Hela Removal of uterine fibroids generally does not require removal of the uterus, and in most cases the uterus can be preserved through myomectomy. Whether the uterus needs to be removed depends on factors such as the size, location, and number of fibroids and the patient's fertility needs.
Laparoscopic or hysteroscopic myomectomy is the first choice when the fibroids are small and the location of their growth does not interfere with the structure of the uterus. This type of surgery can accurately remove lesions, preserve uterine function and fertility, and allow for faster recovery after surgery. When fibroids exceed 5 cm in diameter or are located deep in the myometrium, laparotomy may be required, but the uterus can still be preserved. If multiple fibroids are concentrated in a local area of the uterus, the doctor will try to remove all fibroid nodules to avoid hysterectomy.
Hysterectomy may be considered when fibroids cause severe anemia, recurrent bleeding that is unresponsive to medical treatment, or when the fibroids are at high risk of becoming malignant. This type of situation is more common in perimenopausal women, those who have no desire to have children, or those whose fibroids are severely adhered to surrounding tissues and cannot be separated. When malignant transformation of fibroids is suspected, total hysterectomy can completely eliminate the lesions and prevent recurrence.
The recovery of the uterus needs to be reviewed regularly after surgery, and strenuous exercise or heavy lifting should be avoided for 1-2 months. Pay attention to supplementing the diet with high-quality protein and iron-containing foods to prevent anemia. If you have abnormal vaginal bleeding or fever symptoms, you should seek medical attention promptly.
