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  • Q&A with Australian Health Practitioners

    What are the possible complications of removing a large fibroid?

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    Pregnancy & Breastfeeding Vulval Conditions Women's Health
    I am a 43 year old pre-menopausal woman. After suffering from extremely heavy periods (leading to anaemia), a scan has revealed a 6 x 4cm fibroid facing inwards into my uterus.

    After discussing it's removal with the gynaecologist at a public hospital, it seems that simply removing the fibroid is not necessarily a straight forward procedure and that an hysterectomy might be the best option.

    Can you explain what the complications might occur with removing a large fibroid?
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    Women's Health Queensland Wide

    Women's Health Queensland Wide provides free health information for Queensland women. View Profile

    Where the preservation of reproductive function is not important,the surgical treatment of choice for fibroid removal is hysterectomy ( removal of the uterus). Fibroid removal or myomectomy involves incision into the capsule of the fibroid, removal of the bulk of the tumour and closure of the cavity. Myomectomy is associated with greater complication than hysterectomy because of the occurrence of haematoma (or blood collection) in the cavity of the excised fibroid, and also because of infection. It is also impossible to be certain that all fibroids are removed,thereby leaving a possibility that residual seedling fibroids may grow and lead to recurrence of the fibroids. Added to this the usual risks of surgical complications still exists and includes but is not limited to, blood clots, anaesthetic complications, wound breakdown, fever, and so on. Most doctors will assess each patient’s individual case and decide on the best course of treatment for that person. There is no ‘one size fits all’ .

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