NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, SIÊU ÂM, VÀ ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ U XƠ TỬ CUNG BẰNG CẮT TỬ CUNG TOÀN PHẦN NỘI SOI TẠI BỆNH VIỆN ĐA KHOA ĐỒNG THÁP

Abstract

Background: Less invasive laparoscopic hysterectomy is a growing technique. Objectives: Description of clinical, ultrasond, according to the FIGO fibroid classification system and evaluation of the results of total hysterectomy by laparoscopic surgery. Materials and methods: A cross-sectional study was conducted on 32 patients having uterine fibroids with total laparoscopic hysterectomy from 7/2022 to 6/2013 at Dong Thap General Hospital. Results: Mean age 47.06±5.27. The most common clinical symptoms were lower abdominal pain and menstrual disorders. According to the FIGO fibroid classification system, L3-5 was 81.3%, L6-7 was 18.7%. The average blood loss during surgery was 210.32±94.14 ml. The average surgery time was 125.48±30.83 minutes. Cervical screening negative, mean postoperative uterine and fibroid weight 337.74±71.58 gram. Hospitalization: 648±2.33 days. There was 1 patient with gastrointestinal complications during surgery. In 32 cases indicated for laparoscopic hysterectomy, there was 1 case of conversion to abdominal hysterectomy, 1 case with bad result, 3 cases with good results, 27 cases with very good results. Conclusion: This is a new technique at the hospital, so there are still many limitations. However, it is necessary to promote the implementation of laparoscopic hysterectomy shortly because of its many advantages in terms of aesthetics, quick recovery time, and few postoperative complications.