Uterine artery embolization for uterine fibroids. What is it in gynecology, complications, consequences, contraindications, cost and patient testimonials

Advanced method for therapy if the tumor growths of uterine myoma considered uterine artery embolization, which is carried out without performing the band section. Minimizing soft tissue trauma to the lower abdomen and right of the genitals.

Determination of UAE for uterine fibroids, price

Embolization of the main blood vessels that feed the uterus is achieved by the overlapping of the arteries in those areas where the connection node formed benign nature of origin. In the conditions of the operating room is performed incision hip artery. In its hollow catheter probe with a special shape which is gradually moving toward the uterine vessels.

Upon reaching the location of the fibroids field, the probe open, and its rounded shape completely blocks blood flow to access nodules fibroid. Without nutrients and sufficient supply of blood volume, myoma cells begin to die after 3-4 hours from the time the operation is completed.

Uterine artery embolization in uterine myoma allows for rapid removal of the tumor at any stage of its development.

At the same time it manages to keep the body from the excision, which is very important for women still able to bear children. When uterine myoma in 95% of clinical cases of embolization of the main vessel does not violate the reproductive function. The average cost of the operation is in the range of 190 - 240 thousand. rubles.

testimony

Embolization of blood vessels of the uterus is indicated for the following conditions, which in fact form the clinical picture of the disease developing.

The list of conditions:

• tumor size is at 20 weeks of pregnancy (cervical pathological condition is not found myoma grows deep muscle fibers genitals, but the layer of the endometrium and ovaries damaged);
• a woman wants to have a baby in the future, and holding traditional myomectomy increases the risk of infertility or miscarriage in the first weeks after conception;
• in complicated cases of tumor when still required to perform a myomectomy or hysteroresectoscopy (arterial embolization necessary as part of preparation for the main stage of the treatment);
• excessive bleeding caused by progressive uterine myoma, which is not relieved by means of drugs or other traditional methods (shown to hold, as the urgent need to avoid the occurrence of death due to severe blood loss).

Of great importance in the conduct of EMA has personal motivation woman pointing to the desire to maintain the integrity genitals, to avoid the band section, and be able to bear a child without the risk of complications.

Contraindications

Uterine artery embolization in uterine myoma contains the minimum number of contraindications to the use in therapy of benign tumors of this type.

Yet there are a number of restrictions that are in the following aspects:

• development of acute infectious process in the ovaries or vagina, which can lead to failure of the patient's long-term rehabilitation in the postoperative period;
• tendency to extensive allergic reactions to drugs and contrast drugs that are used in the termination blood supply to the key groups in the uterine tissues (severe cases, lead to swelling of the larynx, anaphylactic shock, which can cause fatal);
• diseases of blood vessels associated with insufficient elasticity of the walls, the risk of compromising the integrity of the presence;
• tumor invasion in the cervical tissue (in this case arterial embolization may affect on healthy cells of this part of genitals, and there is a high likelihood of relapse disease;
• high levels of blood platelets, which can cause thrombosis hip artery caused by surgery in the cavity of the main vessel.

In other cases, there is no definitive contraindications that would prohibit surgical treatment of uterine fibroids by embolization. Before the appointment of surgical patients undergoing a comprehensive survey and the physician checks the presence or absence of contraindications to embolization.

Benefits

Method of disposal of uterine fibroids by locking its blood supply has positive side.

They are expressed in the following benefits for women's health:

• the ability to save the reproductive organ of the complete removal, it is often the choice of traditional lane operation with penetration into the abdominal cavity;
• not disrupted hormones (after surgery by embolization, women reproductive system is working again in a stable mode, ovaries, as previously produce the amount of estrogen that is required to maintain its balance in the body and ensure that all physiological processes);
• delete anchor formations in the uterus by means of embolization of the arteries allows a woman to lead a normal sexual life, to preserve fertility function and be healthy;
• EMA does not injure the skin surface of the abdomen, does not require abdominal incision, which reduces pain and recovery periods after surgical treatment of the tumor;
  
• blood loss during surgery is minimized and occurs only at the moment of incision hip artery wall, that is necessary for the catheter and the probe, which should be blocked blood meals nodal compounds fibroids.

After embolization on uterine walls leave no scars, scars on the surface of the stomach are also absent. This method of treatment of benign neoplasms carries not only therapeutic appropriateness, but also preserves the aesthetic appearance of the female body in the lower abdomen.

disadvantages

Emobilizatsiya uterine arteries for uterine fibroids has virtually no negative side.

