Patient's question:
Uterine fibroids growing from the posterior muscular wall to the subserosal layer can be treated with hysteroscopic surgery or must it be laparoscopic? How many holes are usually made? Is it painful after surgery? In my case, would it be excavated deeply? Would it damage the layers of the uterus? How long after surgery can I get pregnant? I've heard that postoperative adhesions can lead to infertility. Is that true? It can also cause a scarred uterus and uterine rupture. Is that true? For surgery, is it better to have it one week after menstruation or one week before? Should the ovulation period also be avoided? Will the surgery interfere with menopause and menstruation?Doctor's answer:
Posterior wall of the uterus muscle, intramural uterine fibroids growing towards the serosa. They can be removed through laparoscopic surgery. The surgery is usually scheduled about one week after the menstrual period ends. Laparoscopic surgery typically involves three incisions, causing minimal mental trauma and rapid recovery, with relatively mild postoperative pain. The depth of the incision depends on the size of the uterine fibroid. If the fibroid is small, the incision will be relatively shallow. After removal, the uterine muscle layer should be routinely debrided, and there is a possibility of adhesion postoperatively. However, if properly managed, the use of anti-adhesion fluid during surgery, along with postoperative exercise, frequent jumping, and the use of antibiotics to prevent infection, can significantly reduce the likelihood of adhesion.