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Sanya Hongsen describes consent discussions before laparoscopic fibroid surgery

A patient with fibroids, heavy menstrual bleeding and anaemia underwent laparoscopic removal of the uterus and both fallopian tubes after concerns were addressed.

三亚鸿森医院Original publication: Read original

Published by CareAtlas · Editorial policy

Sanya Hongsen Hospital has reported laparoscopic total hysterectomy with removal of both fallopian tubes in a patient with uterine fibroids. The patient had longstanding abdominal discomfort and heavy menstrual bleeding, with secondary anaemia. Several hospitals had recommended surgery, but fear of an operation had delayed a decision.

A planned operation paused for further discussion

After seeking information, the patient chose Hongsen and was admitted on October 9 for preoperative examinations. Surgery was originally planned for October 11. Although preparations were complete, concerns about the hospital's qualifications, charges and medical expertise led the patient to request that surgery be paused and to ask for discharge.

The gynaecology team listened rather than immediately proceeding. Staff explained the relevant medical-insurance policy, charging standards and the operating physician's professional background. The patient checked information, confirmed that the hospital was a designated provider within the domestic medical-insurance system, and agreed to continue with surgery.

These insurance discussions describe this patient's decision process. They do not establish that an overseas patient would have the same insurance entitlement or reimbursement.

Procedure and early postoperative progress

With the anaesthesia and operating centre, the gynaecology team including chief physician Li Jingxia and physician Sun Yunhe completed laparoscopic removal of the entire uterus and both fallopian tubes. The report does not give the actual operation date; October 11 is the original plan, not a confirmed date of completion. The reported removal involved the fallopian tubes; removal of the ovaries was not mentioned.

The patient could eat normally and get out of bed on the first day after surgery, according to the hospital's October 19, 2026 publication. This is the early progress reported for one patient, rather than evidence of discharge or a longer-term result.

For readers considering fibroid treatment, the case shows the roles of preoperative assessment, answers about charges and clinician qualifications, and renewed consent after a pause. It is not a recommendation that every fibroid requires hysterectomy. The hospital itself notes that small, symptom-free fibroids may be monitored, while significant symptoms or secondary anaemia call for assessment of treatment options.

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