How long does uterine fibroid surgery take?

Uterine fibroid surgery generally takes 30-90 minutes, and the specific time is related to the size, number, location, selection of surgical methods and intraoperative conditions of the fibroids.

Laparoscopic surgery usually takes 30-60 minutes and is suitable for single fibroids or a small number of fibroids less than 10 cm in diameter. This operation is completed through a small incision in the abdomen, resulting in less intraoperative bleeding and faster postoperative recovery. Laparotomy surgery takes 60-90 minutes and is suitable for cases where the fibroids are too large, too numerous, or combined with severe pelvic adhesions. During the operation, the abdominal wall needs to be incised layer by layer to obtain a clearer view but relatively large trauma. Hysteroscopic resection takes 20-40 minutes. It mainly targets submucosal fibroids. It is performed by inserting instruments through the vagina. There is no wound on the body surface but the technical requirements are high. If malignant transformation of the fibroid is found during the operation and the scope of surgery needs to be expanded, or the patient has serious underlying diseases and needs to be operated with caution, the time may be extended to 2-3 hours. In most cases, anesthesia preparation and postoperative recovery time are not included in the duration of surgery.

You will need to rest in bed for 6-8 hours after surgery, and you can gradually resume eating and light activities after 24 hours. Avoid heavy lifting and strenuous exercise for one month, and keep the perineum clean to prevent infection. Regularly review the ultrasound to observe the recovery of the uterus. If abnormal bleeding or fever occurs, seek medical attention promptly. It is advisable to choose high-protein and high-iron foods such as lean meat and animal liver in your diet, paired with fresh vegetables and fruits to promote wound healing.