Gynecology

Sparing surgery to remove uterine fibroids: possible consequences, treatment, rehabilitation, recommendations and feedback

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Views on the origin and development of uterine fibroids in recent years have changed significantly. Today, doctors believe that myoma nodes are not a tumor, but the reaction of the female body to damage. Surgical treatment is not the only way to get rid of the disease.

After surgery, the effects of fibroids can be unpredictable. Gynecologists of leading uterine fibroid treatment clinics with whom we work together perform an innovative procedure - embolization of uterine arteries. The list of clinics you can find here clinics treatment of fibroids.

The first reaction of the woman, whom the doctors said that she has uterine formations - is fear, after which panic begins. We suggest that patients who have fibroids, calm down and call us. You will be recorded by phone for consultation. If necessary, our experts will immediately give advice on-line via Skype e-mail.

Please note that this text was prepared without the support of our Expert Council.

Modern approach to the treatment of uterine fibroids

Previously, doctors, suggesting surgery for fibroids, proceeded from the fact that this is a benign neoplasm, in the presence of which there is a high probability of turning it into a malignant tumor. Our experts in choosing the treatment of uterine fibroids proceed from the following:

  • this is not a tumor
  • it malignantly rarely
  • when the operation is performed, uterine fibroids do not disappear, the consequences can be severe,
  • after surgery, the disease recurs in 7-14% of cases,
  • The solution to this problem is to stop the access of nutrients to myoma nodes.

We adhere to the modern theory of the origin of fibroids: education in the uterus develops due to damage of the cells of the muscular layer of the body by menstruation. How so: the menstrual cycle is a physiological process in the female body. Previously, a woman had a pregnancy many times during her life, she gave birth, suckled. Then there were several menstruations, and again came the pregnancy.

The modern woman uses various methods of contraception, becomes pregnant and gives birth a couple of times, and the rest of the time she has monthly periods. They then damage the myometrium cells, from which the rudiments of fibroids are formed. Under the influence of such provoking factors, myoma nodes develop from them. They grow, increase in size, the woman appears signs of fibroids.

In young girls, everything happens differently. Damage to myometrial cells occurs during the development of the fetus in the womb, and when the time comes to menstruation, hormones change and the growth of fibroids begins.

From this it follows that the operation of removing fibroids does not solve the main problem after it remains the rudiments of formations, which over time are converted into nodes. We propose to resolve the issue by a radical method: disrupt the blood supply to the nodes, deprive them of food. After that, they will cease to grow in size, some will undergo a reverse development, and the rudiments of fibroids will disappear. Our specialists make embolization of the uterine arteries, after which the blood supply to the pathologically changed parts of the uterus stops.

Myoma. Operation. Effects

Previously, gynecologists performed patients with myoma, complete removal of the uterus. They proceeded from the considerations that once in the wall of the uterus there are many lesions that can potentially transform into a cancerous tumor, an organ must be removed. We believe that hysterecomy (operation of removal of the uterus) should be resorted to in some cases. An indication for it is the presence of myoma education, in which the size of the uterus is more than 25 weeks of pregnancy and there are signs of pressure on nearby organs: the bladder and intestines. In this case, besides the usual symptoms of fibroids (abdominal pain, heavy prolonged bleeding, signs of anemia), the woman is worried about constipation and dysuric disorders (problems with urination).

The uterus was previously removed only from the laparotomy, dissecting the tissues of the anterior abdominal wall. This operation is performed under a general anesthetic. There are two modifications of the operation of hysterectomy:

  • supravaginal amputation
  • extirpation of the organ with or without uterine appendages.

Both in the first and in the second case, the patient loses the genital organ. During supravaginal amputation, the surgeon does not remove the cervix. After her, a woman can live a full sexual life. As a result of extirpation, she loses the uterus. After both surgical interventions, the consequences are unpleasant:

  • a woman can not get pregnant and give birth to a child
  • on the skin of the abdomen remains a large scar, which is a cosmetic defect,
  • an adhesive process develops in the abdominal cavity, as a result of which intestinal obstruction may occur,
  • the operation for a couple of months impairs the patient’s ability to work,
  • after such an operation, her quality of life deteriorates.

Gynecologists, with whom we cooperate, believe that it is first necessary to perform embolization of the uterine arteries, and only if there is no effect, resort to hysterectomy.

A more benign surgical intervention is the removal of uterine fibroids - myomectomy. Most gynecologists offer her women of reproductive age who are planning to become pregnant in the future. Surgeons make this operation one of two methods: laparoscopic or abdominal. They have advantages and disadvantages.

For laparoscopic surgery, doctors use modern equipment and special instruments. In order to enter them into the abdominal cavity, the surgeon makes 3-4 incisions on the skin 0.5mm long. He manipulates in the abdominal cavity, watching the operation progress on the monitor. The advantage of this operation is its minimal invasiveness. The consequences of such an operation are as follows:

  • after it, scars remain on the uterus, and it is not known how they will behave during pregnancy and during the laboring period,
  • in the late postoperative period, adhesions may develop, which can be a provoking factor for tubal infertility,
  • a year later a recurrence of the disease is possible,
  • during surgery, bleeding is possible, to stop which the doctor will need to transfer the operation to laparotomy.

The most severe consequence of myomectomy is the loss of the uterus, and its risk is quite high. Abdominal surgery doctors do under general anesthesia, through the incision of the anterior abdominal wall. Subsequently, it is no different from laparoscopic surgery. The consequences may be the same. In addition, a woman has a scar on her stomach, in place of which a postoperative hernia can form.

In the presence of submucous fibroids, gynecologists prefer the operation of hysteroresectoscopy. It is performed only if the patient is in the child-bearing age. The operation is not done in menopause. In order to perform such an operation, the surgeon will need a hysteroscope. He inserts the device into the organ cavity through the vagina and the cervical canal.

The operating gynecologist excised myoma, stitches the uterus. After this operation, a woman can live sexually, give birth, the quality of her life is not disturbed. But the operative intervention does not solve the question of the future behavior of the fibroids. Of these, the growth of myoma formations can begin at any time. In this case, you may need a new operation.

A fairly efficient and safe operation is the removal of myoma nodes by a laser. Laser radiation affects only the diseased uterine tissue, without affecting the healthy part of the myometrium. Complications after such an operation are rare, but the risk of disease recurrence remains.

The choice of treatment of uterine fibroids

In order to minimize the effects of the treatment of uterine fibroids, to achieve a good result and a lasting effect, it is necessary to approach the choice of treatment for the disease. First you need to understand what tasks need to be addressed:

  • save a woman from the symptoms of the disease,
  • save the reproductive organ
  • restore reproductive function
  • minimize the risk of treatment,
  • prevent disease recurrence
  • minimize the effects of treatment
  • ensure rapid recovery of the patient.

Specialists of gynecological clinics with whom we cooperate, approach to solving the problem individually. If the patient is planning a future pregnancy, they are looking for answers to such questions:

  1. Can the patient conceive, endure pregnancy and give birth without treatment of fibroids?
  2. Which method, if necessary, to give preference: surgery or uterine artery embolization?

In the case when the nodes are few, they are located on the uterus superficially and do not deform the organ cavity, are localized in safe areas, and after surgery, it will be possible to control the scar during pregnancy, prefer myomectomy.

If doctors assume that the operation will be accompanied by technical difficulties, there is a risk of entering the uterine cavity, and after the operation on the organ there will be many scars, we tend to suggest that the woman should be offered embolization of the uterine arteries. Sometimes it makes sense to resort to a combined treatment: first, to embolize, and a year later, after most of the formations undergo a reverse development, to have an operation to remove the remaining myomatous nodes. In this case, gynecologists will perform it in more favorable conditions, which means that the consequences will be minimal.

If the patient is not planning a pregnancy, then our doctors in most cases prefer embolization. If there is a single education on a thin leg, they recommend that the patient remove it during laparoscopic surgery.

Rehabilitation after surgery for fibroids

After each operation, the rehabilitation period has an unequal duration. It depends on the amount of surgery, method of operation and early consequences. Recovery from hysterectomy after surgery occurs within 2–3 months, abdominal removal of myoma is 1.5–2 months, and laparoscopic myomectomy takes no more than one month. In order for rehabilitation to go faster, and the effects of the operation to be minimal, the patient should follow these recommendations:

  • provide proper nutrition to prevent constipation,
  • minimize physical exertion
  • lead an active lifestyle, walk more, swim,
  • take hormonal drugs prescribed by the gynecologist,
  • on the recommendation of the doctor to wear a bandage.

In the presence of discharge should be informed of this gynecologist. He needs to be told when the first menses appear. At least once every six months, you need to visit your doctor. According to his recommendations, it is necessary to undergo a control ultrasound examination.

Sex is possible in 1-2 months after surgery. Doctors do not recommend going to the sauna and bath for two months, taking heat treatments. During rehabilitation, you should not sunbathe and go to the solarium.

Pregnancy can be planned no earlier than 12 months after myomectomy. It should be remembered that if there is a large scar on the uterus, the doctor may choose cesarean section as the delivery method. After embolization of the arteries of the uterus, rehabilitation is faster and with fewer restrictions.

Content

Most of the fair sex do not have enough time to monitor their health. This approach is completely wrong, because the earlier the disease is detected, the easier it is to treat it. In addition, most diseases of the female genital organs are much younger. One of the most common diseases that occurs in women of any age is fibroids. It is characterized by the formation of a node in the uterus, which eventually grows.

For a long time it was customary to assume that this disease occurs in women over the age of 35, however, it has recently been observed in women of other age categories. Reviews will help to establish whether this disease is developing or not.

What is fibroids?

This disease is characterized by the appearance of specific seals - nodes in the walls of the uterus. They can grow both in the organ itself and sprout into the abdominal cavity. If there is no germination, then reviews of such a disease characterize it as very insignificant.

The main reason that causes its development is a change in hormonal levels.

