How to cure fibroids

How can we completely cure fibroids? Every patient with this disease wants to know this question. In daily life, many people often have fibroids. Because they are not taken seriously in the early stage of the disease, serious consequences are caused. Although most fibroids are benign, they are still harmful to health. Let's see how to cure fibroids!

The main treatment for fibroids is extensive surgical resection. Radiotherapy and hormone application can inhibit tumor growth in individual cases, but it is generally considered not to be the main treatment method, but can be used as palliative treatment for those who cannot undergo surgery.

㈠Main points of surgery: Although this disease has malignant biological behavior with multiple recurrences, extensive and thorough surgical resection can prevent recurrence.

1. Intraoperative frozen section examination Although most patients are diagnosed with this disease before surgery, the diagnosis is mainly confirmed based on intraoperative frozen sections.

2. Extensive resection is necessary. The resection must be wide and deep. It should include 3 to 5 cm of normal skin, muscles, tendons and other tissues around the tumor and certain normal tissues deep inside. If the tumor invades the periosteum or peritoneum, it should be removed together. If the tumor surrounds important blood vessels and nerves, it should be sharply separated and blood vessel transplantation can be performed if necessary. Severe cases should be controlled for indications of amputation and hemipelvic amputation.

3. It is necessary to master the treatment method of tissue transplantation. Extensive tumor resection often causes local soft tissue defects and exposure of important tissues, which must be repaired by tissue transplantation. Conversely, only by mastering the treatment method of tissue transplantation can we create conditions for radical cure of tumor surgery.

㈡Repair method After extensive excision 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: ① Rich blood supply and easy survival. ② Easy to operate. ③ Immediately repair the defect at one time. ④ Strong anti-infection ability. ⑤ Thick tissue, can serve as a good cushion and buffer. ⑥ Large rotation arc, easy to transfer in all directions. If an island myocutaneous flap is formed, it can reach 180º of rotation. The myocutaneous flap repair method for defects after surgery in a good location is described as follows:

1. After radical surgery for buttocks tumors, the sciatic nerve and iliac bone are often exposed, both of which require thicker tissue repair. Immediate transfer can be performed using the tensor fasciae lata myocutaneous flap, whose nutrient vessels are the transverse stripes of the lateral femoral circumflex artery, which enter 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 the medial femoral mass, the tensor fasciae latae muscle-bone flap can also be used to repair deeper soft tissue defects or exposure of large blood vessels.

3. After surgery for the lateral femoral 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 the mass in the popliteal fossa is removed, the popliteal artery and vein and the popliteal nerve are often exposed, and sometimes the mass surrounds 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 head of the gastrocnemius 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, which enters 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 in larger than teres muscle. After the tumor is removed, the lower trapezius muscle island flap is used for repair. Its nutrient vessel is the descending branch of the superficial branch of the transverse cervical artery. The length and width ratio of the flap can reach 10×15cm. The donor site is sutured in the first stage.

6. After abdominal wall tumor resection, mesh fabric repair (NylonTeflon, Dacron, Polyglactin, etc.) is used. 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.

If you want to completely cure fibroids, early surgical resection is recommended, and the surrounding tissues should be appropriately removed. Desmoid tumors should be extensively removed early. After surgery, the tumor is sent for pathological examination to rule out malignancy, and medication is generally not required.