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Model | Name | Specifications |
HF3063 | Uterine biopsy forceps | / |
HF3062 | Cervical dilator | / |
HF3061 | Hyteromyoma separator | / |
HF3060 | Hook | / |
Package detail: | Poly bag and special shockproof paper box. |
Delivery detail: | By air |
FAQ
Minimally invasive surgery is effective in treating uterine fibroids and has multiple advantages. According to multiple studies and clinical data, laparoscopic myomectomy (LM) is one of the most widely used minimally invasive treatments.
First of all, compared with traditional laparotomy, LM surgery has
obvious advantages such as less trauma, less bleeding, and faster
recovery.
. Specifically, the incisions of LM surgery are smaller, and only
2-3 small incisions of 1-2 cm are needed to complete the entire
surgical process, which greatly reduces the patient's pain and
postoperative recovery time.
. In addition, since the operation is performed in the abdominal
cavity, the damage to surrounding tissues is less, so the
postoperative pain of the patient is less, and the hospitalization
time is also significantly shortened.
.
Secondly, LM surgery can effectively reduce the incidence of intraoperative and postoperative complications. Studies have shown that compared with open surgery, LM surgery has less intraoperative bleeding and a lower incidence of postoperative complications such as infection and adhesions.
. For example, in one study, patients in the observation group had
higher postoperative TAC (total cholesterol) and E2 (estradiol)
levels, while lower levels of inflammatory factors such as IMA,
Myo, and SP, and the difference was statistically significant
(P< 0.05), indicating that LM surgery can significantly improve
traumatic response indicators, pain biochemical indicators and
ovarian function indicators
.
In addition, LM surgery also preserves the patient's fertility and has less impact on ovarian function. This is an important consideration for patients who wish to preserve their uterus and fertility
. Some improved LM techniques even further improve the success rate
and safety of the surgery by continuously suturing the fibroid body
and combining it with manual removal of the tumor body.
.
In addition to LM surgery, other minimally invasive treatment
methods such as transvaginal myomectomy (TVRM), high-intensity
focused ultrasound (HIFU) ablation, and uterine artery embolization
(UAE) are also widely used in clinical practice. These methods also
have the advantages of less trauma, faster recovery, and can
effectively control symptoms and reduce the size of fibroids.
.
In summary, minimally invasive surgery is excellent in the
treatment of uterine fibroids, especially laparoscopic myomectomy,
which has become the preferred treatment method due to its
advantages of less trauma, faster recovery, and fewer
complications. For patients who need to preserve the uterus,
choosing an appropriate minimally invasive surgical method can
achieve the best therapeutic effect.
.
Long-term outcomes and patient satisfaction with minimally invasive
surgery for uterine fibroids are generally positive, but multiple
factors need to be considered.
From the perspective of surgical results, laparoscopic myomectomy (LM) has significant advantages over traditional open surgery. This method has less trauma, less intraoperative bleeding, and shorter postoperative recovery time.
. In addition, the patient's quality of life basically recovered
within two weeks after surgery, and was only negatively correlated
with the number and volume of fibroids.
. This suggests that LM is an effective treatment for patients with
uterine preservation needs
.
Regarding the incidence of complications, although there is a certain risk, such as nausea and vomiting, vaginal discharge and pelvic infection, these conditions are relatively rare.
. For example, in minimally invasive ultrasound-guided microwave
ablation treatment, the postoperative complication rates were 1
case of nausea and vomiting and 1 case of pelvic infection
. In contrast, other studies have shown that LM surgery has shorter
mean operative times, less blood loss, and shorter incision lengths
.
From the perspective of patient satisfaction, rapid recovery care has a significant impact on improving patients’ postoperative recovery and reducing complications.
. In addition, the patient's postoperative quality of life
assessment showed that the quality of life gradually improved after
surgery, and no significant correlation was found with the
operation time, intraoperative blood loss, or chief symptoms.
. This further illustrates the effectiveness of minimally invasive
surgery in improving patient satisfaction.
