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The surgical procedure indicated for patients with bleeding uterine fibroids is a hysterectomy. This approach is appropriate for patients who have significant symptoms or complications caused by fibroids, such as heavy menstrual bleeding, that can lead to anemia and other health issues. A hysterectomy involves the complete removal of the uterus, which effectively eliminates the source of the bleeding and any related symptoms.

In cases where the patient is no longer interested in preserving fertility, a hysterectomy may be the most definitive treatment option. It provides a permanent solution to the problem of bleeding uterine fibroids. For women who may wish to retain their ability to conceive or for those who have smaller fibroids, other options such as myomectomy or endometrial ablation may be considered, but these do not guarantee the resolution of bleeding as effectively as a hysterectomy.

Laparoscopy, while a minimally invasive technique, is not a specific treatment for fibroids but rather a method that can be used in conjunction with myomectomy or to diagnose various gynecological conditions. Thus, hysterectomy stands out as the primary surgical intervention indicated for patients experiencing significant bleeding from uterine fibroids.