This surgery involves removing
from the wall of the uterus (womb). An open surgery requires an incision large enough to remove the fibroid. Fibroids are noncancerous tumors in the muscle of the uterus.
—x-rays taken of the kidneys, ureters, and bladder after a contrast medium is injected into a peripheral vein (done if the fibroids are affecting the ureters)
You should discuss with your doctor:
Whether you should have hormone treatment for 2-4 months before the procedure—This treatment shrinks fibroids. It makes them small and reduces the risk of excess blood loss during the procedure.
If cancer is found in the uterus—One option is to remove the uterus during the myomectomy.
Whether you should donate your own blood for the procedure
Leading up to your procedure:
Talk to your doctor about your medications. You may be asked to stop taking some medications up to 1 week before the procedure.
Arrange for a ride home from the hospital. Also, arrange for help at home.
Do not eat or drink for at least 8 hours before the procedure.
is used most often. It will block any pain and keep you asleep through the surgery. It is given through an IV in your hand or arm.
This may also include a mask or intubation.
Description of the Procedure
An incision will be made in the lower abdomen. Muscles will be separated, and tissue will be cut to expose the uterus. Next, the fibroids will be removed. In some cases, you will be given a medication to reduce the amount of blood loss.
After removing the fibroids, each layer of tissue in the uterus will be stitched. Lastly, the stitches will be used to close the incision area.
Immediately After Procedure
After the procedure, you will be:
Taken to the postoperative area
Watched for complications
Given IV fluids and medications
How Long Will It Take?
Will It Hurt?
You will have abdominal pain and discomfort for 7-10 days. You will be given medication to help control the pain.
Average Hospital Stay
Full recovery will take about 4-6 weeks. When you return home, do the following to help ensure a smooth recovery:
Wear sanitary pads or napkins to absorb blood. The first menstruation after the procedure may be heavier than normal.
Be sure to follow your doctor's
Call Your Doctor
After you leave the hospital, contact your doctor if any of the following occur:
Signs of infection, including fever and chills
Redness, swelling, increasing pain, excessive bleeding, or discharge from the incision site
Excessive vaginal bleeding (soaking more than one pad per hour) after the procedure
Excessive vaginal discharge that continues beyond one month after the procedure
Vaginal discharge has a foul odor
Severe abdominal pain
Headaches, muscle aches,
lightheadedness, or general ill feeling
Uterine fibroid symptoms, diagnosis, and treatment. Society of Cardiovascular and Interventional Radiology website. Available at: http://www.sirweb.org/patients/uterine-fibroids/. Accessed December 11, 2017.
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