Főlap - Menstrual disorders and fibroids

MENSTRUAL DISORDERS AND FIBROIDS

MINIMALLY INVASIVE TREATMENTS BY HYSTEROSCOPY AND LAPAROSCOPY

 

 

HE SPECIALISES IN MINIMALLY INVASIVE, HYSTEROSCOPIC AND LAPAROSCOPIC TREATMENT OF

• menstrual disorders
  • heavy, painful periods
  • irregular periods
  • post menopausal bleeding
• infertility

 

What is a hysteroscopy?

 

Hysteroscopy involves dilating the cervix and inserting a small camera to inspect the insideof the womb.

 

Hysteroscopic surgery to treat menstrual disorders and infertility

 

This allows the doctors

- to take precicse biopsy from the inside of the uterus (not blindly as is it is during the traditional curettage),

- to remove polyp, fibroid, lining layer of the cavity of the womb, foreign body (IUD), or fence (septum), which can cause heapovy, painful, irregular periods, post menopausal bleeding or infertility.

 

Laparoscopic surgery to treat menstrual disorders and infertility

 

This allows the doctors

- to perform myomecomy (removal of subserosal and in some cases intramural fibroid),

- to diagnose and remove endometriotic tissue, endometriomas, which can cause heavy, painful, irregular periods, low abdominal pain, pain during intercourse or infertility.

- to treat polycistic ovary, to open Fallopian tube occlusion, to remove hydrosalpinges, to cut adhesions

 

What does the procedure entail?

 

A laparoscope consists of a long tube with a series of lenses and a powerful light source, connected to a video camera. A laparoscopy allows the doctor to see inside the abdomen and pelvic cavity without the need for major surgery. The abdomen is first distended so that a clear vision can be maintained throughout the procedure. Tiny incisions are made in the navel and the abdomen and the laparoscope is then passed through the skin until guided to the area of operation. Specialised instruments are then led through the incisions to enable the surgeon to perform the operation.

 

 

FIBROID

 

Uterine fibroids are benign swellings of the muscle cells of the uterus. Fibroids are the commonest pelvic tumours in at least 20-50 % of women over thirty years of age.

 

SYMPTOMS

 

Many women can have fibroid of which they are completely unaware. The type and the severity of symptoms are related to the size and also to the position of the fibroid.

 

Some fibroid protrude into the cavity of the uterus, and called submucosus fibroids.

 

 

An enlarged womb filled with fibroids

1. Fibroid within the wall off the uterus (intramural fibroid)

2. Fibroid protruding into the cavity of the uterus (submucous fibroid)

3. Fibroid on the outer surface of the uterus (subserosal fibroid)

 

They may cause heavy, painful periods (menorrhagia), anaemia, low abdominal pain and infertility.

 

Others lie within the wall of the uterus and called intramural fibroids.

 

The third type lie on the outer surface of the uterus protruding into the abdominal cavity (subserosus fibroid).

 

The intramural and the subserosus fibroid may cause heavy periods, low abdominal pain, anaemia, complains of passing urine and defecating.

 

TREATMENT

 

The traditional way to treat large fibroids is to perform an abdominal hysterectomy, but today there are minimally invasive methods which allow the uterus to be preserved in most of the cases.

 

• Hysteroscopic myomectomy

This treatment is to treat fibroids protruding into the uterine cavity. No open surgery is involved. The walls of the uterus remain intact.

The hysteroscope is introduced into the uterus through the vagina. The fibroid practically is cut into slices from the wall of the uterus. 

 

• Laparoscopic myomectomy

 This operation is for removal of intramural and subserosal fibroids. The laparoscope and the instruments inserted into the abdomen through tiny incisions.

The benefit of minimally – invasive surgery (hysteroscopy, laparoscopy) is that allows fibroid removal to become as non-traumatic as possible.

 

• Open myomectomy

 In the case of large fibroids the fibroids removed through an incision in the bikini line (laparotomy). Myomectomy it is a major operation but is also a very effective procedure for a large portion of symptomatic women.

 

 

 

 

PROF. DR. PETER HERCZ, CONSULTANT GYNAECOLOGIST, BUDAPEST, HUNGARY

 

Registered medical practitioner of the GMC (UK). Reg.no: 3650790

 

 

 

He worked in the UK for 6 years and trained in hysteroscopic and laparoscopic surgery in the UK (University of Wales College of Medicine Assisted Fertility Unit, Cardiff; James Cook University Hospital Women’s Endoscopic Laser Foundation, Middlesbrough).

 

 

 

Prof. Dr. Peter Hercz is a consultant gynaecologist at the Ferenc Jahn South Pest Hospital of Municipality of Budapest.

 

Contact

Hospital – Jahn Ferenc South Pest Hospital of Municipality of Budapest

                  Address: 1204 Budapest, Köves u. 1.

                  Phone: 289-6200

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