Ms. Thuy, 33 years old, lost her period after abortion due to uterine adhesions. Laparoscopic surgeons removed the adhesions, increasing the chance of pregnancy by 70%.
Ms. Thuy went to the Tam Anh General Hospital in Ho Chi Minh City for infertility treatment two years ago. The doctor diagnosed uterine adhesions leading to no menstruation, causing secondary infertility.
Doctor II Nguyen Ba My Nhi, Director of the Center for Obstetrics and Gynecology, said that intrauterine adhesions are rare obstetric complications, most of the causes are related to suction intervention, abortion, and surgery on the uterus. uterus… There are two types of uterine adhesions. In particular, complete uterine adhesions often have warning signs of amenorrhea and infertility. If partial uterine adhesions occur, the patient often has lower abdominal pain after intrauterine intervention, changes in the menstrual cycle with the number of menstruation days, and decreased blood volume.
Ms. Thuy’s uterus is now heavily attached. Doctor My Nhi prescribed transvaginal laparoscopic surgery to remove uterine adhesions to return to menstruation and increase the chance of pregnancy. Previously, surgery to remove uterine polyps, submucosal fibroids, uterine septum… required open surgery, but now laparoscopic surgery is possible.
On October 11, Ms. Thuy’s laparoscopic surgery was transmitted directly from the operating room to the conference hall of the conference “Laparoscopic hysterectomy in the treatment of gynecological diseases”. The event was organized by Tam Anh General Hospital, with more than 100 domestic and foreign medical experts participating.
The laparoscopic surgery was broadcast live from the operating room to the auditorium. Image: Tam Anh General Hospital
The doctor removed the adhesions within 30 minutes. Ms. Thuy lost a little blood and injected a gel into the uterus to prevent adhesions after surgery. “Patients have a 70% chance of getting pregnant naturally and keeping the pregnancy in the uterus,” said Dr. My Nhi. Patients need to be re-examined after surgery to check the condition of the uterus, and can become pregnant naturally after 2-4 months of intervention.
BS.CKII Nguyen Ba My Nhi (right) had laparoscopic hysterectomy. Image: Phuong Trinh
At the event, Prof. Dr. Nguyen Viet Tien, former Deputy Minister of Health, said that hysteroscopy is indicated in cases of uterine adhesion removal, polyp removal, submucosal fibroids, and septal resection. uterine blockage, uterine lining hyperplasia, uterine foreign body removal, fallopian tube dilation, cesarean section scar repair… Currently, medicine prioritizes minimally invasive surgery – maximum intervention.
Hysteroscopy is a difficult surgery, requiring a well-trained and experienced surgeon. Complications during and after surgery can occur such as bleeding, uterine perforation, damage to abdominal organs, fluid overload that stretches the uterine cavity, re-adhesions…
According to Dr. My Nhi, laparoscopic surgery has developed rapidly with many new techniques over the past decades. Nearly 80% of gynecological diseases at Tam Anh hospital can be operated on laparoscopically to help quickly restore health and reduce hospital stay.
Tam Anh General Hospital in Ho Chi Minh City has implemented laparoscopic surgery since the hospital’s establishment. Techniques range from simple to complex such as laparoscopic hysterectomy, fibroid removal, pelvic lymphadenectomy for cancer, pelvic floor fixation for cystocele – uterine rectum, endometriosis. cervix, birth defects of female genital organs…
The hospital also performs hysteroscopic surgery to treat diseases in the uterine cavity that cause abnormal bleeding, intrauterine adhesions causing amenorrhea – infertility, septal defects causing repeated miscarriages or premature birth…