However, it should be noted that despite the many advantages of minimally invasive surgery, some patients still experience recurrence after surgery. For example, although uterine artery embolization can improve the quality of life of patients with symptomatic uterine fibroids, it carries the risk of re-intervention in the long term.
. Therefore, when choosing a treatment plan, doctors need to make
individualized assessments based on the patient's actual situation.
The long-term effects and patient satisfaction of minimally invasive surgery for the treatment of uterine fibroids are generally good, but the potential recurrence risk and complication management still need to be paid attention to.
The cost-effectiveness of minimally invasive surgery, such as
laparoscopic myomectomy, versus traditional open surgery in the
treatment of uterine fibroids is a complex issue. We can analyze it
from multiple angles.
First of all, from the clinical effect point of view, laparoscopic
myomectomy has the advantages of less trauma, less bleeding, and
faster recovery.
. These features not only reduce patient pain and discomfort, but
also significantly improve postoperative recovery speed and safety.
. In addition, this surgical method can optimize perioperative
indicators, reduce the incidence of complications, and reduce
damage to ovarian function.
. These advantages make laparoscopic surgery excellent in the
treatment of uterine fibroids.
However, although laparoscopic surgery is superior to traditional open surgery in many ways, it is also relatively costly. This is mainly reflected in the following aspects:
Equipment and operating costs: Laparoscopic surgery requires
expensive equipment support, such as the da Vinci robotic system,
which is expensive and has low efficiency, limiting its clinical
promotion.
.
Physician skill requirements: Laparoscopic surgery requires
surgeons to have a high technical level and experience, which
further increases the cost of surgery
.
Length of stay and medical costs: Although laparoscopic surgery can
shorten hospital stays and reduce postoperative complications,
patients still incur higher medical costs.
.
In contrast, traditional laparotomy surgery, although more
invasive, requires longer recovery times, and carries a higher risk
of complications, may be more economical in certain circumstances.
For example, in some complex cases or where extensive resection is
required, open surgery may be more appropriate
.
Taken together, laparoscopic myomectomy has obvious advantages in
improving treatment effects, reducing complications, and
accelerating recovery, but its high equipment and operating costs
and the need for highly skilled doctors make it less
cost-effective. traditional laparotomy
.
According to the available data, there are no clear and unified
data on the incidence of uterine fibroid recurrence after minimally
invasive surgery. However, some information can be inferred from
related studies:
The 5-year recurrence rate after conservative surgery is 36% to
50%. 27% of endometriosis patients require re-operation within 4
years after the first operation, and as high as 27% for those who
have undergone 3 operations.
.
The recurrence rate after semi-radical surgery is 57.1%, while the
recurrence rate after radical surgery is 1% to 9%.
.
Although these data refer primarily to other types of surgeries and
diseases (such as endometriosis), they provide some reference
value. Therefore, it can be speculated that in some cases, the
recurrence rate of uterine fibroids may be higher, especially if
the disease is not completely cured.
For different types of uterine fibroids (such as mucosal,
adenomatous, etc.), the effects of minimally invasive surgery vary
significantly. The following is a detailed analysis of the effects
of minimally invasive surgery on different types of uterine
fibroids based on the information I searched:
Submucosal uterine fibroids:
Type 0, type Ⅰ and type Ⅱ submucosal uterine fibroids:
hysteroscopic resection of uterine fibroids (TCRM) is the main
method to treat these types of fibroids, with the advantages of
preserving the uterus, shortening the operation time, reducing
intraoperative bleeding and accelerating postoperative recovery Etc
.
Type II submucosal uterine fibroids: Due to their close contact
with the myometrium, the operation is more difficult, takes longer,
and causes more intraoperative bleeding.
. In addition, type II fibroids are significantly different from
type 0 and type I in terms of postoperative anemia rate, operation
time, and intraoperative blood loss.
.
Adenomatous uterine fibroids:
The method of resection of adenomatous uterine fibroids depends on
their encapsulation. When there is no capsule, resection is
appropriate; when there is obvious capsule, resection is necessary.
