterine fibroids when she was a local clinic 10 years ago. Because the fibroids were very small and had no discomfort in their bodies at that time, Ms. Yang had no control and no regular physical examination.Half a year ago, Ms. Yang began to have symptoms such as bloating, frequent urination, and urgency.More than 10 days ago, she came to a hospital in Shenzhen to check for a huge mass in Ms. Yang’s abdominal cavity and pelvic cavity. It was considered as uterine fibroids. It is recommended to further examination and treatment.
Ms. Yang later found Director Zhou Ming, the general gynecological department of Luohu Hospital. Director Zhou Ming asked the medical history and examination after the test.There is a huge substantial mass in the abdominal cavity. Almost the entire pelvic abdominal cavity is filled, and the symptoms of compression are obvious. It must be removed as soon as possible.
In response to Ms. Yang’s condition, Director Zhou Ming and team member Wang Chunping, deputy chief physician Shi Liping, and the attending physician of Dong Rui repeatedly discussed, thinking that Ms. Yang had a long course, complicated condition, huge abdominal block, and special position (cervical fibroids,, cervical fibroids, cervical fibroids, cervical fibroids, cervical fibroids,, cervical fibroids, cervical fibroids, cervical fibroids, cervical fibroids, cervical fibroids, cervical fibroids, cervical fibroids, cervical fibroids, cervical fibonBroad -ligament fibroids) and abundant blood supply have greatly increased the risk and difficulty of surgery. During the operation, blood transfusion and rapid pathology should be prepared.According to the difficulty and complexity of the operation, the surgical plan and the operation plan were formulated, and the plans for response plans for various situations during the operation.On June 29, the anesthesiology department, operating room, blood transfusion department, urology department and other related departments were fully supported and cooperated with cesarean section.
Although this is a huge tumor before surgery, the scene after opening the abdominal cavity is still shocking: the tumor occupies the entire field of vision, the patient’s uterus has been severely deformed, like 7 months of pregnancy, the uterine surface is covered with fibroids, part of which is partially covered with fibroids.The tumor stretchs inside the wide ligament to the left.
"This tumor is not only large, but also the" deep "hidden, only the tip of the small lotus leaf exposed on the surface, most of which are deeply buried in the left wide ligament.White radish. Because the anatomy of the surgical site is unclear, approaching, and even compressing the ureteral intestines, blood supply is extremely rich, and the difficulty of surgery is self -evident. "Director Zhou Ming recalled.
Facing the problem, the entire surgery team started to run at high speed.Considering that the tumor blood supply is abundant, the volume of huge volume, and the nature of good and evil is difficult to determine, immediately ask the blood transfusion department to prepare for blood transfusion in advance.Prepare blood transfusion.
The removal of huge tumors is both physical work and fine work.Tumor and surrounding tissue boundaries are unclear and chaotic deformation vascular requires high requirements for surgical team technology.The surgery team adopted a steady and stable strategy to separate the blood vessels and ligaments step by step, and a little bit of exposure to the uterus and fibroids to reduce bleeding and side damage as much as possible.Due to the huge tumor and abundant blood supply, it is necessary to do a good job of stopping the hemostasis after being separated in time.The patient’s bleeding was about 2800 ml during the operation. Director Deng Chaogan and Director Cai Qingquan, Director of the Medical Department of the Medical Department, conducted on -site conducting to ensure the timely supply of surgical blood.The surgery successfully created conditions.
After 4 hours of tension and efficient work, the operation was successfully completed with the close cooperation of multiple departments!In the end, the uterus and all fibroids were completely removed, weighing a total of 14 pounds, the largest fibroids are about 40*20*10 cm!The medical examination shows that the benign and smooth fibroids, the patient’s postoperative vitality signs are stable, and they have been discharged from hospital 8 days after surgery.
Uterine fibroids are the most common benign tumors in women’s reproductive organs, commonly in women aged 30-50.There are no obvious symptoms and occasionally discovered during the medical examination.Small and symptomatic fibroids generally do not need to be treated, but if the fibroids increase by more than 5cm, accompanied by symptoms or fertility requirements, treatment may be required.
Ms. Yang’s fibroids have been formed for a long time, because there are no symptoms, so there is no medical examination for a long time, so that she has covered her condition and delayed treatment.Director Zhou Ming reminds the public that you must pay attention to their physical changes. It is necessary to conduct a regular medical examination once a year. Once a problem is found, you need to find a specialist for consultation and treatment. Even if you do not need to be treated in the short term, you must check regularly.
