对了腹腔镜辅助那个叫 laam LAAM procedures start with the ½ inch (7 mm) incision at the belly button, to evaluate the fibroids and their location and to assess the pelvis. The next step in the procedure is the use of a second incision in the bikini line for placement of a laparoscopic tourniquet to control blood supply. Once the tourniquet is in position, the bikini line incision is extended to 1.5 inches and the fibroids are removed directly through the incision. After each fibroid is removed, the incision into the uterus to remove the fibroid is now closed through the mini incision with standard suturing techniques. These standard techniques have been used for decades in open myomectomy, and allow for a very strong closure to the uterine muscle. This closure is stronger and more secure than robotic or standard laparoscopic closure, and helps to prevent rupture of the uterus during pregnancy.
对了腹腔镜辅助那个叫 laam LAAM procedures start with the ½ inch (7 mm) incision at the belly button, to evaluate the fibroids and their location and to assess the pelvis. The next step in the procedure is the use of a second incision in the bikini line for placement of a laparoscopic tourniquet to control blood supply. Once the tourniquet is in position, the bikini line incision is extended to 1.5 inches and the fibroids are removed directly through the incision. After each fibroid is removed, the incision into the uterus to remove the fibroid is now closed through the mini incision with standard suturing techniques. These standard techniques have been used for decades in open myomectomy, and allow for a very strong closure to the uterine muscle. This closure is stronger and more secure than robotic or standard laparoscopic closure, and helps to prevent rupture of the uterus during pregnancy. thirdedition 发表于 2023-04-18 20:32
医生给的treatment list里适用我的主要就是1，Abdominal(类似剖腹产）2，腹腔镜Laparoscopic，3，Robotic-assisted myomectomy， 4，子宫动脉栓塞Uterine artery embolization
医生没有给直接的recommendation，但是说如果没有症状可以不用管。我满脑问号，难道就一直让子宫像怀孕四个月那么大？
选项1我觉得又是很久恢复不太想做 选项4医生说能缩小30-50%
其中腹腔镜vs Robotic-assisted myomectomy对病人来说什么区别，哪个更好？
谢谢解释！
17年前？那看来这个技术很成熟了。请问你是比较了腹腔镜和机器人辅助选择了机器人辅助吗？这个选择跟肌瘤大小有关吗？
长在子宫外侧所以没有什么bleeding症状。最近几个月感觉到腹部有点硬块就去检查了。感觉是近几个月长大了
bless 祝手术一切顺利！请问你选择腹腔镜手术是因为手术时长较短吗？
腹腔镜手术手动缝合是最佳缝合选项吗？
还有我问医生这么大的肿瘤周怎么拿出来，他说一种是放个袋子进去在袋子里把肿瘤打碎再拿出来，一种是腹部切口（比普通surgery切口小很多）从切口拿出来，你是用了哪种？
年龄39
你这个腹腔镜的不是切除肌瘤，是结扎给肌瘤供营养的血管，让它自己萎缩。这个procedure现在应该很成熟了，成功率应该比以前高很多。 我那个机器人手术的叫达芬奇，当时算是很先进了，我是我那个医生考了这个机器人手术执照以后的第一个病人（但是他之前腹腔镜手术做了很多，所以我敢冒这个险）。因为是第一个病人，他特别小心，做了大半天。肌瘤要在体内切成细条才能从肚皮上的五个管道之一通过真空泵吸出来。不过术后恢复的很好，六周就能回去上班了，两个月以后怀孕生了老大。
你是在弯曲么？ 请问是在那家医院推荐的手术方案？ 我也有同样的问题，但是一直在排队等和医生见面，ucsf的，排了三个多月了。很想再找一家能马上做的。
我在南加
我跟医生这个面谈只是consulting，要做手术还要再约，估计也很难约
谢谢分享！
医生给我按照治疗的aggressiveness 排序（从小到大）是把子宫介入排在腹腔镜手术之后的，更aggressive的就是切除子宫了。
请问为何选择子宫介入而不是腹腔镜手术呢？
我的医生只给我介入和子宫全摘手术，这二个选择。