With an unstable level of hormones in the blood or with various hormonal changes, the level of estrogen in the blood increases. It is the hormone estrogen contributes to the appearance of the node.

Quite often in the initial stages of the disease practically does not manifest itself. However, there are such symptoms when detected, which should consult a doctor:

  • Pain in the lower abdomen.
  • Failures of the menstrual cycle.
  • Constipation.
  • Painful urination.
  • White discharge from the vagina.

The consequences of late or incorrect treatment of this disease are manifested in the fact that it can cause a number of fairly serious complications, life with which will be inadequate. Reviews confirm that if there is no impact on the ailment, then concomitant diseases quite often develop.

Hormone

The hormonal method of treatment is suitable only for those women who have a node size that does not have more than 11 weeks. The effect on the seals have special synthetic hormones, which are part of the drugs. The body ceases to need self-production of hormones, and, consequently, the seal does not develop. The consequences after such exposure are minimal.

Hormone therapy is used as a way to reduce the size of memes before its removal.

Operating

This method is one of the most radical. As a rule, it is resorted to only in case of danger to life. In total, two types of operations can be distinguished; in selecting the type of operation, doctors are guided by indicators that allow to save life:

Reviews show that if there is no effect from conservative treatment, you should charmingly resort to myomectomy or hysterectomy.

Removal of the uterus in myoma: indications

Most often, this disease can be treated by conservative methods, however, there are cases in which surgical intervention is simply necessary. The question of what cases imply, the procedure concerns many women. The operation is necessary in the case of:

  1. If there is an active growth of nodes.
  2. If the tumor presses on the neighboring organs.
  3. If a woman has severe bleeding.
  4. If conservative treatment is ineffective.

In addition, a similar operation can be performed in the case of:

  • If a woman has children.
  • If cancer changes were found in the organ.

To treat the disease in this way is most often recommended for women aged 40 to 50.

Reviews confirm that if there are no children, it is better not to carry out such a procedure.

What is a hysterectomy

This operation is the removal of the uterus. Most often, it is resorted to with the ineffectiveness of other methods.

Experts share several types of hysterectomy:

  • Complete - if you need to remove the cervix and uterus.
  • Incomplete - if you need to remove the uterus.
  • Radical - if you need to remove the cervix, uterus, lymph nodes, the upper part of the vagina.

Consequences of the removal of the uterus

Most of the specialists before making a decision about the removal draw the attention of women to a number of rather serious consequences that may arise. What exactly the consequences will arise - the question is quite serious.

Removal of the uterus is a rather unnatural process, it often entails the emergence of various health problems. Possible consequences can appear both in the first days after the procedure, and in a few years.

In women, after the removal of fibroids and uterus, the following effects can occur:

  • Increased risk of kidney cancer.
  • The occurrence of depression.
  • Memory impairment
  • Increased fatigue.
  • Urination problems.
  • Weight gain
  • Increased risk of osteoporosis.
  • Decreased libido.
  • Pain during intercourse.
  • Lack of vaginal orgasm.
  • Increased risk of omission of the vaginal walls.
  • Sexual dysfunction.

It is the sexual sphere that is most at risk due to hysterectomy.

Sexual dysfunction develops quite often, not only physiological, but also psychological factors can influence its appearance. In order for sexual activity to return to normal, a woman needs to go through a rehabilitation period.

However, such complications may not manifest. Most often, the symptoms that occur after the removal of the uterus are dimly expressed, this is due to the fact that doctors can maintain a good blood supply to the ovaries and prevent the level of hormone fall in the body.

Возможные осложнения после операции по удалению миомы

Многих женщин волнует вопрос о том, какие осложнения могут возникнуть. Reviews indicate that the operation rather seriously affects the health of the woman and can cause a number of certain not very pleasant consequences, among them are:

  • The appearance of pain during scar healing.
  • Appearance of discharge.
  • Minor bleeding.
  • Increased risk of atherosclerosis.

In order to avoid such effects, it is necessary to take vitamins and exercise regularly. In addition, in the postoperative period it is worth refusing various thermal procedures.

In addition, after the operation, a number of specific complications may arise that are associated with the fact of the intervention itself:

  • Complications after anesthesia.
  • Damage to neighboring organs.
  • The occurrence of the inflammatory process.
  • Intestinal obstruction.
  • Peritonitis.

After removal of fibroids, it is necessary to go through the rehabilitation stage, as a rule, it takes from 1 week to 2 months.

Recovery is rather slow. During this period, you can not visit the bath and sauna, and you can not actively engage in sports, as the body during this period is still weak. Reviews indicate that recovery is faster if the body is not stress.

Recovery period

This period is very important, as further state of health depends on it. It is very important at this time to ensure proper nutrition. It depends on him, how quickly the body recovers. Power must be frequent and fractional. It is best if the food after the operation will be based on liquid dishes that do not put pressure on the intestines.

Meals must be regular, it is best to eat at the same time. Proper nutrition will help speed up the rehabilitation process. It is best to read the reviews of those women who know firsthand what effects are on the body.

Summarizing, we can say that hysterectomy is quite a serious operation, which greatly affects health. It is not recommended for women who have no children.

In addition, for the purpose of the operation, there must be good reasons, among which there are: the active growth of nodes, pressure on neighboring organs, heavy bleeding, the ineffectiveness of other treatment methods. Only if there is such evidence is it advisable to treat the disease with the help of this procedure, which can save lives. Feedback from those who have undergone this procedure will help to know exactly what the consequences may arise.

The consequences of surgery to remove uterine fibroids

The formation of uterine fibroids is often asymptomatic. That is why it happens that it is discovered too late, when the operation remains the only treatment option for the disease.

Surgery is always accompanied by certain risks for the patient. What consequences may have the removal of uterine fibroids, interests every woman before starting treatment.

When you need surgery for uterine myoma

Fibroids - a benign tumor in the tissues of the uterus, which is formed as a result of growth of smooth muscle fibers. This formation has the main distinguishing feature - dependence on the amount of sex hormones in the body. It can grow and even decrease depending on the state of the hormonal system.

The growth of uterine fibroids usually begins at the age of 30-35 years. During pregnancy, a significant decrease or complete disappearance of small formations is possible, as well as regression of the disease is often observed during menopause.

The development of fibroids cause hormonal disruptions in the body.

Fibroma has a regular or slightly elongated ball shape, and there are also rounded formations and leg formations. The knot on the leg must be immediately removed, since the leg tends to twist unexpectedly, causing emergency conditions requiring urgent serious abdominal surgery and the risk of serious consequences. The remaining fibroids are removed only with certain indications, for example, depending on its size:

  • small - the diameter of education is not more than 2.5 cm (age 5-8 weeks),
  • medium - diameter up to six centimeters (10-12 weeks of pregnancy),
  • large - diameter of more than six centimeters (12 weeks old).

The size of fibroids on ultrasound is called in centimeters or millimeters, according to the diameter of the circle. At the reception at the gynecologist determine the size of the increase in the uterus, while the basis for the rate of increase in the abdomen as during pregnancy, in weeks.

Small fibroids try to be treated with conservative methods that are aimed at inhibiting their growth, or reducing them. Such therapy helps to significantly delay the operation, reduce its effects, and in some cases even avoid surgery.

Drug treatment can not completely eliminate fibroids and, most often, after the end of treatment, they return to their previous size and continue to grow further.

Medium uterine fibroids are removed only if indicated:

  • pain in the abdomen and lower back,
  • menstrual irregularities (delay, lack of menstruation, lengthening of the cycle or bleeding during critical days),
  • anemia due to frequent bleeding,
  • infertility,
  • miscarriage
  • rapid growth of education (more than two centimeters per year),
  • risks of transformation into a malignant tumor, precancerous conditions,
  • the location of fibroids, which interferes with the normal course of pregnancy.

Most uterine fibroids are dangerous and must be removed. The large size of the detrimental effect on the neighboring organs (overwhelms them, affecting the act of defecation and urination), disrupts the blood supply to the tissues, causes bleeding, menstrual failures, chronic pelvic pain and more.

A large postmenopausal fibroid is dangerous, it can cause cancer. In order to avoid the formation of sarcoma, an operation is performed.

Removal operation

The decision on the appointment of the operation takes a gynecologist, but the surgeon, considering all the circumstances and being aware of the consequences, chooses the type of surgery.

Options for the removal of uterine fibroids:

  • FUS ablation - the burning of tumors with a laser,
  • uterine artery embolization - blockage of blood vessels supplying the neoplasm with blood, which leads to its death,
  • hysteroscopy - removal of myoma nodes through the vagina and cervix, without incisions,
  • laparoscopy is a surgical operation during which nodes are removed through three small incisions in the abdominal cavity,
  • laparotomy - abdominal surgery, in which the removal of fibroids is carried out through a full incision in the abdominal wall and uterus.
Each of the approaches has its pros and cons and is used in specific situations, depending on the location of the nodes in the tissues of the uterus, their number, size, age of the patient, the possibility of using anesthesia.

Effects

If the myoma was removed with a minimally invasive and bloodless method of FUS ablation, the risks of severe consequences are minimized. The procedure takes place without anesthesia and incisions under the strict control of a magnetic resonance imager, which allows avoiding such complications as damage to healthy tissues, reaction to anesthesia, infectious complications.

Bleeding and tolerable pain that is relieved by taking painkillers for the first few days is a normal reaction to the procedure. It is these days that the spontaneous release of the uterus from the dead parts of the tumor takes place.

Uterine artery embolization is also a low-impact procedure, which rarely causes complications, and therefore does not require prolonged hospitalization and special observation in the postoperative period. The main consequence is the re-growth of tumors, which for the next three years after the procedure is recorded in almost thirty percent of cases.

Consequences after the removal of EMA nodes are not more frequent than in 5% of cases. Most of them do not pose any threat to the life and health of the patient, however, the doctor must warn before the procedure about the risks of infection, bleeding and the formation of blood clots in the vessels.

