How to treat fibroids quickly

How to treat fibroids quickly? After the diagnosis of fibroids, timely treatment is required. Doctors need to determine different treatment intervention methods based on the different symptoms and growth locations of each patient. So today we will learn about how to treat fibroids quickly:

Treatment should be prompt and thorough surgical resection, including a wide area around the affected tissue, and sometimes the entire affected muscle needs to be removed. Only in very rare cases, amputation is forced due to its local invasiveness. Radiotherapy may be effective for local control of the disease and can be used after conservative surgery. Endocrine therapy has also been successful in some cases, such as taking tamoxifen. Young patients and large tumors have a higher recurrence rate.

After extensive resection of fibromatosis, there are often muscle defects or exposure of large blood vessels and nerves, exposed bones and joints, and cartilage tissue defects. Local myocutaneous flap or muscle flap repair is the most ideal. Its advantages are:

Rich in blood supply, easy to survive, easy to operate, can repair defects immediately, and has strong anti-infection ability. The tissue is rich and can be a good cushion and buffer. The rotation arc is large, which is convenient for transfer in all directions. If an island muscle flap is formed, it can reach 180º of rotation.

The methods of repairing defects with myocutaneous flaps after local surgery are described as follows:

1. After radical surgery of buttocks tumor

The sciatic nerve is often exposed, and the iliac bone is exposed, which requires thicker tissue repair. The tensor fasciae lata myocutaneous flap can be used for immediate transfer. Its nutrient vessel is the transverse strip of the lateral femoral circumflex artery, which enters the myocutaneous flap from the junction of the upper and middle 1/3 of the muscle. The length-to-width ratio of the myocutaneous flap can reach 15×35～40cm, and the donor site is sutured in the first stage.

2. After radical resection of medial thigh mass

When deeper soft tissue defects or large blood vessels are exposed, the tensor fasciae latae muscle-bone flap can also be used for repair.

3. Postoperative lateral thigh mass

The gracilis myocutaneous flap can be used for repair. Its vascular pedicle is a branch of the medial femoral circumflex artery or the deep femoral artery. The flap enters from the upper 1/3 of the muscle. The length-to-width ratio is 6×24cm, and the donor site is sutured in the first stage.

4. After removal of the popliteal mass

The popliteal artery, vein and popliteal nerve are often exposed, and sometimes there is a tumor surrounding the blood vessel and nerve bundle. If the nerve can be sharply separated and the blood vessel can be bluntly separated, the limb can be preserved. The contralateral medial gastrocnemius head muscle flap can be used for transfer and fixed in a crossed-leg position. Its vascular pedicle is the medial gastrocnemius vessel that branches off the popliteal artery at the level of the knee joint, entering the muscle from the upper pole of the muscle. The length-to-width ratio of the flap can reach 8×25cm. Skin grafting is performed on the donor site to eliminate the wound.

5. Scapular region is more likely to occur after the removal of a mass larger than the teres muscle

The lower trapezius muscle island flap was used for repair, and its nutrient vessel was the descending branch of the superficial branch of the transverse cervical artery. The length-to-width ratio of the flap could reach 10×15 cm. The donor site was sutured in the first stage.

6. After abdominal wall tumor resection

Mesh fabric repair (NylonTeflon, Dacron, Polyglactin, etc.). If the skin defect is small, it can be directly sutured. If the defect is large, the contralateral abdominal wall shallow island flap can be used for repair and pressure bandage.