Rehabilitation after removal of uterine fibroids

Removal of uterine fibroids is an operation that any woman can face when she reaches the age of 35. Those who monitor their health constantly and regularly visit a gynecologist can detect this defect at its early stage of development. In this case, it can be dealt with by one of the conservative methods of treatment or by applying a gentle surgical technique. Otherwise, an abdominal operation is prescribed.

Indications for abdominal surgery

The abdominal operation of uterine fibroids and its postoperative period is a very laborious process that requires patience and strength from the patient. Indications for this surgical intervention are:

any uterine fibroids, regardless of size, leading to severe uterine bleeding or heavy critical days, accompanied by the occurrence of anemia in its severe manifestation;
leiomyoma - a large formation, which, as it grows, begins to compress closely located neighboring organs;
rapid growth of uterine fibroids, which is characterized by a doubling in size within one year;
infertility, the explanation of which is the presence of uterine fibroids and many others.

Removal of uterine fibroids - postoperative period

After the abdominal operation has passed, rehabilitation after removal of uterine fibroids on the first day takes place in the intensive care unit. Even if a woman does not need to carry out any additional complex procedures, this department has all the necessary equipment. It allows you to accurately control the performance of all organs and systems in the body.

After the end of the anesthesia at the incision site and inside the abdomen, the patient begins to experience pain. This is quite normal after surgery. In this case, she is given painkillers. You should also be prepared for the fact that "departure" from anesthesia can cause nausea. In order to avoid the maximum sensation of these consequences, the patient needs to sleep more. Moreover, after the operation, the body is in a very weak state and it needs it.

Starting from the second day, after the operation to remove uterine fibroids, rehabilitation during the first week takes place under the supervision of a doctor. From this point on, the patient is allowed to turn on her side and, leaning on one of her elbows, get to her feet. All your feelings, as well as possible changes in them, must be told to the medical staff and directly to the treating doctor.

In turn, health workers must correctly explain to the patient about the nature of the pain and sensations that are normal after this operation. So characteristic pain in this case can be called aching and pulling, the intensity of which becomes less every day. If the pain sensations do not fade away, but rather become more and more noticeable, and there is also an increase in body temperature and general weakness, then these are the first signs of the onset of the inflammatory process. In this case, urgent measures must be taken by the attending physician.

In order for rehabilitation after removal of uterine fibroids to be successful, all doctor's recommendations should be strictly followed, the main of which include:

proper nutrition, which should not lead to constipation. It is this process in the body that can provoke the appearance of intra-abdominal pressure, which in turn can serve as a source of new problems, especially when little time has passed after the operation. These problems will be due to the fact that the walls of the intestine will put pressure on the operated area, as a result of which it may rupture. As a result, an inflammatory process begins to develop. If a woman begins to feel discomfort in the stomach or intestines after eating, the regularity of the stool will be disturbed, she needs to immediately review her diet. Recommended nutrition after surgery to remove uterine fibroids , the principle of which should be explained by the attending physician. It is based on the introduction of more fruits, cereals, vegetables and foods that contain enough fiber in the menu. At the same time, coffee drinks, tea, jelly and rice should be completely abandoned for a while;
taking timely measures to prevent flatulence. Gases that accumulate in the intestines also provoke an increase in pressure in the intra-abdominal cavity. This cannot be allowed. To solve these problems, the patient needs to move more, but at the same time avoid increased physical exertion. Medications with this purpose will also help to cope well with flatulence, which can be taken only after consulting with your doctor;
prevention of adhesions, which is also provided by physical activity. That is, in order to prevent the formation of adhesions at the incision site, which give significant pain, and also possibly lead to infertility, the patient must move regularly, but at the same time very carefully;
correct load distribution. First of all, this concerns the ban on lifting a load that weighs more than 3 kilograms in the first six months after the operation. In the future, the weight limit will be 10 kilograms. You should also pay great attention to the alternation of work and rest. And if earlier a woman could spend on her feet, doing this or that work, throughout the day, at this time this should not be allowed. After vigorous activity, a half-hour rest in a prone position must necessarily follow. At the same time, the patient should not spend all the time “on the couch”.

After the expiration of this period and in the absence of any complications, the patient's sutures are removed and she is discharged from the hospital. Subsequent monitoring of the condition is carried out at the place of residence by a gynecologist. In this case, the patient herself must remember the rules necessary for the implementation, namely:

abstinence from intimate life should be at least one and a half months;
protection from pregnancy during the first year after surgery;
an annual examination by a gynecologist with the taking of the necessary smears from the cervix for oncocytology and an ultrasound examination.

Also, a woman should refuse to stay in the bright sun and visit the solarium. Saunas, baths and steam rooms should also be excluded from your vacation. Make sure that the body does not overheat in certain conditions, as this can lead to a relapse and a number of complications, namely bleeding from the uterine vessels.

Restoration of reproductive function

After the uterine fibroids have been removed, recovery after surgery does not end with the observance of proper nutrition and limitation of physical activity. Many women are familiar with this type of surgery at an age that is considered reproductive. And the desire to conceive, endure and give birth to a healthy child is present in many. Before asking this question, at least one year must pass after the operation, but even in the future it will be necessary to follow a number of recommendations, as a result of which the walls of the uterus thicken and restore their original strength.

First of all, it is necessary to undergo a course of physiotherapy treatment, which will be prescribed by the attending physician. Also, one of the main procedures will be endogenous respiration, which is performed on a special medical device - the Frolov Phenomenon simulator. This is necessary for the restoration of cellular tissues and metabolic processes in the body, including in the uterus. Thanks to this, all metabolism in the body will improve, hidden reserves will awaken, and a woman will have a real chance to bear a child.

Thus, in order for the postoperative period to pass positively after removal of uterine fibroids , it is necessary to follow all the doctor's recommendations. Proper nutrition and daily routine, taking the necessary medications and proper organization of physical activity will certainly lead to a complete recovery of the operated organ and the whole organism as a whole.