If in the near future a woman is planning a pregnancy, it is better to choose another method of treatment of fibroids, since the process of resorption of the formation after embolization is rather long.

Hysteroscopy reduces the risk of complications, as compared with conventional myomectomy several times. The operation takes place without incisions and under the control of the video camera, so the surgeon has everything necessary to perform the operation safely for the patient.

Possible consequences of hysteroscopy:

  • bleeding (occurs when uterus vessels are damaged),
  • infectious and inflammatory processes in the uterus after surgery occur when non-observance of the rules of septic and antiseptics, as well as in the presence of any inflammatory processes in the urogenital system that were not identified before the surgery,
  • damage to the cervical canal during its expansion,
  • perforation of the uterus is a rare but possible complication when the removal of the myoma node was done inaccurately,
  • an air embolism is a life-threatening condition caused by the ingress of air into the tube with the fluid flowing into the uterus.

Pain and bloody discharge from the vagina within 3-5 days and their gradual decrease with their color changing to yellowish, brown or pink is the norm that does not require treatment.

Signs indicating the beginning of the inflammatory process after hysteroscopy:

  • pain in the back and abdomen that cannot be relieved by taking a pain pill,
  • increased bleeding,
  • purulent discharge from the vagina,
  • sharp rise in temperature
  • delayed menstruation

Laparoscopy is a more benign variant of myomectomy than abdominal surgery. After it does not require a long stay in the hospital and long-term use of analgesics.

The consequences of the removal of nodes through laparoscopic surgery are primarily related to the doctor’s incomplete control over the walls of the uterus, which are almost entirely composed of vessels. In this regard, damage to the walls of blood vessels may occur and bleeding will open, which will require urgent abdominal surgery to eliminate it. In addition, despite the fact that the incisions in the uterus during laparoscopy are done quite tiny, it is much more difficult for the surgeon to sew them up than with a full-access laparotomy, so during subsequent pregnancy you will have to carefully monitor the condition of the sutures.

The risk of disease recurrence after laparoscopic and laparotomic removal is much lower than with EMA and FUS ablation.

Laparotomy. Abdominal access surgery is always a complicated surgical procedure that will require a long recovery period and the use of serious painkillers. That is why today surgeons use it less and less, preferring the above methods. Risks during laparotomy are associated with prolonged anesthesia, infection and the healing of large incisions.

The negative effects of laparotomy.

  • Long recovery period (with a weak immunity of a woman can take up to two months).
  • Complications after anesthesia (shock condition, problems in the work of the heart, etc.).
  • Inflammatory process in the uterus (endometritis, myometritis).
  • The seam divergence during pregnancy is a very rare consequence of laparotomy, since during abdominal surgery the surgeon places a reliable and durable suture on the uterus.
  • Adhesions in the uterus and tubes.

Complications after any operation to remove myoma nodes is a much lower risk than the consequences of not starting treatment. If you do not carry out the operation, the fibroma will grow to such an extent that only the nodes will not be cut out and you will have to resort to a more serious operation - hysterectomy (removal of the whole uterus or part of it). And the symptoms of the disease that appear and the accompanying complications will not allow refusing the operation.

Signs of disease

Signs of Uterine Disease

Based on the size, number, and location of myomatous nodes, symptoms may vary:

  • menstruation is painful, their duration increases. Often in the discharge can be observed large blood clots, which should alert the woman. If this happens from cycle to cycle, the woman may develop anemia, general weakness, frequent dizziness and fainting.
  • there is severe pain in the lower abdomen. Sometimes it can be antispasmodic in nature, finding waves and not depending on the day of the cycle. This happens with an increase in neoplasm and its pressure on neighboring organs.
  • pulling back pain that gives to the gluteal muscles. This is due to the pressure of the tumor on the pelvic organs. Also, pain in this area may appear during intercourse.
  • frequent urination to disturb even at night. Because of the tumor, not only the bladder, but also the kidneys may suffer.

Uterine fibroids. To operate or not to operate?

Uterine fibroids. To operate or not to operate?

This issue is often solved by gynecologists about uterine fibroids or endometriosis. These pathologies are characteristic of women from 37 to 50 years old, when the body is rebuilt and often menstrual disorders occur. In most cases, the balance weighs inexorably in favor of the operation. But is this justified, are doctors in no hurry?

Currently, the removal of uterine fibroids is performed using laparoscopy - through small punctures in the abdomen, during hysteroscopy - using a tool that is inserted into the uterus through the vagina. Very rarely, the myoma is removed through an incision in the lower abdomen.

Recovery after removal of uterine fibroids

The postoperative period after removal of uterine fibroids lasts several weeks.

In the first weeks, the woman’s recovery will depend on the diet - it depends on the correct postoperative nutrition how quickly and successfully the recovery process takes place. It is advisable to eat dishes of meat, fish, eggs and legumes.

It is also necessary, if possible, to maintain motor activity and not “stale” for a long time. If the removal of fibroids was successful, then you should try to get up already on the second day after the operation and walk at least 5-10 minutes several times a day.

After removal of uterine fibroids, constipation and straining should not be allowed, otherwise intra-abdominal pressure may increase, which can adversely affect the stitches left on the uterus. In addition, malfunctions of the intestines can trigger the development of inflammation in the appendages and the uterus. Therefore, products that promote cleansing should prevail in the diet of the operated woman.

It is necessary to limit the use of semolina and rice porridge, mashed food, strong tea, coffee and cocoa. Instead of white bakery products it is best to use rye bread, do not forget about apples, dairy products, salads from fresh vegetables, buckwheat, millet and pearl barley, vegetable oil. Meat and fish is better to use not in the form of cutlets, but a piece.

If you follow all the doctor's instructions, the unpleasant consequences after surgery for the removal of uterine fibroids will be minimal.

What you need to remember after removing fibroids?

After a woman is discharged from the hospital, she receives not only a sick-list, but also appropriate recommendations. Directly hospitalization lasts from 3 to 7 days, depending on the severity of the disease and the complexity of the operation. After discharge from the hospital, the woman should strictly follow all the advice given by the experts. Why do this? Reviews indicate that in the case of non-compliance with all prescriptions, several pathological conditions and processes may occur. These include:

  • Bleeding
  • Seam divergence
  • Infectious diseases
  • Inflammatory processes
  • Recurrence of fibroids
  • Etc.

A prerequisite will be a visit to the gynecologist after the removal of uterine fibroids. All rehabilitation must be carried out under the direct supervision of a specialist in order to clearly monitor the patient’s condition and the rate of healing of the surgical sutures.

Uterine fibroids - consequences after uterus removal

  1. After surgery to remove uterine fibroids, there is always a risk of recurrent fibroids. This happens if the formation has been removed, but the main reason for its appearance remains. Most often myomatous nodes arise against the background of hormonal failure, and it must be eliminated first. Therefore, doctors prescribe hormonal drugs to patients.
  2. After removal of the fibroids with the uterus, one of the most adverse consequences is the increased risk of breast cancer. In addition, ischemic heart disease may occur.
  3. When only nodes are removed, the patient's fertility may increase or decrease when a part of the uterus has been removed along with the fibroid.
  4. Note that with the complete removal of the uterus without the cervix, menstruation will continue, but will become scarce. Accordingly, the removal of the uterus together with the cervix does not provide for the appearance of menstruation at all. However, arousal, sexual desire and orgasm will remain at the same level.
  5. Миома матки последствия могут включать в себя инфицирования и развитие заболеваний половой сферы после операции, так как любое вмешательство в половую сферу создает угрозу для заражения органов.
  6. Бесплодие – одно из самых тяжелых последствий миомы. It is very important not to start the disease, but to treat it in time to avoid surgery to completely remove the uterus.
  7. A malignant tumor can occur on the background of fibroids. That is why it must be treated.

Uterine fibroids - prevention and treatment

Even if nothing bothers you, do not neglect the gynecological examination. According to statistics, about 85% of women aged 35 fall ill with uterine myoma. However, the main danger of such a disease lies precisely in the fact that it does not manifest itself at the initial stage of its development. Myoma can be detected by examination or ultrasound. When there are obvious symptoms, often the disease is already in an advanced form, and then only surgical intervention is indicated. So, you see, it is better to be monitored regularly by a doctor than later to think about the operation.

Woman's life after removal of uterine fibroids does not change radically. Many patients were convinced that getting rid of the disease did not deprive them of their usual joys. Agree, the realization that now nothing threatens your health and life can not but rejoice. True, the success of the operation must be secured with the right recovery, because it is from this that your well-being will depend on. You already know that the result of surgical intervention in the treatment of fibroids is the removal of a part or whole uterus along with the nodes. Depending on the method chosen for assisting the patient, doctors develop a rehabilitation program.

What are the basic requirements to be followed?

