Myomectomy surgery report of 46 cases.doc

 PAGE \* MERGEFORMAT 6 Myomectomy surgery report of 46 cases [Keywords:] Myomectomy surgery report In recent years, our hospital with myoma enucleation treatment to retain the uterus is not sterile and 46 cases are reported below. 1 Materials and Methods 1.1 General information: 46 cases, the age of 22 years to 43 years, 25 of 32 patients aged 34 years old accounted for 70%. Fertility: 46 patients were married, 9 cases of primary infertility, 25 cases of pregnant childless History with children in 12 cases. symptoms and signs: excessive menstrual flow, abdominal mass, infertility, menstrual disorders, infertility and dysmenorrhea. leiomyoma growth position, number and size: 63% of 29 cases of intramural, subserosal in 12 cases 26%, submucosal and intramural co-exist in 5 cases, 11%, single, 6% of 31 cases and multiple in 15 cases accounted for 33%. up to 1 case of 13 fibroids, fibroids Diameter 1cm ~ 10cm. 1.2 surgical procedures: laparotomy care out of the uterus, fibroids check the location, size and number in order to design enucleation of the program. Bring the uterus around the block with a large gauze pad around the uterus a little fixed, wide rubber tube from both sides ligaments around the uterine isthmus at the base, with a vascular clamp to live after tension, blocking the blood supply, in the absence of blood, one by enucleation of the muscle under the conditions of stay. multiple fibroids, a long time, to every 15 minutes to stop bleeding rubber tube vascular clamp to relax, to stop bleeding wounds, restore uterine blood flow for 1 minute to 2 minutes, then continue to clamp tight rubber tube surgery. enucleation of the fibroids, the case of a single, longitudinal incision line, straight throughgt; 5cm of the longitudinal spindle incision. multiple fibroids choose the right cut, enucleation multiple use “0” interrupted suture catgut layer 2 to 3 layers, removal of a tourniquet. 2 Results Rubber tube bleeding down Myomecto