How many days does uterine tumor surgery require hospitalization?

As we all know, uterine fibroids are a very common gynecological disease. If they become serious, they will develop into uterine cancer, which is very dangerous. So, how many days of hospitalization is required for uterine fibroid surgery? Next, I will introduce it to you all.

How many days does it take to be hospitalized for surgical treatment of uterine fibroids?

Minimally invasive surgery for uterine fibroids does not require opening the abdomen. It only requires making 1-3 small round holes of 0.5-1 cm on the patient's body. The surgical trauma is very small and the patient will not be left with scars after recovery. Depending on the patient's condition and physical recovery, they will need to be hospitalized for a few days for observation. Minimally invasive surgery for uterine fibroids can preserve the integrity of the uterus very well. It is not easy to affect endocrine function, nor will it damage the pelvic structure. It has no complications of open surgery, has a shorter hospitalization time, and has a quick recovery from surgery. The surgical effect is very good and is being accepted by more and more patients. Whether hospitalization is needed after surgery or the length of hospitalization should be determined based on the patient's specific circumstances.

1. Irregular menstruation

Irregular menstruation with increased menstrual volume and prolonged menstrual duration is the most common symptom of uterine fibroids. It is common in large intramural fibroids and submucosal uterine fibroids. Uterine fibroids expand the uterine cavity, increase the area of ​​the uterine wall and affect uterine contractions. In addition, uterine fibroids may squeeze the veins around the tumor, causing hematoma and dilatation of the uterine wall venous plexus, which in turn causes increased menstrual volume and prolonged menstruation. When submucosal uterine fibroids are accompanied by necrosis and infection, there may be irregular vaginal bleeding or bloody pus discharge. Long-term increase in menstrual volume may lead to secondary anemia, fatigue, palpitations and other symptoms.

2. Lower abdominal mass

Uterine fibroids are not felt as lumps in the abdomen at first, but can be felt from the abdomen when the uterine fibroids gradually expand and the uterus exceeds 3 months of pregnancy. Very large submucosal uterine fibroids can slip in and out of the vagina, and patients may seek medical treatment due to slipped lumps in the private parts.

3. Excessive leucorrhea

Intramural fibroids expand the total area of ​​the uterine cavity, increase the metabolism of the endometrial glandular ducts, and are accompanied by pelvic congestion leading to excessive leucorrhea; once submucosal uterine fibroids are infected, there may be a lot of thick secretions. If there is ulceration, necrosis, or bleeding, there may be bloody or thick bloody vaginal discharge with a foul odor.

4. Oppressed Diseases

Uterine fibroids in the lower segment of the anterior wall of the uterus can compress the bladder and cause frequent urination, urgency, and inability to hold urine; cervical fibroids can cause difficulty in urination and urine retention; uterine fibroids on the posterior wall of the uterus (muscle wall or posterior wall) can cause lower abdominal pain and discomfort, constipation and other symptoms. Broad ligament fibroids or oversized cervical fibroids tend to develop laterally, and the compressed urethra tube placed in the pelvis blocks the upper urinary tract, causing ureteral dilatation and even hydronephrosis.

5. Other symptoms

Including lower abdominal pain, back pain, and aggravated menstrual symptoms. When uterine fibroids turn bright red, there is subacute lower abdominal pain, accompanied by vomiting, fever and tenderness in the tumor area; torsion of the pedicle of subserosal fibroids may cause acute abdominal pain; abdominal pain may also be caused when submucosal uterine fibroids are expelled from the uterine cavity to the outside. Submucosal and intramural fibroids that cause deformation in the uterine cavity can cause infertility or miscarriage.

Will uterine fibroids affect pregnancy?

Uterine fibroids will reduce women's pregnancy success rate, but patients with uterine fibroids can become pregnant. Uterine fibroids combined with pregnancy accounts for 0.5%-1% of patients with uterine fibroids. The impact of uterine fibroids on pregnancy and delivery is related to the type and size of the uterine fibroids.

1. Miscarriage. Submucosal uterine fibroids can affect embryo implantation and cause miscarriage in early pregnancy; if intramural fibroids are too large, they can cause deformation in the uterine cavity or insufficient blood supply to the endometrium, resulting in miscarriage.

2. Abnormal fetal position. Uterine fibroids that grow and develop in a lower part of the body can hinder the descent of the presenting part, resulting in abnormal fetal position, low-lying or external-lying placenta, and obstruction of the birth gate during the second and third trimesters of pregnancy and delivery.

3. Postpartum hemorrhage. After the baby is delivered, postpartum hemorrhage is likely to occur due to placental adhesion, large adhesion surface, difficulty in removal, and poor uterine contractions.

Most pregnancies with uterine fibroids can result in natural delivery, but postpartum hemorrhage should be prevented. If uterine fibroids prevent the fetus from being born and a cesarean section is required, whether the uterine fibroids should be removed during the operation depends on the size, location and condition of the patient.