As a rule, the patient has many questions that can only be answered by a specialist. Why and how much time after the removal of fibroids can not live sexually? How long is the recovery period itself? Will it be possible to give birth in a natural way and after what time can we begin to plan a future pregnancy? Why do you need a bandage or you can do without it? How long will it be possible to resume the usual physical activity? All these questions are by no means idle, since the risk of recurrence of the pathology is very high. So, what do experts recommend? In fact, the tips are quite simple, but at the same time, they are very effective:

  • Proper nutrition after surgery, which should prevent the occurrence of constipation. After removal of the fibroids, it is strongly recommended not to push, because at this moment the intra-abdominal pressure increases significantly, which, in turn, can lead to the fact that the seams simply disperse. It is necessary to avoid the presence of manna and rice porridge in the diet, as well as jelly, strong coffee and tea. The diet should contain foods rich in fiber, which leads to increased intestinal motility and prevents constipation. In this diet, many women lose weight, and getting rid of excess weight, not only begin to look better, but their body tolerates the rehabilitation period more easily.
  • It should be minimized strong physical exertion. We will have to abandon lifting weights in excess of 4-7 kg, as well as monotonous and tedious activities associated with the transfer of objects or slopes. Failure to comply with this clause may also provoke seam breaks. The result will be long-term non-healing surgical wounds. Nevertheless, moderate activity will be a positive point during rehabilitation. Small physical exercises, such as swimming and walking, will avoid stagnant processes in the female body.
  • Calm atmosphere and fresh air can significantly improve the patient's health and help get rid of postoperative depression. You should make every effort not to get upset and not to worry about any reason.
  • It is necessary to strictly take hormonal preparations, which will appoint a specialist. They will not only reduce the time of rehabilitation, but also prevent relapse and re-formation of the tumor. All drugs should be taken exactly in the dosage recommended by the doctor. It is not uncommon for a woman to start menopause after the removal of fibroids, regardless of her age. Reception of appropriate means will provide normalization of a hormonal background. Logest is very effective, which gives tangible results. After some time, the state stabilizes and the first menses should begin. The fact that there were monthly, you must notify your doctor.
  • Bandage. His wearing should also appoint only a specialist. It is impossible to make a decision on whether or not to wear a bandage, as it may have negative consequences for further health.
  • Attend specialist-designated procedures, such as electrophoresis. If there is a strange discharge, then this should also immediately notify your doctor.
  • Routine examinations should be carried out at least once every 5-7 months. It includes not only an examination by the attending physician, but also an ultrasound scan. It is with this diagnostic method that it is possible at first to detect the recurrence of the disease and take the necessary measures to treat the newly formed myomatous nodes.

Strict observance of all recommendations leads to the achievement of positive dynamics and acceleration of the recovery period. But there are a number of prohibitions that should not be violated, because in this case the tumor may begin to grow again.

What you should not do after the removal of fibroids and why experts are so hard to insist on meeting all the requirements?

Recovery after removal of uterine fibroids

Of course, all the councils have a certain ground under them, since they are directly connected with the processes occurring in the woman’s body. So, what is under strict prohibition:

  • Intimate life. Sex can only be done after 1 -2 months. The ban is due to the fact that at this time the scar on the uterus heals. Also, intercourse increases the likelihood of infection.
  • You must refuse to visit the bath, solarium or sauna. Heat may cause bleeding.
  • Avoid exposure to direct sunlight. Myoma today is quite amenable to therapy.

In the event that a woman fully complies with all the recommendations and does not violate the basic prohibitions, then you can count on a full recovery and the possibility of having a baby in the future.

The causes of the disease

Despite the development of medicine, the exact causes of uterine fibroids have not yet been established.

But, according to doctors, some external and internal factors affect the appearance of tumors:

  • violation of the hormonal level of women due to gynecological diseases,
  • metabolic disorders and obesity,
  • the clinical course of chronic pathologies and endocrine diseases, hypertension,
  • difficult childbirth, complicated by uterine injury, improperly performed hysteroscopy,
  • sedentary lifestyle of a woman, stressful conditions, frequent overwork or excessive physical labor,
  • genetic predisposition.

With the development of modern medicine, the view on the origin of fibroids has also changed - it used to be that the tumor was a hormone-dependent pathology, today doctors concluded that the tumor appears in the woman’s womb due to various types of damage.

Inflammatory diseases of the pelvic organs and frequent abortions also cause fibroids.

Indications for surgery

Operation to remove uterine fibroids called myomectomy and refers to surgical interventions that preserve the body.

Most often, such an intervention is preferred when this tumor is detected in young women of reproductive age who have not yet given birth.

About what sizes of fibroids are indications for surgery, read here.

In some individual cases, such an operation becomes a method of treating infertility, which appears due to the formation of multiple nodes in the uterus, leading to its deformation.

In addition, removal of fibroids becomes necessary when all other methods of treatment can not restrain the growth of tumors and do not affect the size of the tumor.

Planned surgery is also prescribed in cases of:

  • if there are uterine bleeding that does not depend on the menstrual cycle,
  • painfulness having persistence
  • violation of the functionality of the internal organs adjacent to the uterus or signs of their displacement.

Ways to remove with preservation of the uterus

Myomectomy is considered a sparing surgical procedure, since the tumor itself is removed and the reproductive organ is preserved. Such an operation is indicated most often for women of reproductive age who have a baby in their plans.

Surgery is carried out in two ways:

  • laparoscopic surgery - for such an intervention, it is necessary to use special instruments and equipment. On the patient's skin in the abdomen, 3-4 short incisions are made, through which specific devices with a camera are inserted. With their help, the doctor performs manipulations in the uterus of the patient, watching what is happening on the monitor - finds and removes the tumor, minimizing the risk of damage to healthy tissue. This method of removing the pathology is the least traumatic, the seams after the incisions are small, almost imperceptible, and the recovery period lasts only a few days,
  • abdominal intervention - is performed under general anesthesia, through the incision of the patient's anterior abdominal wall. The consequences after such an operation are almost the same as laparoscopy. To date, this method of surgical intervention is used quite rarely (in the presence of torsion of the tumor legs or necrosis of the tumor tissue), since the operation itself and the rehabilitation period are more complex and take a significant amount of time.

Recovery period

What treatment is prescribed after surgery?

A woman needs to take hormones and, if the tumor has become the cause of iron deficiency anemia, then drugs containing iron.

In addition to receiving the necessary medications, the patient must adhere to a certain diet, limit physical activity, lead a more active lifestyle, spend more time outdoors, and be sure to wear a bandage.

You should not visit pools or saunas during the first two months after the operation, and regular sexual life should begin no earlier than 2-3 months after the removal of fibroids.

The degree of recovery after surgery depends on many factors, but the mandatory compliance by the woman with the doctor's recommendations and compliance with all the prescribed rules significantly reduces the time.

After surgery to remove the tumor with the abdominal method, a full recovery takes 1.5-2 months, and after laparoscopic myomectomy it takes only a month.

How to speed up the healing process after removal of uterine fibroids

Life after the operation does not end, you can keep the same rhythm, but given some limitations. Before discharge, the gynecologist should explain to the woman what the consequences may be after the removal of uterine fibroids, how long it is better to wear a postoperative bandage, what can be eaten, when any symptoms appear, you should urgently seek medical help. If you carefully follow all the recommendations, rehabilitation is easy and painless.

When removing uterine fibroids in the postoperative period, it is important to listen to the doctor's advice, since they allow you not only to recover at an accelerated pace, but also to prevent complications and to avoid the recurrence of the disease.

After the operation was performed to remove uterine fibroids, gynecologists recommend:

  • move more, even if it causes discomfort, moderate physical activity will prevent the occurrence of adhesions,
  • wear a bandage after removal of the tumor, which will support the seam and tone of the abdominal wall,

  • monitor suture hygiene, visit a doctor twice a year for ultrasound and examination,
  • control monthly after removal of fibroids,
  • take care of contraception during sexual intercourse.

The postoperative period after removal of uterine fibroids is always accompanied by medication.

Gynecologists prescribe hormone therapy in the form of drugs such as "Duphaston", "Yarin", "Regulon", "Zoladex", etc.

Also shown is the intake of vitamins and minerals, complexes that prevent the occurrence of adhesive processes. It is important to observe the regime of wakefulness and rest, eat more vegetables, try not to react to stress.

What can not be done after abdominal surgery to remove fibroids

Many women wonder how long the rehabilitation lasts after the removal of uterine fibroids?

There is no strict framework and an unequivocal answer to this question. Each case is individual, many factors affect the effectiveness of treatment and the speed of recovery, for example, age. If it is necessary to remove myoma after 40 years, the body may need more time and effort than at 25. At a young age, we recover faster, regeneration processes occur by themselves, without medical assistance.

Also, the duration of rehabilitation after removal of uterine fibroids through abdominal surgery depends on the size of the tumor, the number of nodes, the presence of complications in the operating room.

To help the body recover faster, patients must know what is forbidden to do until they are completely cured.

Women after removal of uterine fibroids can not:

  • to be subjected to strong physical exertion, to move to prevent adhesions - does not mean to go in for athletics or sign up for the gym immediately after discharge from the hospital,
  • stay in the sun for a long time, sunbathe, sunbathe, go to the solarium,

  • return to the usual sexual life within 30-90 days (dates depend on the state of health),
  • undergo stress and psycho-emotional stress
  • for a long time to be upright.

After surgery, removing the uterine myoma, you can not allow constipation. It is important to adjust nutrition and balance your diet. In the first month shows a strict diet, you need to increase the amount of fiber consumed. The menu should have more fruits and vegetables, cereals, fish. Fatty and fried foods are contraindicated. It is necessary to limit the daily intake of salt, sugar, spices.

It is possible to plan pregnancy and childbirth after removal of fibroids in 6-12 months, when the menstrual cycle is improved. However, before this, it is imperative to visit the gynecologist. The doctor must make sure that the nodes are not revived, and the body of the future mom is fully restored.

Laparoscopy with myoma and recovery after the procedure

Laparoscopic removal of uterine fibroids reduces the effects of the operation to zero. The procedure implies that access to the nodes is carried out through small punctures on the abdominal wall. With the help of a special optical device, a specialist will be able to inspect the cavity and carry out the necessary manipulations. The operation takes no more than 40 minutes. Scar healing is much faster and less painful, since the area of ​​affected tissue is minimal.

If laparotomy was performed (abdominal surgery), the patient can only get up on the third day. In the case of laparoscopy, you can check out during the first day. Physical activity is allowed to a greater extent, but do not abuse the load, because you can damage the seams.

Sex after the removal of fibroids in a benign manner is permitted one month after the manipulations.

Otherwise, rehabilitation after removal of the uterus, laparoscopy or laparotomy does not have serious differences.

It is also forbidden to stay under ultraviolet light for a long time, it is not recommended to lift weights, you should follow a diet.

It is possible to prevent the effects of removal by taking antibiotics, vitamin complexes and hormonal preparations. If a woman noticed bleeding after removing fibroids, her body temperature rose, there was a headache, nausea, cramps in the lower abdomen, opening uterine bleeding, you should immediately call an ambulance, and in no case, refuse hospitalization .

