A case of multiple uterine fibroids, complex uterine polypes with the largest tumor weighing 1.7kg, 25cm long - thought to have been removed by uterine culture - and 5 small tumors were successfully removed by doctors at the Central Obstetrics Hospital on February 21. More miraculously, the patient's uterus was still intact, giving the hope of becoming a mother to a 40-year-old woman who had never given birth.
A month ago, Ms. D.T T.H (40 years old, Long Bien, Hanoi) noticed an unusually large belly despite still exercising hard. Her emotions were not good, so she decided to go to the Central Obstetrics Hospital for examination. The ultrasound results made her dizzy because there was a giant tumor occupying the entire abdomen, not only that, there were also many fibroids in the uterine wall and in the uterine cavity.
According to the uterine fibroid classification system of the International Obstetrics and Gynecology Society (FIGO), Ms. H has 8 levels of fibromyalgia. The most worrying mass is the L7 tumor, 25cm long, while the smallest ones are at 2-3cm. With this condition, most patients aged 40 will be prescribed uterine catation to prevent complications. But for Ms. H, that means closing the door to becoming a mother.
Understanding the patient's desire to become a mother, after consultation, the team of doctors at the Central Obstetrics Hospital decided to perform a challenging surgery: peeling off the tumors and holding the uterus so that the patient had the opportunity to give birth in the future.
On the morning of February 21, the patient had to undergo two consecutive surgeries. The first surgery was an abdominal opening to remove a 25cm long "giant" 1.7kg tumor and 5 smaller tumors. For blocks under 1cm, the surgical team decided not to intervene to avoid damage to the uterus.
The second surgery is to perform endoscopic uterine surgery using TruClear technology to help "dys restore" tumors and remove the tumor in the fastest, cleanest way, with the least damage. In the current Obstetrics and Gynecology industry, the Central Obstetrics Hospital is the only hospital that owns modern TruClear equipment and is capable of implementing that technique.
However, the most difficult thing for the doctors performing this surgery is that the large tumor of 25cm is located in the sternum, while the patient wants aesthetic surgery by aesthetic means.
Dr. Dang Thi Hong Thien - the person who directly performed the surgery shared: "This is a challenge for this surgery. If you have surgery along the length, removing the tumor will be easier because you can access the tumor immediately. But with cross-section surgery, removing the tumor becomes much more difficult. We had to chop the tumor to remove the pieces. In this case, if the doctor does not have enough experience, courage and physical strength, the surgery will be difficult to succeed".
Not only can doctors remove tumors and many polypes in the uterine cavity, but they also ensure that the aesthetics are in accordance with the patient's wishes. In addition, there are very few damaged scars in the uterus, Ms. H's uterus is successfully preserved and is completely capable of becoming pregnant in the future.
The success of this surgery once again affirms the sacred mission that the Central Obstetrics and Gynecology Hospital always aims for: "Show compassion and intelligence for future happiness", lighting up the hope of being a noble mother to patients.
Dr. Dang Thi Hong Thien, these tumors can be easily detected through the ultrasound method. The most common symptom in patients with uterine fibroids is menstrual disorders and labor. However, to know for sure, patients need to go for regular check-ups every year for timely advice and treatment.