. For fibroids that are embedded in the muscle layer, surgery needs
to be performed under ultrasound monitoring.
.
Other types of uterine fibroids:
For cases with multiple adhesions, large diameters (eg >10 cm),
special locations, or severe pelvic adhesions, laparotomy may be
required to reduce the risk of uterine rupture in future
pregnancies.
.
Taken together, hysteroscopic resection (TCRM), as a minimally
invasive surgical method, has excellent performance in the
treatment of submucosal uterine fibroids, especially for type 0 and
type Ⅰ fibroids, and its effect is more obvious.
According to the available data, the latest research findings on
the safety and complications of minimally invasive surgery for the
treatment of uterine fibroids include the following:
Single port laparoscopic surgery (SPLM):
SPLM has shown high safety and effectiveness in treating complex
uterine fibroids. For example, Yong Yuanyuan et al. reported 80
cases of SPLM applied to complex uterine fibroids in 2021. All
operations were successfully completed, proving its applicability
in difficult operations.
.
Compared with traditional multi-port laparoscopic surgery,
single-port laparoscopic surgery has the advantages of less
postoperative pain, faster recovery, and reduced risk of damage to
vital organs and tissues.
.
Although the operation time of SPLM is prolonged, there is no
significant statistical difference in intraoperative blood loss,
postoperative hospitalization time, and complication rate,
indicating that it is safer.
.
Magnetic Resonance Guided Focused Ultrasound (MRgFUS):
MRgFUS is a minimally invasive treatment method that uses magnetic
resonance imaging for precise target organ localization. This
method ensures the safety of treatment through real-time
temperature feedback, and the immediate postoperative enhanced
magnetic resonance examination can evaluate the treatment effect.
Studies have shown that MRgFUS is safe and effective in treating
symptomatic uterine fibroids and is expected to become a
non-surgical treatment method.
.
Hysteroscopic resection (TCRM):
TCRM is mainly used for the treatment of submucosal uterine
fibroids. Based on clinical data from the Maternal and Child Health
Hospital of Wannan Medical College from 2012 to 2015, this method
is effective in treating different types of fibroids, but when
dealing with larger or deeper fibroids, the operation may need to
be stopped midway to avoid serious complications. complication
.
High-intensity focused ultrasound (HIFU) and magnetic resonance
imaging (MRI) both show good application prospects in the
evaluation of treatment effects. They can clearly display fibroids
and the non-perfusion range after HIFU, thus improving the accuracy
and safety of treatment.
.
Other minimally invasive surgical methods:
Minimally invasive surgical methods such as ultrasound-guided
transcervical ablation and laparoscopic uterine myomectomy
(transvaginal hysterectomy) are also constantly being researched
and applied. These methods are comparable in efficacy to
traditional open surgery. comparatively superior
.
Transumbilical single-port laparoscopic myomectomy (TU-LESS) has
also shown a good safety profile, with high postoperative incision
satisfaction and low postoperative pain and body image disturbance
scores despite longer surgical time.
.
Potential risks and complications:
Although minimally invasive surgery has many advantages, it also
carries certain risks and complications. For example, uterine
fibroids thought to be benign before surgery may be diagnosed as
malignant or potentially malignant after being morcellated during
minimally invasive surgery. This indicates that fibroids with
unclear postoperative pathological examination results should be
re-explored as soon as possible to reduce intra-abdominal tumor
dissemination. risk of dispersion
.
Other common complications include heavy bleeding, wound infection,
pelvic infection, endometrial adhesions, incomplete removal of
fibroids, recurrence, damage to the ovaries, bladder or intestines,
etc.
.
Minimally invasive surgery to treat uterine fibroids has a good
safety profile, especially emerging methods such as single-port
laparoscopic surgery and magnetic resonance-guided focused
ultrasound technology.
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Company Name: Tonglu Wanhe Medical Instruments Co., Ltd.
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