Post-Operative Care for Uterine Fibroid Surgery: What to Expect

What to expect after uterine fibroid surgery?

Hello, Doctor.
I have a few questions:
1.
After traditional surgery for large uterine fibroids, how long is it normal for there to be blood-tinged discharge and abdominal cramping (not at the incision site but inside the abdomen)? You mentioned earlier that this is normal; how long is considered "abnormal"?
2.
It has been two weeks now, and when I press on the incision site, I can feel a long hard lump.
Is this normal?
3.
I am still using silicone gel sheets.
The website says they do not need to be changed frequently and can be used for up to three months.
Is this true? I applied them right after my stitches were removed and have not changed them for over a week.
How long can they be used continuously, and how long in total should they be applied before I can start using scar gel?
Thank you.

huanzhe, 20~29 year old female. Ask Date: 2013/06/30

Dr. Lin Wenbin reply Obstetrics and Gynecology

In terms of pain and tingling, the sensation from internal abdominal wounds (internal organs) tends to recover more quickly, approximately within one to three months.
The sensation from the surface skin of abdominal wounds recovers more slowly, often leading to numbness at the wound surface, which may take about three to six months to improve.
Each individual's situation varies, and descriptions can differ significantly, so it is essential to consult a physician to determine the source of the pain for accurate diagnosis.
Regarding bloody discharge, it generally resolves in about a month; however, menstrual flow may increase in the following months.
The recovery speed will depend on the extent of the surgical site.
Similarly, it is advisable to consult a physician for a more reliable assessment.
As for the hard lump at the wound site, it is typically caused by sutures, but it could also indicate localized inflammation.
A physician should evaluate it to confirm whether the lump corresponds to the suture area.
If it does, it is usually not a concern.
For the use of non-woven adhesive tape, the breathability of the tape is crucial; the higher the breathability, the longer it can be worn (typically changed weekly).
Additionally, individual skin types must be considered; some people sweat easily or have active sebaceous glands, necessitating more frequent changes (every 1-2 days).
It is important to have a physician examine the skin's reaction to the adhesive tape (checking for redness at the taped area) to determine the appropriate care.
If there are no significant reactions, changing it weekly is acceptable, and it is not advisable to wait three months for a change, as this could lead to dermatitis.
Regarding the use of scar gel, it is also essential to assess the skin's reaction before proceeding.

Reply Date: 2013/06/30

More Info

Post-operative care following uterine fibroid surgery, particularly for traditional surgical methods, involves several aspects that patients should be aware of to ensure a smooth recovery. Here’s a detailed response to your questions based on medical knowledge and common practices.

1. Duration of Symptoms: After surgery for large uterine fibroids, it is common to experience some bleeding and abdominal discomfort. This can include a sensation of pressure or pain in the abdomen, which is often due to the healing process of the internal tissues. Typically, light bleeding or spotting can last for a few days to a couple of weeks post-surgery. However, if the bleeding is heavy or persists beyond two weeks, it may be considered abnormal and should be evaluated by your healthcare provider. Abdominal pain that is sharp or worsening after the first week could also indicate complications such as infection or internal bleeding, and should be reported to your doctor.

2. Hard Lump at the Surgical Site: It is not uncommon to feel a firm lump or hard area at the surgical site after two weeks. This can be due to scar tissue formation or swelling as the body heals. However, if the lump is painful, growing in size, or associated with other symptoms such as fever or discharge, it is important to consult your physician. They may perform an examination or imaging studies to rule out any complications such as hematoma or infection.

3. Use of Adhesive Strips: Regarding the use of adhesive strips (often referred to as Steri-Strips), it is generally advised that these can remain in place for up to a week or longer, depending on the surgeon's instructions. Some sources suggest that they can be left on for several weeks, but it is crucial to follow your surgeon's specific recommendations. If the strips are still intact and not causing irritation, they can be left on until they naturally fall off. After the strips are removed, you can start applying scar gel or silicone sheets to help minimize scarring. Typically, it is recommended to wait at least two weeks after the strips are removed before applying any topical treatments, but again, follow your surgeon's advice.

In summary, while some discomfort and changes at the surgical site are normal, it is essential to monitor your symptoms closely. If you experience any concerning signs such as excessive bleeding, increasing pain, or unusual lumps, do not hesitate to reach out to your healthcare provider. They can provide personalized guidance based on your specific situation and ensure that your recovery is progressing as expected. Always prioritize open communication with your medical team to address any concerns you may have during your recovery process.

Similar Q&A

Post-Hysterectomy Consultation: Managing Symptoms and Recovery Tips

Due to the large size of the uterine fibroids (6x8 cm), a laparoscopic surgery was performed to remove the uterus 24 days ago. There are still some symptoms: 1. light bleeding 2. pain. Is this normal? When can I expect to recover? What precautions should I take? When can I resume...

Dr. Zhan Deqin reply Obstetrics and Gynecology
1. Mild bleeding and discomfort may still be unavoidable, especially after vigorous exercise. 2. It is advisable to wait at least two months after surgery before resuming sexual activity. If there are any concerns, please visit the obstetrics and gynecology outpatient clinic.

Post-Operative Concerns After Uterine Fibroid Surgery: What to Expect

Hello, Doctor. I have a few questions to ask: 1. I underwent a traditional horizontal incision surgery for uterine fibroids, and I did not need to have my stitches removed. It has been about eight weeks since the surgery. Following the nurse's instructions, I used a wound ...

Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description, the wound area needs to be evaluated by a surgical physician. If the fibroid has been completely removed, the lump should disappear and will not affect other organs. Thank you! Wishing you peace and health. Dr. Zhang

Post-Operative Concerns: Bleeding and Pain After Uterine Surgery

Hello Doctor: I would like to ask, due to an increase in menstrual flow that hasn't stopped, the doctor found fibroids and adenomyosis during the examination. The recommendation was to undergo a hysterectomy (subtotal hysterectomy) via laparotomy. It has been one month since...

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, there is some vaginal bleeding. After undergoing a total hysterectomy, it is possible to experience similar symptoms to menstruation due to residual endometrial tissue. It is advisable to monitor the situation. If the bleeding persists or becomes significant, I recommend r...

Managing Post-Surgery Complications After Uterine Fibroid Removal

In late September 2021, I underwent surgical removal of uterine fibroids. Postoperatively, there is a noticeable black line on the wound, and blisters keep appearing. How should I manage this? (I can provide photos of the wound via email.)

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, it is recommended to return to the original hospital for an examination. Wishing you good health.