Complete process of open abdominal surgery for uterine fibroids

Generally, open abdominal surgery for uterine fibroids is suitable for cases involving multiple fibroids or an excessively enlarged uterus. The specific procedural steps are as follows:

1. Before surgery, perform routine blood and urine tests, abdominal ultrasound or MRI, cervical smear, and other examinations to determine whether open abdominal surgery for uterine fibroids can be performed.

2. After general anesthesia, position the patient in the supine position, disinfect the abdomen, and drape with sterile surgical towels.

3. Make an incision along the midline of the abdomen, sequentially cutting through the skin, subcutaneous fat, and anterior rectus sheath; separate the rectus muscles, lift the peritoneum, and incise it to enter the abdominal cavity.

4. Once adequate surgical exposure is achieved, inject oxytocin at the junction between the uterine fibroid and the uterine body.

5. Use an electrocautery scalpel to incise the surface of the fibroid down to the fibroid core, then bluntly dissect and completely remove the fibroid.

6. Close the tumor cavity using interrupted sutures with absorbable suture material, then perform continuous suturing of the uterine surface incision.

7. Irrigate the pelvic cavity with normal saline. After confirming no bleeding from the wound surface, close the abdominal cavity layer by layer.

8. Dry the patient's abdomen, dress the patient appropriately, and conclude the procedure.

This procedure requires a certain level of expertise. If surgery is needed, it is recommended to visit a正规 medical institution and have the procedure performed by qualified medical professionals.