All potential drawbacks therapeutic procedures are expressed as follows:

• violation of the integrity of the walls hip artery in which blood pressure is under great (possibly feeling pain in the hip area and the presence of a small selection of blood 3-5 days after the operation);
• there is a 15% chance of relapse, if part of the tumor cells yet received a vascular nutrition because of insufficiently thick artery overlap;
• in the first 30 days after surgery is recommended to abstain from sex, so as not to traumatize the already inflamed tissue of the uterus;
• 7 days later, as she was embolization, there is a nagging pain in the lower abdomen;
  
• an increase in temperature, which is maintained at 37.3-37.7 degrees Celsius, hold for 4-5 days;
• not excluded a failure of the menstrual cycle, called a local inflammatory process in the decay period joint connections, which cells have died without the blood access and naturally derived outside body.

This is the main negative aspects of the UAE, which can be attributed to the category of the disadvantages of treatment techniques. Advantages of embolization to order more, which proves the huge efficiency of this method of therapy of uterine fibroids.

Preparation for surgery

Embolization of the main blood vessels of the uterus after fibroid detection requires prior action that will prepare the reproductive system and the whole body to the operational intervention.

The patient always goes the following procedures:

• ultrasound diagnosis of uterus and its neck, ovarian, bladder;
• donating blood from the finger for the clinical study, and venous blood sampling is performed in order to conduct a biochemical analysis;
• visual inspection a gynecologist with a benign tumor by palpation;
• MRI reproductive system and pelvic organs in close proximity to the new formation of a stranger;
• sampling fibroid tissue for histological examination and confirmation of a benign nature of the tumor of origin;
• smear from the walls of the vaginal mucosa, to exclude the presence of a woman hazardous strains of bacterial infection, as well as microorganisms which are transmitted through unprotected sexual intercourse.

According to the results of a comprehensive survey by the attending physician will decide on a date for surgery. If there are no medical contraindications to the EMA, in most cases, surgery is appointed for 3 days from the date of completion of diagnostics and on the results of these analyzes.

Appliances UAE

Carrying out the relief of the main vessels that deliver blood to the fibroids is carried out in the operating room.

It consists of the following priority actions:

course of action	Operation
1	The patient is administered general anesthesia
2	Doctor surgeon makes incision in the skin surface area of ​​the hip joint and penetrates into the cavity of the hip artery
3	In the inside of the vessel introduced into the hollow catheter, by means of which the application is delivered to the spherical device for blocking the blood supply to the tumor in the body tissues of the uterus
4	To achieve the desired section of the uterine artery, the doctor operates the spherical device, which It enlarges and stops the circulation of the bloodstream into the main vessels feeding the fibroids uterus
5	The catheter is derived from the hip artery, after which the doctor performs the stitching of the wound surfaces

spherical Gidroperl device used in medical practice in Japan generating and Embozin, which is produced by American pharmacists. After the operation the patient is transferred to a stationary separation gynecology for recovery.

possible complications

UAE is considered a safe treatment for uterine fibroids, so in the postoperative period may cause the minimum amount of negative consequences.

Namely:

• recurrence of the disease, manifested in the re-formation of nodal connections of the uterus;
• necrosis reproductive organ tissue, if the doctor made a mistake and block an artery supplying not only the fibroids but also the healthy cells of the uterus;
• violation of the regularity of menses;
• appearance hormonal imbalance;
• a large amount of replacement tissue at the site of the tumor.

It is important to remember that the risk of complications after uterine artery embolization is less than 3%.

All of them develop in the first 3-6 months after the surgery, so During this time it is recommended to regularly visit a gynecologist for preventive observations.

postoperative recovery

The rehabilitation period lasts no longer than 10-15 days. This time is quite enough there was a complete removal of the tumor and wound healing.

To speed up the process of recovery after embolization, a woman needs to carry out the following recommendations:

• taking anti-inflammatory and wound-healing agents, designated by the doctor;
• drink vitamin and mineral supplements to increase the activity of immune system cells;
• try to move more, live an active lifestyle, but avoid fatigue;
• go swimming, bike riding, to give preference to pedestrian walks in the fresh air;
  
• for 30 days to refrain from sexual intimacy;
• monitor the hygiene of the genital organs.

Most patients treated with uterine fibroid embolization using, do not require a special pass rehabilitation courses, as this technique is one of the most secure and does not provide a significant injury.

results EMA

Women who have uterine fibroids detected by means of uterine artery embolization, may remove pathogens tumor cells without harming the very genitals and county tissue located in the small pelvis.

The result of a successful operation is the rapid recovery of the patient's health and the removal of nodules in the uterus, and the return of women to the normal way of life without any restrictions with respect to reproductive organs system.

Registration of the article: Lozinski Oleg

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