Complications after prompt elimination of myoma nodes are not uncommon. Namely, therefore, if a woman has already given birth and is at an age close to menopause, doctors recommend removal of the entire uterus.

Agree on such a radical method is only after careful deliberation and consultation with an experienced specialist.

After surgery, myoma is sent for histological examination. Histology is designed to determine the nature of the cells, the presence of atypical cells among them, prone to degeneration into cancer.

Restoration of childbearing function after fibroids - the views of women

After surgical removal of the tumor, while observing the prescribed regimen, the patient recovers quickly and can live at the same rhythm. However, it is important to establish a hormonal background and ensure all conditions for a woman to give birth in the future to a healthy and strong baby.

In order to understand after which operation the restoration of the child-bearing function proceeds faster, you need to hear and compare the reviews of those who have already experienced the removal of fibroids:

Inga, 38

«Когда гинеколог обнаружил узел, надеяться на гомеопатию или медикаментозное лечение было уже поздно. Обратилась я за помощью после длительных и безрезультатных попыток забеременеть. The tumor reached 7 cm in diameter, so a course of hormones was prescribed before the operation. After taking the drugs for 2 months, the site decreased by 5.5 cm, and then the doctor prescribed the day of surgery. I stayed in the hospital for 5 days. After discharge, strictly followed all the prescriptions and recommendations of the doctor, drank antibiotics. There were no complications, and after 2 years we had a long-awaited baby. ”

Marina 37

“My fibroid was discovered at 32 years old. One child in the family was, my husband and I wanted a second one, so we went to the doctor. On ultrasound, the gynecologist noticed several nodes with a diameter of 4 to 7 mm. After consultation, I decided to agree on laparoscopy.

The method is as painless as possible, and most importantly - with a minimal recovery period. The first three months after the procedure kept the diet, limited the load. Six months later, my gynecologist said that you can think about pregnancy, since the rehabilitation was successful. ”

Surgical removal of fibroids

The first priority for doctors is to preserve the genital function of the female organs. Surgical treatment can be gentle and radical:

  1. Surgery to preserve the uterus and appendages - abdominal, laparoscopic and hysteroscopic myomectomy. They are a priority for women who have not given birth.
  2. The radical method is hysterectomy (removal of an organ with or without appendages). The indication for the purpose is the large size of the node on the background of the realized genital function.

Any of the methods may cause postoperative complications, relapse of the disease or unforeseen reactions.

Sizes for operation

If the fibroids are small or slow to grow, preference is given to a conservative treatment method. The presence of certain factors is an unconditional indication for surgery:

  • node size from 12 weeks of pregnancy
  • concomitant gynecological diseases,
  • necrosis of the tumor, developed due to a twisted leg or as a result of other processes,
  • squeezing of neighboring organs in violation of their functions,
  • heavy uterine bleeding that cannot be treated,
  • the rapid growth of fibroids,
  • malignancy node.

Classification of myoma nodes by size

The size of fibroids is determined in weeks of pregnancy. Myomatous nodes are:

  1. Small - 5 weeks, tumor size up to 2 cm.
  2. Average - 10-11-weeks, from 2-6 cm.
  3. Large –12–15 weeks of gestation, knot over 6 cm.
  4. Large - the uterus reaches the size of 16 weeks of pregnancy.

Neoplasms as small as 12 weeks are shown for prompt removal. Medium and small fibroids are removed in this way with tumor necrosis, the impossibility of conception due to its location.

Removal of fibroids by laparoscopy

The elimination of the myoma node with a laparoscope is the most preferred method of surgical removal of the node. The elimination of the pathological formation is done with the help of an endoscope. The doctor produces 12-15 mm long punctures in certain areas of the anterior abdominal wall. The tumor is removed through the holes with a laparoscope. The operation is gentle, recovery is fast. A week later, the patient can proceed to work.

Indications for laparoscopy:

  • the size of the nodes is not more than 0.8-1 cm,
  • the uterus on the 15-16 week period,
  • the number of nodes is no more than 3-4 pcs.,
  • total diameter of nodes up to 1.5 cm.

The advantage of the method in low invasiveness, the mucous membrane of the uterus is practically not injured. This minimizes the risk of formation of adhesions.

Abdominal tumor removal

This method is addressed if the patient has torsion of the tumor legs, the presence of adhesions, malignancy of the appendages, necrosis of the tissue of the nodes. Removal of pathological areas occurs through the cervical canal using an endoscope.

Before the operation, diet No. 1 is prescribed, cleansing enemas are put. Removal of fibroids occurs on an empty stomach. Due to the layer-by-layer tissue suturing, the healing process is slow and painful.

Possible complications after abdominal surgery:

  • bleeding
  • blood poisoning,
  • suppuration of the scar,
  • formation of adhesions,
  • "Sharp" belly.

Another drawback is the visible cosmetic defect that provokes the development of an inferiority complex in some women.

Hysterectomy

Using this method, doctors remove the uterus, sometimes with the ovaries and tubes. The operation can be laparoscopic, abdominal and hysteroscopic. The choice of method is influenced by the location of fibroids, the presence of mobility of the node, the accompanying pathology of the appendages and the cervix.

After removal of the uterus hysterectomy for 2 months, there is a selection of brown color. This is a variant of the norm. Gradually, their intensity decreases to a complete cessation. In the early rehabilitation period, there may be subfebrile, body temperature up to 37.5 ° C.

The reason for going to the doctor should be prolonged bleeding, an admixture of purulent contents in the discharge.

You should know that when you remove the uterus, along with the appendages, menopause occurs, provoked by surgery. It is transferred more difficult than biological, since there is no phase of adaptation of the organism to changes. To alleviate the symptoms, hormone replacement therapy is prescribed before the onset of natural menopause.

After abdominal hysterectomy, early and late complications may develop. In the first months may occur:

  • local inflammation of the wound,
  • bleeding,
  • the development of the inflammatory process in the bladder and urethra due to mechanical damage to the mucous membrane of the organs,
  • blood clots.

To prevent the development of complications, one should strictly follow the recommendations of the doctor during the recovery period.

Removal of uterine fibroids by laser

Laser removal of fibroids is a modern and non-invasive method of therapy. Among its obvious advantages is the absence of mechanical compression of tissues, there is no necrosis and twisting. The wound heals in a short period of time without scar formation.

During laser removal of a tumor, the apparatus only affects pathological areas for 1-2 minutes without affecting the healthy areas of the skin. The technique is absolutely bloodless, which reduces the risk of postoperative complications. The rehabilitation time after surgery is not more than 3 days.

What to do after removal of the uterus and appendages

The success of late rehabilitation depends on the patient's fulfillment of medical recommendations throughout the time. Complications may occur after 6-12 months:

  1. The onset of premature menopause is associated with the removal of the ovaries during hysterectomy. To minimize discomfort, hormone replacement therapy, physiotherapy and regular exercise are used.
  2. In order to prevent the omission of the vaginal walls, you should wear a special supporting ring, do Kegel exercises for training muscle tone.
  3. Incontinence occurs due to the weakening of the ligaments of the bladder, reducing the level of estrogen. The defect is eliminated by exercises to strengthen the muscles and hormone therapy.
  4. It is necessary to control the formation of adhesions. There may be pain associated with the failure of the seams.
  5. When a fistulous course is formed, a secondary infection may develop. The problem is solved by rehabilitating and suturing the stroke.

If postoperative depression occurs, medical assistance is required. To avoid this situation, the doctor convinces the woman of the expediency of the operation. The main prerogative is the preservation of the patient's life, however, doctors try to leave as much as possible one ovary to maintain hormonal levels.

What not to do after surgery

The time for complete rehabilitation may vary depending on the method chosen, the associated diseases. Improvement of well-being occurs in 2-4 weeks with laparoscopy, from 4-6 with abdominal hysterectomy. There is a general set of measures that must be followed for approximately 2 months to prevent the development of complications.

After removal of uterine fibroids are prohibited:

  1. To lead an excessively active lifestyle: you need to be more at ease, moving and air travel are excluded.
  2. It is strictly forbidden to lift weights after removal of the uterus: the weight of objects should be no more than 1-2 kg. Consequences of tension of the anterior abdominal wall may be a hernia, bleeding.
  3. Sex is limited to a period of 2 months to six months. If after removal of the ovaries decreased libido, you must notify your doctor for the correction of hormonal levels.
  4. Swimming under the ban due to the risk of infection at the site of the incision. You can resume classes after complete wound healing after 6-8 weeks.
  5. After the operation, you should not allow dehydration, eat spicy, salty foods (this contributes to the retention of body fluids and cause swelling). Meals should not be high-calorie, the diet is expanded gradually. In the period of early rehabilitation it is categorically not allowed to eat foods that increase gas formation - they can not withstand stitches.

Recommendations

If there are pathological symptoms after surgery, a woman should immediately contact a gynecologist, and the doctor should be informed when the first menstruation comes.

After surgery, visits to the gynecologist should be regular, at least 2-3 times a year.

Pregnancy must be planned no earlier than one year after surgery.

It is impossible to perceive the female uterus only as a reproductive organ - it is an important part of the reproductive system and the whole organism, the functionality of which consists not only in bearing and giving birth to a child, but also in maintaining the health and life of the fair sex.

Temperature after removal of fibroids

The increase in temperature after removal of fibroids is physiological and natural. The body responds to the intervention with a hyperthermic reaction. This is not a cause for concern. In the early postoperative period, antipyretic agents are successfully used to relieve this symptom. The duration of the temperature rise period also depends on the volume and method of intervention, age and individual characteristics. With laparoscopic interventions, it is of short duration, and after hysterectomy is longer.

Due to the fact that the elevated temperature after surgery to remove uterine fibroids can be both a physiological and an alarming symptom - it is always necessary to inform the medical staff. If the temperature rise after the removal of uterine fibroids did not occur in the clinic, the doctor should be notified immediately, and he will decide what to do in a particular case.

