Are there any risks in surgery for giant uterine fibroids?
Asked by:Stormy
Asked on:Apr 10, 2026 04:45 PM
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Steppe
Apr 10, 2026
The risks of surgery for giant uterine fibroids are usually related to factors such as the location of the fibroids and the patient's basic health condition. In most cases, the risks are controllable, but you need to be wary of complications such as intraoperative bleeding. Uterine fibroids are common benign tumors of the female reproductive system. If the diameter exceeds 10 cm or the uterine volume reaches more than 12 weeks of pregnancy, it can be defined as giant uterine fibroids.
Larger fibroids may make surgical procedures more difficult, but modern medical technology can handle them better. During laparoscopic or open surgery, doctors will use careful operations to reduce damage to surrounding tissues. Preoperative imaging evaluation can clarify the anatomical relationship between fibroids, blood vessels, and ureters. During the operation, electrocoagulation, hemostasis, blood vessel ligation and other measures can effectively control the amount of bleeding, and the anesthesia team will monitor vital signs in real time. Most patients recover well after surgery, the hospitalization time is about 5-7 days, and the probability of postoperative complications is low.
If fibroids are located in special parts such as the cervix or broad ligament, the risk of bleeding may increase due to rich blood supply. Patients with anemia, hypertension or coagulation dysfunction need to undergo drug conditioning before surgery to improve their physical condition. In rare cases, blood transfusion may be required due to heavy intraoperative bleeding, or damage to adjacent organs may require secondary surgical repair. The risks of postoperative infection, deep vein thrombosis, etc. are similar to those of other gynecological surgeries, and the probability of occurrence can be significantly reduced through preventive antibiotics and early mobilization.
It is recommended to complete ultrasound, MRI and other examinations before surgery to evaluate the characteristics of fibroids and correct basic diseases such as anemia. Pay attention to vaginal bleeding after surgery, use antibiotics to prevent infection as directed by your doctor, and gradually resume daily activities. Regular reexamination can monitor signs of recurrence, and menstrual changes still need to be paid attention to after removal of giant fibroids.
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