Patient's question:
Post-hysterectomy cavity fluid leakage,Detailed condition and consultation purpose: Fluid leakage after hysterectomy due to uterine fibroids,
Duration and frequency of current symptoms: 500-700 milliliters per day.
Current general condition: Very weak.
Doctor's answer:
Hysteromyoma enucleation via laparotomy. To prevent postoperative intra-abdominal adhesion, the incision on the uterus should be preferably on the anterior wall, and the number of incisions should be minimized, with as many myomas as possible enucleated through a single incision. It is also necessary to avoid penetrating the endometrium. Hemostasis of the incision should be thorough, and the incision should be sutured without dead space. At the end of the surgery, the uterine incision should be as much as possible converted into a peritonealized state. For submucosal myomas that have prolapsed into the cervix, they can be removed via the vagina. During removal, excessive traction should be avoided to prevent damage to the uterine wall. For those that have not prolapsed, they can also be removed via laparotomy. Postoperative management should include administering hemostatic agents and antibiotics; women who are not pregnant should use contraception for 1–2 years; future pregnancies should be monitored for the risk of uterine rupture and placenta implantation, with elective cesarean delivery recommended at term. There is still a possibility of recurrence after myoma enucleation, so regular follow-up examinations are recommended.