What to prepare before having uterine myomectomy surgery

Before uterine myomectomy surgery, you need to prepare for preoperative examination, adjustment of medication, personal hygiene, psychological preparation, and living arrangements.

1. Preoperative examination

Before surgery, it is necessary to complete gynecological ultrasound, blood routine, coagulation function, electrocardiogram and other examinations to evaluate the size, location and general condition of the fibroids. If combined with anemia, the hemoglobin level needs to be corrected in advance. Screening for infectious diseases such as hepatitis B and syphilis is a necessary item, and some patients may need to undergo cervical cancer screening.

2. Adjust medication

Anticoagulant drugs such as aspirin enteric-coated tablets and warfarin sodium tablets must be stopped one week before surgery to avoid the risk of intraoperative bleeding. People who take antihypertensive or antidiabetic drugs for a long time need to inform their doctor, who will adjust the medication plan. Traditional Chinese medicine supplements such as ginseng and angelica may affect coagulation function, so it is recommended to stop taking them 2 weeks before surgery.

3. Personal hygiene

One day before surgery, the perineum and abdominal skin need to be thoroughly cleaned to remove hair in the surgical area. Do not eat for 8 hours before surgery and refrain from drinking for 6 hours to avoid aspiration under anesthesia. Prepare loose cotton underwear and sanitary napkins. There may be vaginal bleeding or increased secretions after surgery.

4. Mental preparation

Understand the advantages and disadvantages of surgical methods such as laparoscopy or open surgery, and communicate with the doctor about post-operative fertility preservation. You can participate in preoperative education courses conducted by the hospital to familiarize yourself with the surgical procedures and analgesic plans and relieve anxiety. Before signing the informed consent form for surgery, you must fully understand the risks of surgery.

5. Living arrangements

Ask for leave 2-4 weeks in advance and stay in bed for 3-5 days after surgery. Arrange for family members to accompany you through admission procedures and postoperative care, and prepare easily digestible porridge, soup and other foods. After discharge, avoid lifting heavy objects, sitting for long periods of time, or strenuous exercise. Bath bathing and sexual intercourse are prohibited within 1 month.

During the postoperative recovery period, the wound should be kept dry and clean, and cefaclor capsules should be used as directed by the doctor to prevent infection. In your diet, you should choose high-protein foods such as fish and eggs to promote tissue repair, and take appropriate iron supplements to improve anemia. Regularly review the ultrasound to observe the recovery of the uterus. If fever, severe abdominal pain or abnormal bleeding occurs, you need to return to the hospital in time. Maintaining a regular schedule and emotional stability can help with postoperative recovery.