Uterine fibroids can be treated with minimally invasive surgery

Uterine fibroids can often be treated with minimally invasive surgery. Minimally invasive surgery mainly includes laparoscopic surgery and hysteroscopic surgery. The specific choice needs to be determined based on the size and location of the fibroids and the patient's individual conditions.

Laparoscopic surgery is suitable for cases where subserosal fibroids or intramural fibroids protrude to the serosal surface. The operation is completed by inserting instruments through a small incision in the abdominal wall, with minimal trauma and quick recovery. Hysteroscopic surgery is suitable for submucosal fibroids or intramural fibroids that partially protrude into the uterine cavity. The lesions are removed through the natural vaginal canal into the uterine cavity, and there are no surface wounds after the operation. Both surgeries can preserve the uterus and have little impact on reproductive function. Ultrasound or magnetic resonance examination needs to be completed before surgery to clarify the classification of fibroids, and ultrasound guidance may be combined during surgery to improve accuracy. There may be temporary vaginal bleeding or dull pain in the lower abdomen after surgery. Infection prevention and regular review are required.

Minimally invasive surgery is not suitable for all patients. If the fibroids are too large, too numerous, or have a tendency to become malignant, conversion to open surgery may be necessary. Patients with severe cardiopulmonary disease, coagulation dysfunction, or extensive pelvic adhesions have a higher risk of surgery. Special locations such as the cervix or broad ligament fibroids may make the operation more difficult due to complex anatomy. You need to pay attention to menstrual changes after surgery, and seek medical attention promptly if you have abnormal bleeding or persistent abdominal pain. Long-term management includes controlling estrogen levels, adjusting diet and exercising moderately to reduce the probability of recurrence.

Avoid heavy physical labor and strenuous exercise within 3 months after surgery, and keep the perineum clean. The diet should increase the intake of high-quality protein and dietary fiber, and limit estrogen-containing foods such as royal jelly. Repeat ultrasound every 3-6 months to monitor recurrence. If increased menstrual flow or compression symptoms occur, timely intervention is required. Those who have not completed childbirth should plan their pregnancy timing under the guidance of a doctor.