Hanh Phuc International Hospital has recently performed a successful laparoscopic myomectomy for a special patient from the United States. Prior to surgery, the patient had undergone examination in the U.S. but chose to have the procedure done in Vietnam, trusting the high-level expertise and experience of the hospital’s medical team. Upon examination, doctors discovered a large fibroid measuring over 25cm in diameter—equivalent in size to a 4–5-month pregnant uterus—accompanied by severe abnormal uterine bleeding.

A uterine fibroid as large as a 4–5-month pregnancy

Uterine fibroids are benign tumors originating from the uterine muscle and are common in women of reproductive age. However, when a fibroid grows beyond 25cm, as in this case, the patient faces a high risk of complications such as prolonged bleeding, abdominal pain, compression of surrounding organs, and significantly impaired quality of life. The size of the fibroid, similar to that of a uterus during the 4th or 5th month of pregnancy, also made the surgery more complex—requiring highly refined laparoscopic techniques and extensive surgical experience.

A careful surgical strategy and thorough preparation

To ensure a safe operation, the hospital conducted a comprehensive evaluation and thorough physical and mental preparation for the patient. Emergency response strategies, especially those addressing the risk of significant intraoperative blood loss, were meticulously planned. The multidisciplinary surgical team—including experts in obstetrics and gynecology, as well as anesthesiology—worked closely to ensure a smooth procedure.

The team opted for a laparoscopic approach, a modern surgical method that uses CO₂ to inflate the abdominal cavity, allowing doctors to remove the fibroid through small incisions. This method offers significant advantages: faster postoperative recovery, reduced pain, minimal scarring, and shorter hospital stays. If laparoscopy proves unsuitable due to the fibroid’s characteristics or other factors, open surgery may be required. While open surgery involves a larger incision, the hospital’s skilled aesthetic surgical techniques ensure minimal scarring and good cosmetic outcomes, although the recovery period is longer than that of laparoscopy.

The laparoscopic surgery was completed within a reasonable time frame with the medical team maintaining high concentration throughout. Using advanced laparoscopic techniques, the doctors successfully removed the large fibroid without damaging surrounding organs. The procedure was carried out meticulously to manage bleeding and ensure maximum safety. Postoperatively, the patient recovered well, with stable health and a return to normal activities.

The success of this large-scale laparoscopic myomectomy is a testament to the advanced medical technology and high-level expertise at Hanh Phuc International Hospital. The hospital remains committed to delivering safe, effective treatments for complex cases, supporting women on their journey to protect reproductive health and enhance quality of life.

Medical advisor: Dr. Hoang Ngoc Hai – OB/GYN specialist and Deputy Head of Obstetrics and Gynecology at Hanh Phuc International Hospital

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