Obstetrics and gynecology. Diagnosis and treatment of uterine fibroids (the most important)

Lecture notes, cheat sheets
Free library / Directory / Lecture notes, cheat sheets

Obstetrics and gynecology. Diagnosis and treatment of uterine fibroids (the most important)

Lecture notes, cheat sheets

Table of contents (expand)

54. Diagnosis and treatment of uterine fibroids

Diagnosis of uterine fibroids. In the early stages of tumor formation, it is not always possible to make a clinical diagnosis of uterine fibroids. Typically, the diagnosis of uterine fibroids is made at an outpatient appointment, taking into account characteristic complaints and data from a bimanual examination, during which an enlarged, dense, tuberous uterus with an uneven, nodular surface is palpated.

Treatment of uterine fibroids. Indications for surgical treatment of uterine fibroids are:

1) rapid tumor growth;

2) profuse prolonged bleeding leading to anemia;

3) large sizes of fibroids (more than 15 weeks of pregnancy);

4) a tumor of 12-13 weeks of gestation and symptoms of compression of adjacent organs;

5) severe pain syndrome;

6) submucosal uterine fibroids;

7) cervical fibroids;

8) necrosis of the myomatous node;

9) torsion of the legs of the myomatous node;

10) intraligamentary tumor;

11) combination of uterine fibroids with ovarian tumor, endometriosis;

12) infertility due to atypical arrangement of nodes;

13) suspicion of malignant degeneration of fibroids;

14) centripental growth of the myomatous node;

15) a combination of uterine fibroids with a precancerous condition of the cervix.

Surgery. Surgical treatment can be conservative or radical. Conservative methods of surgical treatment include laparoscopic myomectomy; hysteroscopic myomectomy, laparotomy with myomectomy.

Laparoscopic myomectomy. Removal of nodes while preserving the uterus. Indications: subserous and intramural myomatous nodes with a diameter of more than 2 cm, pedunculated nodes, lack of effect from conservative therapy. Contraindications: all conditions in which an increase in pressure in the abdominal cavity is unacceptable.

Hysteroscopic myomectomy. Removal of nodes through the vaginal route. Indications: submucosal myomatous node. Contraindications: suspicion of endometrial hyperplasia or adenocarcinoma, infection of the upper and lower genital tract.

Laparotomy with myomectomy. It is used when laparoscopic methods are not possible or there are contraindications for their implementation. After conservative surgery, recurrence of new myomatous nodes is possible.

Hysterectomy (removal of the uterus). It is a radical surgical treatment method. This type of surgical intervention is indicated in cases where all of the above methods are contraindicated or have proven ineffective. Conservative treatment of uterine fibroids consists of prescribing drugs that inhibit tumor growth and symptomatic drugs to treat complications.

Author: Ivanov A.I.

<< Back: Hysteromyoma

>> Forward: Pregnancy is multiple

We recommend interesting articles Section Lecture notes, cheat sheets:

▪ Microbiology. Crib

▪ Organization theory. Crib

▪ Economy. Lecture notes

See other articles Section Lecture notes, cheat sheets.

Read and write useful comments on this article.

<< Back

Latest news of science and technology, new electronics:

The existence of an entropy rule for quantum entanglement has been proven 09.05.2024

Quantum mechanics continues to amaze us with its mysterious phenomena and unexpected discoveries. Recently, Bartosz Regula from the RIKEN Center for Quantum Computing and Ludovico Lamy from the University of Amsterdam presented a new discovery that concerns quantum entanglement and its relation to entropy. Quantum entanglement plays an important role in modern quantum information science and technology. However, the complexity of its structure makes understanding and managing it challenging. Regulus and Lamy's discovery shows that quantum entanglement follows an entropy rule similar to that for classical systems. This discovery opens new perspectives in the field of quantum information science and technology, deepening our understanding of quantum entanglement and its connection to thermodynamics. The results of the study indicate the possibility of reversibility of entanglement transformations, which could greatly simplify their use in various quantum technologies. Opening a new rule ... >>

Mini air conditioner Sony Reon Pocket 5 09.05.2024

Summer is a time for relaxation and travel, but often the heat can turn this time into an unbearable torment. Meet a new product from Sony - the Reon Pocket 5 mini-air conditioner, which promises to make summer more comfortable for its users. Sony has introduced a unique device - the Reon Pocket 5 mini-conditioner, which provides body cooling on hot days. With it, users can enjoy coolness anytime, anywhere by simply wearing it around their neck. This mini air conditioner is equipped with automatic adjustment of operating modes, as well as temperature and humidity sensors. Thanks to innovative technologies, Reon Pocket 5 adjusts its operation depending on the user's activity and environmental conditions. Users can easily adjust the temperature using a dedicated mobile app connected via Bluetooth. Additionally, specially designed T-shirts and shorts are available for convenience, to which a mini air conditioner can be attached. The device can oh ... >>

Energy from space for Starship 08.05.2024

Producing solar energy in space is becoming more feasible with the advent of new technologies and the development of space programs. The head of the startup Virtus Solis shared his vision of using SpaceX's Starship to create orbital power plants capable of powering the Earth. Startup Virtus Solis has unveiled an ambitious project to create orbital power plants using SpaceX's Starship. This idea could significantly change the field of solar energy production, making it more accessible and cheaper. The core of the startup's plan is to reduce the cost of launching satellites into space using Starship. This technological breakthrough is expected to make solar energy production in space more competitive with traditional energy sources. Virtual Solis plans to build large photovoltaic panels in orbit, using Starship to deliver the necessary equipment. However, one of the key challenges ... >>

Random news from the Archive

Asetek 645LT Compact PC Liquid Cooling System 10.04.2019

Asetek has announced the 645LT All-in-One Liquid Cooling System (LCC) designed for use in small form factor computers.

The composition of the novelty includes a highly efficient pump and a compact 92 mm radiator. The latter is blown by a 92 mm fan with a thickness of 15 mm.

In the radiator area, the connecting tubes are attached at an angle of 90 degrees. This allows you to minimize the space occupied inside small cases.

The dimensions of the radiator are 92 x 92 x 30 mm. The connecting hoses are 240 mm long, which is quite sufficient considering the scope of the liquid cooling system.

You can use the novelty with Intel processors in the LGA115x version, as well as with AMD chips in the Socket AM4 version.

Other interesting news:

▪ Acoustics Microlab H30BT with NFC support

▪ Heat resistant bioplastic

▪ Microwave guns for launching rockets and spacecraft

▪ Strong algae building blocks

▪ Homeopathy for pigs

News feed of science and technology, new electronics

Interesting materials of the Free Technical Library:

▪ section of the site Aphorisms of famous people. Article selection

▪ article Cry with a great voice. Popular expression

▪ article Why and how did Oedipus go blind? Detailed answer

▪ Tarragon article. Legends, cultivation, methods of application

▪ article Semi-automatic welding in carbon dioxide gas environment with automatic wire feed. Encyclopedia of radio electronics and electrical engineering

▪ article Protecting radio equipment from increased network voltage. Encyclopedia of radio electronics and electrical engineering

Leave your comment on this article:

All languages of this page

Home page | Library | Articles | Website map | Site Reviews