Myomectomy is the removal of
from the wall of the uterus (womb). Fibroids are noncancerous tumors in the muscle of the uterus.
An open surgery uses an incision large enough to remove the fibroids.
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. Each layer of tissue in the uterus will be stitched. The abdominal opening will be closed with stitches. A bandage will be placed over the area.
How Long Will It Take?
1 to 2 hours
Will It Hurt?
Pain, vaginal discharge, and bleeding are common in the first few days. Medicine and home care can help.
Average Hospital Stay
Most people can go home in 2 to 3 days. If there are any problems, you may need to stay longer.
At the Hospital
Right after the procedure, the staff may:
Give you pain medicine
Encourage you to walk
During your stay, the hospital staff will take steps to lower your risk of infection, such as:
Washing their hands
Wearing gloves or masks
Keeping your incisions covered
There are also steps you can take to lower your risk of infection, such as:
Washing your hands often and reminding visitors and staff to do the same
Reminding staff to wear gloves or masks
Not letting others touch your incisions
It will take up to 6 weeks to fully heal. Physical activity will be limited during this time. Sex will need to be avoided. Ask for help with daily activities and delay your return to work.
Call Your Doctor
Call the doctor if you are not getting better or you have:
Signs of infection, such as fever and chills
Redness, swelling, excessive bleeding, or discharge from the incisions
Pain that you cannot control with the medicine you have been given
Vaginal bleeding that soaks more than one pad per hour
Foul smelling vaginal discharge
Swelling, redness, or pain in the legs
Pain, burning, urgency or frequency of urination, or lasting blood in the urine
New or worsening symptoms
If you think you are having an emergency, call for medical help right away.
Uterine fibroids. Society of Cardiovascular and Interventional Radiology website. Available at: https://www.sirweb.org/patient-center/conditions-and-treatments/uterine-fibroids. Accessed August 25, 2021.
Uterine leiomyoma. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/uterine-leiomyoma. Accessed August 25, 2021.
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