Nutrition after surgery

After any surgery, diet is an important aspect. Nutrition after removal of uterine fibroids should be complete, gentle and balanced. Eating before the doctor permits is unacceptable, because patients often feel nauseous, heavy in the epigastric region, and eating can provoke vomiting.

The first two or three days after surgery to remove uterine fibroids, food should be light and dietary. Preference is given to lean broths and low-fat dairy products.

Soon the diet expands and is complemented by soups, cereals and vegetables. Soups are preferred vegetable, cereal - with a high content of complex carbohydrates (buckwheat, wheat), vegetables - with a high content of fiber.

Food after removal of uterine fibroids should not be spicy, not greasy and not fried. Light carbohydrates, such as sweets, should be limited. This is due to the fact that the products listed above worsen peristalsis and digestion and promote fermentation.

It is necessary to exclude from the diet the following products:

Food after removal of uterine fibroids should include food boiled, stewed or steamed, and foods - contain a lot of vitamins, fiber, complex carbohydrates. Patients need a rational and balanced diet.

Gymnastics after removal of fibroids

Active postoperative management is an important aspect of rapid recovery. But the patient must fully comply with the recommendations of the doctor, this also applies to physical activity. Even getting out of bed after surgery should be at the appointed time and under supervision.

Respiratory gymnastics for women after the removal of fibroids is mandatory for the prevention of adhesions, exercise should be recommended by the attending physician. It is necessary to understand that it is not the fact of performing respiratory exercises after the removal of uterine fibroids, but the correctness, frequency and number of classes per day. Physical activity is also individual, so the goal of the doctor is to train and help a specific patient in order to shorten the recovery period.

Invalid in the recovery period is a visit to the pools, saunas, baths. Any sports activities must be standardized and approved by a doctor. After surgery, the removal of uterine fibroids recommendations and the maximum allowable weight that can be lifted to the patient - it is the minimum in the early postoperative period, but grows further.

Good wound healing and metabolic activation have daily walks in fresh air. From tanning, sunburn under direct sunlight during the recovery period should be avoided.

Life after removal of fibroids - the recommendations of doctors

What to do after the removal of fibroids and how to reduce the recovery period, suggest the recommendations of the attending physician. When they perform the postoperative period is less painful and without complications.

Doctor's recommendations after removal of uterine fibroids:

  • Rational and balanced nutrition
  • The refusal of products that increase gas formation, worsening motility and digestion,
  • Active management of the postoperative period,
  • Limited physical exertion
  • Alternation of rest and activity
  • Contraception for the entire recovery period,
  • Examination by a gynecologist at the lines established by him,
  • Daily walks in the fresh air.

It is necessary not to be alone with your problems and spend time with friends and relatives who will support and help, because psychological support is also very important. It must be remembered that the quality of life after the removal of fibroids, although it has some limitations, still remains at a high level. The specialists of our clinics for the treatment of fibroids provide a wide range of services, an individual approach, and qualified medical care.

The choice of a doctor is very important, because not only trusting relationships are necessary, but also high qualifications of a doctor and competence in the issue of interest. The specialists of our clinics, namely Lubnin Dmitry Mikhailovich and Bobrov Boris Yuryevich, have been treating uterine fibroids for many years, and what is important - they are engaged in various treatment methods, including EMA, which means they will use the most effective method in a particular case. Hysterectomy should be applicable only if it is impossible to do otherwise - this is the opinion of our doctors. In their practice, there have been cases of an integrated approach, when for large sizes of multinodular fibroids, hysteroresectoscopy was performed after the operation of embolization of the uterine arteries, thereby avoiding a more extensive surgical intervention and shortening the recovery period after the removal of fibroids. If you need advice, to choose the best treatment method, make an appointment and get a full consultation from an experienced specialist.

Uterine fibroids: the postoperative period and rehabilitation after the removal of myoma nodes in Moscow

25 April 2017 17637 0

Uterine fibroids - the reaction of the female body to damage. Such a damaging factor is menstruation. It causes the formation of fibroids in the uterine muscle layer, from which myomatous nodes subsequently develop.

The first reaction of the woman after she is diagnosed with uterine fibroids - confusion and fear. Do not despair. Call us and you will immediately receive expert advice by e-mail.

We will call you on the phone and arrange a consultation with leading specialists from the best clinics of myoma treatment.

With a list of clinics with which we cooperate, read this link fibroid treatment clinic.

Please note that this text was prepared without the support of our Expert Council.

Uterine fibroids. Operation. Postoperative period

Currently, gynecologists of clinics with which we cooperate, hold the opinion: myoma is not a tumor, it rarely turns into a malignant neoplasm. In this regard, they reject the generally accepted tactics of management of patients with uterine myoma. We believe that surgery for fibroids should be performed only in rare cases and in the presence of absolute indications.

Removal of uterine fibroids does not solve the main problem: it does not remove the cause of the disease and does not stop the growth of new myomatous nodes.

In the postoperative period, what methods would be performed this surgery, complications may develop. In 7-14% after surgery within a year there is a relapse of the disease.

Если удалена миома, послеоперационный период может осложняться образованием спаек, которые являются фактором трубного бесплодия.

Более травматичной операцией является удаление матки – гистерэктомия. В результате оперативного вмешательства женщина лишается детородного органа. During amputation, surgeons leave the cervix, and the extraction is performed with or without removal of the uterus. A woman develops hormonal dysfunction, infertility.

We believe that this operation is advisable to perform in the presence of myoma node more than 25 weeks of pregnancy, which squeezes the surrounding organs and causes a violation of their function. In other cases, our specialists offer uterine artery embolization.

After it, education in the uterus is reversed, the rudiments of fibroids dissolve, and large nodes can be removed after a year in more favorable conditions by the laparoscopic method.

In this case, the postoperative period runs smoothly, less complications develop.

Doctors perform hysteroresection of myoma nodes in the presence of a submucous myoma node. They use a hysteroscope for this purpose, which is inserted into the organ cavity through the vagina and the cervical canal. The postoperative period is more smooth, a woman can later give birth. The risk of disease recurrence remains.

When removing fibroids, doctors affect the formation of laser beams, which do not damage the surrounding tissue. If they have completed the removal of fibroids, the postoperative period is short, the functions of the female body are restored quickly. This intervention also does not solve the problem of growth of myoma formations in the future.

Removal of uterine fibroids. Postoperative period

The early postoperative period begins with the imposition of the last suture. The patient from the operating room is transported to the intensive care unit. This is necessary in order to control the body's functions in the postoperative period.

After the drugs used for anesthesia cease to act, the patient may experience pain in the place of the incision and in the abdominal cavity. She should be allowed to rest, therefore, in the early postoperative period, doctors prescribe painkillers.

In the usual ward, the patient is from 7 to 10 days. On the second or third day, the doctors allow her to get out of bed, turning on her side and leaning on her elbow. The postoperative period after removal of uterine fibroids can be reduced if you move more. An active lifestyle is the prevention of the formation of adhesions in the abdominal cavity, but the load must be dosed.

In the early postoperative period, the body temperature can rise to subfebrile numbers. In this case, doctors prescribe antipyretic drugs, and after a couple of days the temperature returns to normal. In most cases, mimectomy is abdominal surgery. The first 2 days the patient is allowed to drink non-rich broth from dietary meat, weakly brewed tea, low-fat milk products.

Then the diet is expanded, croutons from white bread, steam cutlets, boiled ground meat, vegetable soups whipped with a blender are added. Subsequently, the diet should be rich in fiber and heavy carbohydrates, which are contained in vegetables and cereals.

After laparoscopic myomectomy, the postoperative period is less problematic, shorter. Doctors allow a woman to get up by the end of the first day after surgery.

In the first days of the postoperative period, follow the exercises to quickly dissolve from the abdominal cavity carbon dioxide, which the doctors injected during the operation. The important point of the postoperative period is contraception.

A woman can plan a pregnancy a year after surgery.

The postoperative period after hysterectomy

Hysterectomy or removal of the uterus is a big operation. After her, the woman loses the reproductive organ and the possibility of having a child. In some cases, simultaneously with the uterus, surgeons also remove the appendages.

The postoperative period after hysterectomy may be difficult. The patient from the operating room is transported, accompanied by an anesthesiologist, to the intensive care unit, where she will be under the supervision of doctors for several days.

After the vital functions are restored, it will be transferred to an ordinary postoperative ward.

In the early postoperative period, doctors prescribe painkillers, provide care for the patient. She is allowed to get out of bed no earlier than the third day.

It is advisable after the patient withdraws from anesthesia, turn it around, do breathing exercises, massage the back. All these activities reduce the duration of the postoperative period.

After removing the stitches, the doctors discharged the patient under the outpatient supervision of a gynecologist.

She will have to visit the attending physician in order to control the level of hormones. After removal of the uterus with appendages hormonal balance is disturbed. It must be restored with the help of special preparations prescribed by the gynecologist.

If in the postoperative period there are unpleasant sensations in the abdomen, the body temperature rises, or pain appears, the woman should be notified about this by the doctor. After abdominal hysterectomy, the postoperative period lasts about 6 months.

A woman may have problems with urination, lower the upper vaginal fornix. The quality of her life is deteriorating. In the postoperative period, the patient needs psychological help and support from her relatives.

The help of a psychologist may also be needed when the patient develops a depressive syndrome in the postoperative period due to the fact that she has her uterus removed.

Myoma. Rehabilitation after surgery

The postoperative period after each operation for fibroids proceeds differently. It depends on many factors:

  • the prevalence of the pathological process
  • volume of surgical intervention
  • type of anesthesia
  • associated diseases
  • age women.

In order that in the operational period there were no complications, gynecologists recommend:

  1. Follow a diet that provides normal evacuation function of the intestine.
  2. Avoid constipation, because if they are present, intra-abdominal pressure increases, which can provoke seam divergence in the early postoperative period.
  3. Do not perform heavy physical work, do not lift a weight weighing more than 3kg during the first six months. Over the next two years it is necessary to limit the weight of the lifted loads to ten kilograms.
  4. Observe the regime, alternate work with rest.
  5. Avoid emotional surges.
  6. Sex life is permitted no earlier than 1.5-2 months after surgery.

