Preparation before surgery of uterine fibroids

1. Patient preparation: Before surgery the patient's physical condition as far as possible adjusted to better state to respond off smoothly through embolization. The same routine basis having artery embolization to prepare well before surgery.

2. Equipment preparation: conventional angiography equipment, Cobra catheter commonly used form of catheter, 4F catheter is more appropriate. If possible, use the micro-catheter system.

3. Embolic agent: more choice of PVA embolization particles, gelatin sponge, stainless steel rings. Diameter of 300-500 multiple choice PVA?; Gelatin sponge sterilized by high pressure high temperature treatment can extend the absorption time can be made of particles or strips, it is more better than the conventional gelatin sponge; also been used as embolic agent lipiodol.

Third, the methods are to the left and right internal iliac artery catheterization angiography, uterine fibroids, uterine artery angiography showed enlargement, arterial pressure was over, blood vessels were surrounded by straight or shaped, also shows marked tumor staining. Catheter angiography, respectively, as shown under the ultra-election to the bilateral uterine arteries, perfusion embolic agent, uterine artery embolization.

Fourth, after dealing with conventional treatment by arterial embolization, and to the anti-inflammatory and symptomatic treatment should be strengthened anti-bacterial fluid.

Fifth, complications of common complications are: ① local pain, increased skin temperature, swelling, fever, this is the performance of embolization syndrome; ② vaginal discharge, uterine fibroids mostly necrotic material; ③ endometritis, Pyometra, uterine perforation, intrauterine infection and more; ④ ovarian dysfunction; and so on. Inside and outside the large amount of clinical data indicate that uterine artery embolization for uterine fibroids total efficiency of up to 95%. Compared with traditional surgery, the use of interventional treatment of uterine fibroids were able to retain the uterus, some even retain reproductive function, the patient suffered trauma, fewer complications, efficacy was easy for patients to accept. Therefore, the use of interventional treatment of uterine fibroids has become an effective alternative to traditional surgical means. However, due to uterine fibroid is a benign disease, thrombosis dose must be appropriate. Otherwise, excessive doses of embolization, can lead to serious complications. To this end, such as the less experienced operator, rather more than a few times embolism.

Maybe you want to see this article interventional therapy of uterine