? Ms. Wu, 42 years old, has been suffering from heart disease for more than 8 years, and uterine fibroids were detected 6 years ago, and the fibroids continue to increase in size at the annual review. Ms. Wu has sought medical help many times and in many places to remove her uterus to relieve her pain, but she was refused because of her heart disease. This year, when she reviewed her gynecological ultrasound again, she found that her uterus was as big as her third month of pregnancy, with a diameter of more than 8cm, and her anemia and menstrual pain were getting worse. The cardiac ultrasound also showed that the condition was not optimistic: rheumatic heart disease, mitral stenosis with regurgitation, tricuspid regurgitation, pulmonary hypertension, reduced left ventricular diastolic function and other cardiac problems were also more serious. After the patient was hospitalized, Director Wan Guiping of the Department of Obstetrics and Gynecology of Jiangsu Provincial Hospital of Integrative Medicine personally received the patient and quickly consulted with relevant specialists from the Department of Rheumatology and Immunology, Cardiology and Anesthesiology, and after a thorough evaluation, decided to perform minimally invasive surgery on her. However, the patient’s myoma was large and occupied a large space with a narrow field of view, making it difficult to operate. In addition, the large myoma and rich blood supply made her prone to intraoperative bleeding, and the consequences were even worse if she bled. In addition, the patient has a history of heart disease and poor cardiac function. If the abdominal cavity is inflated with carbon dioxide during laparoscopic surgery, a series of adverse reactions and complications in the cardiovascular and respiratory systems can be caused if the pressure in the abdominal cavity is too high, making the minimally invasive surgery extremely risky. On the day of surgery, after adequate preoperative preparation, the hysterectomy was successfully completed in 1 and a half hours, and the largest of the four surgical incisions in Ms. Wu’s abdomen was only 2 cm. After the operation, the hearts of the patients and their families were put down, but the hearts of every medical staff were in their throats, because for such a heart patient, the 72 hours after the operation were the most likely to have accidents, and the patient could die of heart failure if she was not careful, the doctors carefully calculated the dosage of the infusion, the nurses carefully counted the speed of the infusion, and watched the cardiac monitoring instruments. Under the careful care of all medical staff, the patient sat up in bed on the second day after the operation, and on the third day after the operation, the patient was able to get out of bed, and five days later, the patient was discharged from the hospital.