Myomectomy Laparoscopic - ka ka ki a wai te mahi i te reira?

Myomectomy Laparoscopic - i mahi he pokanga mō uterine myoma. Ko tā te reira i te tango o kōpuku pathological roto i punctures vahi ranei i runga i te taiepa puku. Ka rite ki te tikanga, whakamahia i roto i te rapunga o fibroids nui myomas takanga o pōauautanga nui (toto, pākoko) ranei.

painga o te tauwhitinga

Ko tētahi o nga painga tino nui o te laparoscopic (momo) myomectomy ko te tiaki o te kōpū, me ona mahi katoa, tae atu paheke. Hoki, ka taea te huaina he painga nui i te pokanga whētuki iti me ngā wā ora nohopuku i muri i te rauropi.

ngā mahi huakore

Pokanga ki te tango i te fibroids he torutoru, engari rawa nui drawbacks anake. Ka taea te huaina e te tetahi tuatahi he mōrea o hohokitanga o te mate i roto i te tau torutoru i muri i te mahi. Ko te take hoki tenei ko te eita i roto i te pokanga ki te whakatau i te aroaro o nodules iti, e pae hopea e ake i roto i te rōrahi. Ko te drawback tuarua - he reira taea kino ki whekau pātata - whekau, tōngāmimi, me te awa mimi.

A, no te a ki nei ko te myomectomy momo?

He maha tākuta tohutohu ki te huihui ki tenei mahi, anake taitamariki wahine, e te whakamahere i te hapūtanga i roto i te wa rawa e tata ana, fibroids nui haere ki te whānuitanga taua e kore e hoatu e maimoatanga rongoā te pānga e hiahiatia ana. Ko aua kotiro kahore e nei roa e hiahia ana ki te whai tamariki, ka kia kouma atu ki te whakahaere pokanga mō hysterectomy. Oia mau, i roto i tata ai hei take katoa o te mate i runga i te 5 tau te matahoki.

Ano, i whakaritea myomectomy laparoscopic te i roto i te wā, no te reira he contraindications mō uterine iatuku embolization - Tomo embolization o te raau taero i roto i te oko toto o te pū tōngāmimi motuhake i roto i te poka iatuku femoral.

Myomectomy Laparoscopic: contraindications

• Māharahara o te puku mārere.
• E kore te mea taea te maha nui o ngā pae interstitial, te tango i taua tiaki o te mahi whakaputa uri.
• Ko te aroaro o contraindications whānui ki te laparoscopy, e taea e te riri ki te ora o te wahine.

E ai ki gynecologists maha, te mōmona māka 2 me 3, me te aroaro o adhesions ko te contraindication mo te mahi.

Tikanga myomectomy laparoscopic

Ko te ngako o tenei pokanga ko te trocar puncturing te taiepa puku mārōrō, i roto i nga wahi e wha. I roto i te kotahi poka (pito) Kei te whakaurua laparoscope i roto i te tahi atu e toru (puku) - haavare, hāparapara. Hoki te mahi atu watea o te kōhao puku whakaurua te hauhā. Na ka tuaki te ringa hāparapara o te kōpū, ka e nekehia kōpuku miomnye, a kua kawea i roto i na tikanga o electrocautery ki te mutu toto. Te mata, te wahi e hāwai te kōpuku ki saline me nga mano e nekehia atu ratou, i runga i to ratou rahi kei: i roto i te poka (ki te rahi iti), i whakaurua nei taputapu, ranei i roto i te tapahia kikorangi tara (mō te rahi nui). whakamana myomectomy Laparoscopic raro rehunga whānui. Ko te roanga o te mahi i waenganui i 60 me 180 meneti. Tenei momo o te pokanga he tino rite mahi ki te tango i te puku whaturama (laparoscopic hanga whaturama), e te mahi ano hoki i puncturing te ngongo kikokore puku.