Post-Laparoscopic Teratoma Surgery: Key Questions on Recovery and Fibroids

Postoperative concerns regarding laparoscopic teratoma surgery / uterine fibroids?

Hello Dr.
Liu, I have some questions regarding my laparoscopic surgery for a teratoma and uterine fibroids.

1.
I just had laparoscopic surgery to remove a teratoma last Tuesday (April 29).
There are a total of four incisions: two on the sides of my abdomen, one at the navel, and one in the lower abdomen.
Before the surgery, I purchased waterproof adhesive, which has not yet come off.
During my follow-up visit this week, the doctor mentioned that once it falls off, I can use breathable tape or cosmetic adhesive.
I would like to ask how to care for the navel incision.
Should I cover the entire navel, or just the area where there is a wound?
2.
I previously experienced left flank pain, and the rehabilitation department recommended a heat therapy treatment.
I would like to know if it is safe to apply heat after laparoscopic surgery, or how long I should wait before starting heat therapy? Additionally, when can I begin massage on my lower back?
3.
During the ultrasound scan for the teratoma, a uterine fibroid was also discovered.
The doctor advised follow-up every six months to a year.
I would like to know what symptoms I should watch for that might indicate the fibroid requires treatment? Also, at what size is surgery typically recommended to remove the fibroid?
4.
I have lupus nephritis, which has led to hypertension and high cholesterol.
A nutritionist advised me to replace animal protein with plant-based protein, so for the past two to three years, I have been consuming more soy products (mainly soy milk and tofu).
I would like to ask if consuming more soy products could promote the development of fibroids, making it easier for my body to form fibroids or causing existing fibroids to grow larger?
Thank you for your assistance!

ANNA, 30~39 year old female. Ask Date: 2024/05/12

Dr. Liu Fuping reply Obstetrics and Gynecology

Online consultations primarily assist the public in clarifying their medical conditions and guiding them on the appropriate medical specialties.
Since you already have a designated obstetrician-gynecologist, it is recommended that you return to the hospital where you had your surgery for follow-up care.
If the original surgeon's clinic is too busy to address your concerns or assist you, please consider scheduling an appointment with another nearby obstetrician-gynecologist.
Thank you.

Reply Date: 2024/05/12

More Info

Hello! Thank you for your questions regarding your recovery after laparoscopic teratoma surgery and concerns about uterine fibroids. I’ll address each of your queries in detail.

1. Caring for the Umbilical Wound: After laparoscopic surgery, it’s important to keep the surgical sites clean and dry. For your umbilical wound, you should cover it with a waterproof adhesive until it falls off naturally. Once it does, you can switch to a breathable adhesive bandage. When applying the bandage, it’s best to cover the entire area around the umbilicus, ensuring that any visible wound is adequately protected. If there is any drainage or signs of infection (such as increased redness, swelling, or discharge), you should consult your physician immediately.

2. Heat Therapy Post-Surgery: After laparoscopic surgery, it’s generally advisable to wait at least 1-2 weeks before applying heat to the surgical area. This allows the initial healing process to take place without the risk of increasing swelling or discomfort. Once you receive clearance from your healthcare provider, you can start heat therapy, which can help alleviate muscle tension and pain in the lower back. As for massage, it’s typically recommended to wait at least 2-4 weeks post-surgery, depending on your recovery progress and your doctor’s advice. Always consult your physician before starting any new treatment.

3. Monitoring Uterine Fibroids: It’s good that your doctor has advised regular follow-ups for the uterine fibroid. Symptoms to watch for include increased pelvic pain, heavy menstrual bleeding, prolonged periods, or any changes in urinary or bowel habits. If you experience significant changes in these symptoms, it may indicate that the fibroid is growing or causing complications, and further evaluation may be necessary. Generally, surgical intervention is considered if the fibroid is large (typically over 5 cm), causing significant symptoms, or if there are concerns about malignancy. Your healthcare provider will guide you based on your specific situation.

4. Diet and Fibroid Growth: Regarding your diet, there is ongoing research about the relationship between diet and fibroid development. Some studies suggest that high consumption of certain plant-based proteins, like those found in soy products, may have a protective effect against fibroid growth due to their phytoestrogen content. However, excessive intake of any food, including soy, should be moderated. It’s essential to maintain a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Since you have lupus nephritis and associated conditions, it’s crucial to work closely with your healthcare provider or a nutritionist to tailor a diet that meets your health needs without exacerbating your conditions.

In summary, your recovery process should be monitored closely, and any concerns should be discussed with your healthcare provider. They can provide personalized advice based on your specific health status and recovery progress. Always prioritize communication with your medical team to ensure the best outcomes for your health. Thank you for your questions, and I wish you a smooth recovery!

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