What to do after uterine fibroid surgery

After uterine fibroid surgery, recovery can be promoted through lifestyle adjustments, wound care, medication assistance, regular review, and psychological counseling. Uterine fibroid surgery is usually caused by factors such as excessive fibroid size, abnormal bleeding, and compression symptoms.

1. Life conditioning

Within 1 month after surgery, avoid heavy lifting and strenuous exercise, choose light and easy-to-digest foods such as millet porridge, steamed eggs, etc., and keep the daily water intake at 1500-2000 ml. Maintain a regular schedule and rest mainly in bed for 2 weeks after surgery. Low-intensity activities such as walking can be gradually increased. Pay attention to keep warm to avoid catching cold, and prohibit bathing and sexual life for at least 1 month.

2. Wound care

Keep the abdominal incision dry and clean, avoid getting wet within 3 days after the operation, and use iodophor disinfectant or mupirocin ointment as directed by the doctor to prevent infection. Observe the wound for redness, swelling and exudation. The sutures can be removed 7-10 days after surgery. Patients undergoing laparoscopic surgery need to pay attention to umbilical disinfection, and seek medical attention promptly if they develop fever or persistent pain.

3. Medication assistance

Follow the doctor's advice and use cefaclor dispersible tablets to prevent infection, tranexamic acid tablets to control postoperative bleeding, and ibuprofen sustained-release capsules to relieve pain. Anemia patients can take ferrous succinate tablets and vitamin C tablets to promote hematopoiesis. It is forbidden to take estrogen-containing health products or medicines by yourself to avoid stimulating the recurrence of fibroids.

4. Regular review

The first review is required 1 month after the operation to observe the recovery of the uterus through gynecological ultrasound. Thereafter, reexamination will be conducted every 3-6 months, focusing on monitoring the recurrence of fibroids and hormone levels. If symptoms such as abnormal vaginal bleeding and lower abdominal distension occur, you need to seek medical attention in advance. Premenopausal patients require long-term follow-up until postmenopause.

5. Psychological counseling

Anxiety may occur after surgery, and mindfulness meditation can be used to relieve stress. Join a patient support group to share recovery experiences, and maintain communication with the surgeon to understand recovery progress. Mild depression can seek professional psychological consultation, and family members should provide adequate emotional support.

It is recommended to wear loose cotton underwear for 3 months after surgery, and record body temperature and secretions every day. Increase the intake of high-quality protein such as fish and soy products in the diet, and supplement vitamin E and selenium in an appropriate amount. Gradually resume Kegel exercises to strengthen the pelvic floor muscles, and avoid sitting for more than 2 hours. Contraception is used within six months after surgery, and a uterine evaluation is required before planning a pregnancy. Emergency treatment is required if anemia symptoms such as dizziness or palpitations occur or if fever persists.