Is hysterectomy for uterine fibroids a major surgery?

Removal of the uterus for uterine fibroids is a medium-to-large operation, and the specific surgical risks are related to the location and number of fibroids and the patient's physical condition. There are two main surgical methods: traditional laparotomy and minimally invasive laparoscopic surgery.

Traditional laparotomy has a larger incision and a wider intraoperative field of view, which is suitable for cases where the fibroids are too large or combined with pelvic adhesions. Postoperative recovery requires 5-7 days of hospitalization and observation, and there may be risks of complications such as wound infection and bleeding. Minimally invasive laparoscopic surgery is performed through 3-4 small holes of 0.5 cm, with less trauma and faster recovery. The postoperative hospital stay is shortened to 3-5 days, but it requires high operating skills of the doctor. Both surgeries require general anesthesia, and gynecological examination, ultrasound and blood testing are required before surgery to evaluate surgical indications. The operation may involve the separation of adjacent organs such as the bladder and intestines, and there is a possibility of slight injury. Prophylactic antibiotics need to be used postoperatively to avoid infection. Sexual intercourse and bathing are prohibited within 1 month after surgery, and ultrasound will be reviewed regularly within half a year to monitor the recovery.

Postoperative care requires keeping the perineum clean and flushing the vulva with warm water 1-2 times a day.； In your diet, you should choose high-protein foods such as fish and eggs to help tissue repair, and supplement with fresh vegetables and fruits to prevent constipation. ； Avoid heavy lifting and strenuous exercise for 3 months to prevent pelvic floor ligaments from loosening. If symptoms such as fever exceeding 38 degrees, persistent abdominal pain, or abnormal vaginal discharge occur, timely follow-up consultation is required. Most patients can gradually resume daily activities 6-12 months after surgery, but lifelong follow-up is required to rule out other gynecological diseases.