Sequelae of minimally invasive surgery for uterine fibroids

The sequelae of minimally invasive surgery for uterine fibroids include two kinds: 1. Recent sequelae: including abdominal pain and bloating, which are normal gastrointestinal reactions, and postoperative period is based on light and easy-to-digest food, small and frequent meals, and gradually increase the type and amount of food. Fever belongs to a kind of absorption fever after the operation, usually observe 3-5 days will return to normal. A small amount of vaginal bleeding will be recovered slowly after the operation. 2. Long-term sequelae: it needs to be analyzed according to the different operation styles. Hysteroscopic fibroid electrolysis generally has no sequelae, but if the fibroid is large and occupies a wide range of myometrial wall, there may be a risk of uterine adhesion after the operation. After laparoscopic debulking of multiple fibroids, there is a possibility that tiny fibroids may remain and grow up quickly after surgery. Whether it is after negative or laparoscopic debulking of fibroids, the myometrial wall will remain one or more small holes, and some of them will have a weak myometrial wall if they heal poorly. If another pregnancy occurs, these scarred areas will have a higher risk of pregnancy sacs settling in the uterus. The risk of perforation of the uterine wall and leakage of suction increases during abortion after pregnancy, and a scarred pregnancy can lead to uterine rupture and bleeding in the future, which can be life-threatening. After myomectomy, the uterus is full of holes and has extensive and dense adhesions with the intestines, and when the patient gets sick and is operated again in the future, the extensive adhesions of the intestines will make the operation difficult, and this kind of person will also suffer from intestinal obstruction and abdominal pain after the operation. After total excision, some patients also have vaginal prolapse. Although these problems are very unlikely, they can be avoided with a little postoperative care. Patients must get out of bed as soon as possible to promote bowel movement, which is conducive to recovery and avoid intestinal adhesions. Nutrition should be strengthened to enhance physical fitness and speed up the recovery of the body. Postoperative activities should be moderate, control the time and intensity, two months after the operation must be a small amount of multiple activities, avoid heavy work, pay attention to rest, and to ensure adequate sleep, pay attention to hygiene and avoid sexual intercourse within two months.