Double uterus?
After the screening of experts from Jilin Hospital of Zhejiang University Women's Hospital (Changchun Obstetrics and Gynecology Hospital), Xiao Zhang, a 34-year-old pregnant woman in Changchun, was finally diagnosed with a pregnancy with huge cervical fibroids, rather than the "double uterus" suspected in previous examinations in many hospitals.
In view of Xiao Zhang's cervical fibroids blocking the birth canal, the obstetric expert team recommended cesarean section delivery and cervical myomectomy at the same time, which can be described as "killing two birds with one stone", helping Xiao Zhang to become a mother smoothly and gain health at the same time.
Looking for a "great" doctor
Xiao Zhang's pregnancy did not go well. During the first trimester check-up, unfamiliar words such as double uterus and cervical fibroids appeared in her ears.
Hoping that the baby will be born healthy and safe is the best hope in her heart. However, after every examination, the result of "fetal growth and development restriction" still made her feel uneasy.
It's finally 37 weeks pregnant! At this time, Xiao Zhang especially hopes to find a skilled doctor to make her delivery more secure.
On January 25, at 37+5 weeks pregnant, Xiao Zhang hung up the number of Li Baohua, executive director of Jilin Hospital (Changchun Obstetrics and Gynecology Hospital) of Zhejiang University Women's Hospital.
The possibility of a "double uterus" is ruled out
Li Baohua learned in detail about all the tests that Xiao Zhang had done. There is no problem with the diagnosis of "fetal growth restriction", which is a sign to be alarmed. Because growth restriction in the third trimester increases the chance of fetal distress, intrauterine fetal death, or placental aging, the risk of continuing to wait for labor is too great, and terminating the pregnancy after 37 weeks of pregnancy is the best option.
To operate, it is necessary to find out whether Xiao Zhang is a "double uterus" or a "giant cervical fibroid", because this involves the formulation of a surgical plan.
Wushuang**, Wushuang cervix, and Wuincomplete**mediastinum, Li Baohua ruled out the possibility of "double uterus" after careful internal examination and combined with ultrasound imaging data.
In communication with Xiao Zhang, Li Baohua talked about his surgical plan: cesarean section and cervical fibroids were removed together.
The tumor is large, low in location, and difficult to operate
Pregnancy with uterine fibroids is regarded as one of the most difficult surgeries in cesarean section, and every step of the treatment is crucial, and the slightest carelessness can cause postpartum hemorrhage.
The difficulty of Xiao Zhang's surgery is that the cervical fibroids are large in size and tend to grow in the broad ligament, and the location is low, which is very close to the parametrial tissues with abundant blood vessels, which increases the risk of surgery; The tumor is large, and the risk of blood is higher during the peeling process.
Such a high-risk operation requires a stronger surgeon and a higher level of excellence.
Fibroids are peeled off, and mother and daughter are safe
On the morning of January 29, a surgical team composed of Li Baohua, executive director of the hospital, Ning Shuang, deputy director of the second obstetric treatment area, Sun Hailing, attending physician, and medical staff in the operating room and anesthesiology department performed cesarean section + giant cervical fibroid removal for Xiao Zhang.
The surgery was performed by Li Baohua. Soon, a healthy baby girl weighing 2,875 grams was born.
After the uterus was sutured, Li Baohua immediately began to remove the fibroids. With the assistance of his assistant, he opened the bladder and pushed down the bladder to fully expose the location of the fibroids.
Li Baohua skillfully operated the electric knife to accurately peel off the fibroids, especially when approaching the parauterine tissues, he was careful but very decisive. After about 15 minutes, a fibroid with a size of 8 6 5 cm and a weight of 115 grams was successfully peeled out, the wound incision was flat, and the bleeding volume was only 500 ml.
It is important to have regular check-ups
After one operation to achieve the two goals of giving birth to a baby and removing tumors, Xiao Zhang was pleased to find the right hospital and the right expert.
However, experts have something to say about uterine fibroids. Usually, uterine fibroids are common benign tumors in women, common in women between the ages of 30 and 50. Uterine fibroids can affect the implantation of a fertilized egg, causing deformation of the uterine cavity or insufficient blood supply to the endometrium, and even leading to miscarriage. Late pregnancy or delivery can lead to abnormal fetal position, placental abruption, birth canal obstruction, etc. Therefore, female friends should have regular check-ups; It is best for women who are planning to get pregnant to do a pre-pregnancy check-up in order to eliminate factors that are not conducive to pregnancy and welcome "pregnancy" in good health!
As a national regional medical center construction project, Jilin Hospital of Zhejiang University Women's Hospital (Changchun Obstetrics and Gynecology Hospital) gathers national authoritative experts in obstetrics and gynecology, has domestic leading medical technology, is committed to protecting the health of women and children in the region, and is willing to provide strong health protection for the people in the region!