Both in the early and in the late postoperative period, direct sunlight should be avoided, not to attend a tanning bed.

If a woman has preserved reproductive function, she should take contraceptives and plan pregnancy in the terms recommended by the attending physician. In the postoperative period it is useful for her to go to rest on the resort.

During the spa treatment should be taken radon baths and spa procedures, avoiding excessive insolation.

Whether the patient is wearing a bandage in the postoperative period is decided by the doctor. He also recommends which type of product is best suited in each case. In the early postoperative period should not engage in water sports. When you can start to swim, the woman will tell the gynecologist. You should not visit the bath and sauna, take heat treatments.

The main task of dietotherapy in the postoperative period after surgery performed for fibroids is to avoid intestinal gas contamination, constipation and to provide good nutrition. In the diet should be foods that contain proteins, vegetable fats and heavy carbohydrates.

The diet should consist of lean meat and fish, vegetables, fruits, dairy products. You can not eat foods that cause difficulty in the act of defecation:

  • jelly,
  • jelly,
  • rice and semolina,
  • baking pies,
  • sweets,
  • strong coffee and tea
  • alcohol,
  • carbonated drinks.

In cooking should use sparing culinary technology. Products need to boil, bake in the oven or cook as a couple. Do not eat fried foods, sausages, smoked meats.

In the postoperative period, a woman needs to move more, make daily walks. They contribute to the activation of metabolism, more rapid healing of postoperative wounds, strengthen the scar. The postoperative period runs smoothly if the patient observes the regimen and follows the recommendations of the attending physician.

Our specialists in most cases, women diagnosed with fibroids, offer to perform embolization of the uterine arteries. After it, the restoration of all body functions occurs quickly, the restrictions are minimal, and the quality of life is not violated.

What can not be after the removal of fibroids?

From 20-30% of women are familiar with the diagnosis of a benign tumor of the reproductive organs. Therefore, to avoid recurrences and complications, one should know what cannot be done after removal of uterine fibroids.

When a neoplasm is detected at an early stage of development, doctors choose waiting tactics. In all other cases, the patient is prescribed a conservative or surgical resolution.

Clinical symptoms, comorbidities, node characteristics, the desire of a woman to have children in consequence will influence the choice of tactics for treating the patient.

How to treat fibroids?

The choice of remedies for the treatment of uterine fibroids depends on many factors, in each case, the decision is made by a gynecologist who supervises the woman.

Taken into account:

  • stage of the disease (at the initial stage, conservative methods of treatment are used),
  • the age of the woman and the desire to have children (in the child-bearing age, doctors try to give a woman a chance and save the womb),
  • general health,
  • presence or absence of myoma complications

Conservative treatment includes the appointment of hormonal drugs and symptomatic agents (anti-inflammatory, painkillers, antispasmodic and others).

However, an extensive tumor, the age after menopause, becomes an indication for surgery. In addition, a possible outcome in which it is possible to preserve the uterus, removing only part of the wall with myoma.

Types of operations

Myomectomy - abdominal surgery involving the excision of myoma nodes with preservation of the uterus. A woman retains the ability to get pregnant and give birth to a healthy baby in a natural way. This type of surgery is performed in several ways:

  • laparoscopically - is carried out through small incisions in the abdominal wall. The operation takes place under general anesthesia, is characterized by a low invasiveness, short periods of hospital stay and a short rehabilitation period.
  • laparotomically - through a long incision in the abdominal cavity (open method), which is performed longitudinally from the navel to the pubic bones or transversely slightly below the fold of the abdomen in the bikini area. In the second case, the seams can be hidden under the clothes, and they are almost invisible to a prying eye.
  • hysteroscopic - through the vagina using a special hysteroscope device.

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Hysterectomy - removal of fibroids with the uterus. In this case, the woman loses the possibility of having children in the future.

  • abdominal surgery under epidural or general anesthesia,
  • laparoscopic intervention

Indications for myomectomy are:

  • severe pain in the lower abdomen, cramps, pressure that do not go away after taking medication,
  • the development of anemia that threatens the health of a woman who cannot be cured with medicines,
  • formation of fibroma with subsequent deformation of the uterine wall.

Pain syndrome

After hysterectomy, a woman may feel severe pain in the pelvic area, especially if the operation was performed in an open way. Wound healing can provoke inflammation, moreover, the restoration of damaged nerve endings takes time.

To ease the condition, it is recommended to take painkillers and antispasmodic drugs. Relieve the situation will help the bandage, which reduces the load on the abdominal muscles. You can buy it in a pharmacy.

Attention: food!

One of the most important aspects of the recovery period is proper nutrition.

Diet includes:

Products promoting normal peristalsis and timely bowel emptying. Constipation in the postoperative period is not permissible, because they can provoke a divergence of the seams on the internal organs.

  • recommended: fruits, vegetables, sea kale, soups, broths, fermented milk non-fat products, barley, millet, buckwheat porridge,
  • prohibited: strong tea, coffee, fat cottage cheese, cheese, cocoa, chocolate, semolina and rice porridge, seeds, nuts
  • drinking water should be consumed in sufficient quantities (at least two liters per day),
  • recommended frequent fractional power.

Discharge after surgery: norm or pathology?

Low-vaginal discharge can disturb a woman for one to two months after surgery, they are considered normal, if they gradually lose their color intensity and do not cause severe discomfort.

Complications consider:

  • bleeding like menstruation
  • the presence of clots in secretions
  • high body temperature on the background of heavy discharge.

In these cases, you must consult a gynecologist. He will be able to make a conclusion about the state of health of the woman after the examination and ultrasound, to appoint corrective measures.

Cautious activity

After the operation, sex and sport are equal to each other. Physical activity should be moderate, however, activities at the amateur and, moreover, professional level of sports, as well as sex life, are banned for at least two months.

It is important not only to exclude congestion, due to which the stitches can be inflamed, to disperse, but also the probability of infection of the wound surface after the operation, its injury during sexual intercourse.

A woman is not recommended to lift weights (including small children), to go to the solarium and the bath, sauna, swimming pool. Overheating, hypothermia, stressful situations adversely affect the recovery of the body after surgery.

Desired pregnancy

Women who have managed to preserve the uterus after the removal of fibroids have every chance of getting pregnant and having a baby.

In some cases, when the fibroid is small, it is not removed even with the onset of pregnancy, controlling growth. If necessary, myoma becomes one of the indications for caesarean section, during which the tumor is excised.

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Similarly, doctors observe subserous myoma, a formation that attaches to the body of the uterus with a thin leg or a thick base. With such a diagnosis, there is every chance of carrying a healthy baby and going through natural childbirth.

The main indicator of recovery of women's health after surgery to remove fibroids is the onset of menstruation. Normally, menstruation should go no later than six weeks after surgery. If this does not happen, you should visit a gynecologist.

At first, the monthly periods may be excessively abundant or, on the contrary, scanty, in a few months the cycle will be adjusted, giving a signal that the upcoming pregnancy can be planned.

Those who gave birth after the removal of uterine fibroids know how much stress is placed on the body, which has already been weakened by surgery.

For pregnancy and childbirth should be prepared thoroughly.

  • conception should not be planned earlier than six months after surgery. The stitches must heal not only outside, but inside. On the uterus, a tight scar should have time to form, which will withstand the load in the form of a fetus growing and pressing on it with great force,
  • it is necessary to stabilize the hormonal level disturbed by myoma and the subsequent operation,
  • a woman should strengthen the immune system, provide a supply of vitamins and trace elements necessary for the unborn baby

Permission for pregnancy must be given by a doctor, according to the results of examinations, ultrasound examinations, tests. There is no need to hurry, because the consequences of such a hurry threaten not only the unborn child, but also the woman herself. As a result of uterine rupture and internal bleeding, a woman can die in a matter of minutes without even waiting for an ambulance.

When nothing happens

What to do if time goes by, and, in spite of the treatment, hormonal therapy, a well-going recovery period, a long-awaited pregnancy never occurs?

Medicine offers an outlet for the discouraged: IVF, pregnancy with sitting in the uterus of fertilized eggs, embryos at a very short time.

Unfortunately, there is no absolute guarantee that everything will work out the first time, but numerous reviews and stories on the Internet forums indicate that the chance is quite high.

In addition, the pregnancy resulting from in vitro fertilization is strictly monitored by doctors throughout the entire period, and the woman is constantly supervised. В этом случае в разы выше вероятность вовремя заметить какую-либо угрозу и предотвратить ее.

Uterine fibroids are not a sentence, in many cases it is possible to preserve the genital organ, giving the woman the opportunity to become a mother. However, success largely depends on careful adherence to instructions and recommendations for the period of rehabilitation after discharge from the hospital.

Band operation: uterine myoma postoperative period

In some cases, the only solution is abdominal surgery so that uterine fibroids do not grow. The postoperative period can proceed in different ways, it all depends on the course of surgery and the patient's body.

The procedure itself is common. It is performed to prevent the growth of fibroids or its progression into a malignant tumor.

In some cases, surgical manipulation is the only way to get rid of the pathology, as there may be a direct threat to the life of a woman.

One way or another, but the hysterectomy performed during this ailment is an operation, so many patients are afraid of possible complications or consequences, as well as a tedious recovery after it.

Abdominal surgery

Such intervention is prescribed only in the most serious cases. Some of them are:

  • Oncology of the uterus,
  • Large fibroma.

Before an operation to remove a neoplasm will be carried out, the patient must undergo a series of diagnostic tests in order to make it easier for specialists to compare the clinical picture:

  • Ultrasound,
  • Fluorography,
  • ECG,
  • Scraping the uterus to check
  • Blood tests,
  • Gynecological examination.

Abdominal surgery can carry unpleasant consequences in the form of a noticeable suture, which will have to be masked from those around you for the rest of your life.

In addition, the patient is injured on a psychological level, but it should be remembered that without manipulating the removal of the tumor, the woman’s life will be in grave danger.

Usually, the surgical procedure for removing fibroids is not considered dangerous, however, it is necessary to follow the elementary rules that minimize damage to the body and complications after its implementation.

Additional recommendations

It is advisable to carry out the following tips during the recovery period in order to speed up the process:

  • Within a few months after the removal of uterine fibroids, you need to relax more in the fresh air,
  • 1-2 times a year, it is necessary to visit the attending doctor, who will monitor the patient's condition and help to return to the usual pace of life,
  • Entry into intimate relationships is allowed only after 2 months after performing surgical procedures
  • Physical activity in everyday life can be returned smoothly, only with the permission of the doctor.

By adhering to these rules, the patient will be able to ease the recovery period and speed up the time of the amendment.

If the uterus has been removed

Such a moment is a shock for a woman, so it is important that someone close to her be with her. After all, many patients after the removal of the uterus consider themselves to be inferior. In the first weeks she needs support and consolation from her relatives.

Sometimes there may be difficulties during urination. In the first days it is better to give preference to semi-liquid dairy products, gradually introducing meat products and carbohydrates into the diet.

As soon as the doctor gives the go-ahead to leave the hospital bed, the woman should start moving gradually so that varicose veins do not develop.

If after a month the bloody discharge does not stop, and the pains at the bottom of the peritoneum continue to remind you of yourself, you should immediately contact a specialist.

Very much depends on the reaction of the patient to the anesthesia, because he is responsible for the duration of the intervention.

What consequences after the operation for myoma you need to know: reviews of patients, recommendations of doctors

Uterine fibroids - a common disease in women of childbearing age, caused by hormonal disruption and an excess of estrogen in the body. The tumor is benign.

She does not show symptoms in the early stages, and this leads to the fact that the node is diagnosed, usually when it has reached a large size, and conservative treatment with medicines is powerless.

In such cases, women are shown the operation, the control of the preparation and conduct of which is carried out by a leading gynecologist. When the procedure is over, the next stage of tumor treatment begins - recovery after removal of uterine fibroids.

After a band operation to remove uterine fibroids, the postoperative period begins, which lasts about 7 days. This time the patient must be under the strict supervision of a physician.

The first 24 hours the woman will be in the intensive care unit, then she will be transferred to the ward. When the anesthesia is gone, weakness, dizziness, pain in the area of ​​the stitches, nausea can be felt, sometimes vomiting opens up - this is how the body removes the remnants of anesthesia.

When doctors make sure that the stitches are in order, and the patient has no complications after the operation to remove uterine fibroids, she will be discharged home, where the next stage of the recovery period will begin - rehabilitation.

Early postoperative period

By the early postoperative period is meant the time from the moment of the operation to the discharge of the woman from the hospital.

Among the main tasks in the first stage of rehabilitation are:

  • Prevention of postoperative complications,
  • Timely diagnosis and treatment of complications.

Transportation of the woman to the intensive care unit after surgery is carried out with full restoration of spontaneous breathing.

In the intensive care unit, an ice pack is placed on the abdominal area for 30 minutes, which is carried out as prevention of early bleeding.

Post anesthetic complications

The post-anesthetic period lasts until the patient is fully awakened under the supervision of the medical staff, which is associated with the risk of developing complications after anesthesia:

  • recession of language
  • vomiting
  • impaired thermoregulation
  • disturbed heart rhythm.

Violation of heart rate and respiration, recession of the tongue associated with muscle relaxation.

The danger of retraction of the tongue lies in the possible blocking of the airway lumen. With vomiting, asphyxia may also occur as a result of regurgitation and aspiration of vomitus.

The main method of prevention of these complications is constant monitoring of the patient and turning the head to the side.

Disturbed thermoregulation can manifest itself as hypo-or hyperthermia, which requires warming or cooling a woman.

The main complaint of the patient after removal of uterine fibroids is pain of varying intensity in the postoperative wound area. To avoid complications associated with pain, medical and non-pharmacological methods are used to:

  • reducing the intensity of pain,
  • reduced pain duration.

In order to prevent early postoperative complications, a woman is recommended:

  • wearing compression stockings or elastic bandages,
  • early physical activity, which is the early activation of women. Depending on the type of operation, you can get up a few hours after it or the next day,
  • dieting On the first day broths or ground foods are allowed. After self-emptying of the intestine, it is possible to switch to regular food.

In the early postoperative period, the following drugs are given to the woman:

1. if necessary, narcotic and non-narcotic analgesics for the purpose of adequate pain relief,
2. antibacterial drugs for the prevention of purulent-septic complications,
3. anticoagulants for the prevention of blood clots,
4. infusion therapy to fill the volume of circulating fluid, or BCC, as a result of blood loss.

Early postoperative complications

Among the early postoperative complications after removal of uterine fibroids are:

  1. change in postoperative scar in the form:
    • inflammation, which is accompanied by hyperemia, swelling and soreness,
    • purulent discharge from the wound,
    • seam divergence
  2. urination changes in the form of:
    • painful sensations
    • rezi,
    • traumatic urethritis due to damage to the mucous membrane of the urethra,
  3. bleeding:
    • outdoor,
    • internal, due to insufficient hemostasis.
  4. Pulmonary embolism, or pulmonary embolism due to blockage of the branches of the pulmonary artery with blood clots,
  5. thrombophlebitis,
  6. peritonitis, which occurs due to inflammation of the peritoneum,
  7. hematomas in the postoperative suture area,
  8. hypostatic type pneumonia,
  9. ileus of paralytic type,
  10. cardiovascular failure.

Normally, blood smears after surgery continue for up to 10-14 days, which is associated with tissue regeneration processes.

Discharge from the hospital depends on the type of online access:

  • laparoscopy - from 3 to 5 days,
  • laparotomy - from 8 to 10 days.

Rehabilitation period

In the late postoperative period, it is necessary to comply with the recommendations of the doctor to minimize the risk of complications and faster recovery of the woman’s body.

Within 2 months after surgery, the woman was recommended:

  • wearing postoperative bandage, which provides support for internal organs,
  • It is forbidden to perform heavy physical activity, weightlifting,
  • in the absence of complications it is possible to have sex,
  • no heat exposure in the form of baths, baths, saunas,
  • in the presence of discharge from the genital tract, you must use pads instead of tampons,
  • recommended to maintain a diet with a predominance of fiber, which will avoid constipation.

If a woman has undergone an organ-preserving operation, compulsory contraception is necessary for 1 year.

If necessary, the doctor additionally selects hormone therapy.

A sick-list is issued to a woman for the duration of the recovery period, which depends on the type of operation:

  • laparoscopy - from 14 to 18 days,
  • extirpation of the uterus - 30 - 45 days,
  • supravaginal amputation of the uterus - 25 - 28 days.

Long-term postoperative period

The remote postoperative period is the time until the final outcome of the disease in the form of:

Among the delayed complications emit:

  • adhesions,
  • recurrence of uterine fibroids during organ-preserving surgery,
  • menopausal syndrome
  • osteoporosis,
  • omission of the vagina.

Adhesion process

Adhesions are a consequence of surgery on the abdominal organs. Adhesions are strands of connective tissue that can form between the peritoneum, the internal organs.

One of the main means of preventing adhesions in the early postoperative period is early physical activity.

Climacteric syndrome

Menopausal syndrome is the development of menopause in women of childbearing age as a result of hysterectomy. In this case, the operation can take place with the removal or abandonment of appendages.

This complication is tolerated heavily due to a sharp hormonal adjustment of the female body. Symptoms are similar to menopausal and appear as:

  • tides
  • excessive sweating
  • lability of the nervous system,
  • decreased libido.

Depending on the age of the woman, hormone replacement therapy is prescribed, which may include taking:

  • natural estrogen drugs
  • estrogen-progestin drugs in the physiological cycle,
  • when uterus is removed, estrogen monotherapy is performed.

HRT is prescribed 1 to 2 months after surgery for a period of 2 to 3 months to 10 or more years for women under 60 years of age with no contraindications.

Vaginal prolapse

Vaginal prolapse after uterus removal is associated with:

  • traumatization of the uterus support apparatus,
  • dropping into the pelvis of the internal organs, leading to cystocele, or omission of the bladder, and rectocele, or prolapse of the rectum.

In some cases, the plastic is the vagina.

The postoperative period after hysteroscopic myomectomy

Hysteroscopic myomectomy is performed with a submucous type of myoma node.

Operative intervention is performed on the 5th - 7th day of the menstrual cycle. After surgery, a woman can leave the hospital on the day of her conduct.

Hysteroscopic intervention refers to an organ-sparing operation and has a short rehabilitation period, which takes 14 days.

Pregnancy planning is possible 6 to 12 months after surgery.

The postoperative period requires compliance with the recommendations of the doctor within 1 month. At this time it is prohibited:

  • weightlifting and active exercise,
  • thermal procedures in the form of baths, baths, saunas,
  • ultraviolet light,
  • hypothermia
  • douching
  • intercourse.

Additionally, hormone therapy is prescribed.

Complications of hysteroscopic myomectomy

Among the possible complications of hysteroscopic myomectomy are:

  • gas embolism of uterine vessels,
  • perforation of the walls of the uterus,
  • hematometer,
  • infectious complications
  • inflammatory reactions
  • infertility.

Head of the Center for Gynecology, Reproductive and Aesthetic Medicine, PhD, head. Department of laser treatments.

Zhumanova Ekaterina Nikolaevna has certificates of an obstetrician-gynecologist, a functional diagnostics doctor, an ultrasound diagnostics doctor, a certificate of specialist in the field of laser medicine and in the field of intimate contour plastics. Under her leadership, the Department of Laser Gynecology performs about 3000 operations per year. Author of more than 50 publications, including guidelines for doctors.

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