Myomectomy

WHAT YOU SHOULD KNOW:

Myomectomy is surgery to remove one or more myomas from your uterus. Myomas are also called fibroid tumors or leiomyomas.


CARE AGREEMENT:

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.

RISKS:

  • During laparoscopic myomectomy, your caregiver may switch to an open myomectomy if your myomas cannot be removed through small incisions. You may get an infection in your wound. Your bowel, blood vessels, or uterus may be damaged. You may bleed more than expected and need a blood transfusion or a hysterectomy (surgery to remove your uterus). If you have a hysterectomy, you cannot get pregnant. After surgery, you may have trouble urinating or having a bowel movement. You may get fibroids again. You may have scar tissue that causes pain or makes it harder for you to get pregnant. You may get a blood clot in your leg or arm. This may become life-threatening.

  • Without surgery, your myomas may grow larger. Large myomas can cause pain and pressure in your abdomen and you may have trouble breathing. You may bleed too much from your vagina and get anemia. It may be harder to get pregnant. If you become pregnant, you may have a miscarriage or have your baby too early.

WHILE YOU ARE HERE:

Before your surgery:

  • Informed consent is a legal document that explains the tests, treatments, or procedures that you may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done. Make sure all your questions are answered.

  • An IV is a small tube placed in your vein that is used to give you medicine or liquids.

  • General anesthesia will keep you asleep and free from pain during surgery. Anesthesia may be given through your IV. You may instead breathe it in through a mask or a tube placed down your throat. The tube may cause you to have a sore throat when you wake up.

During your surgery:

  • You may have an open or a laparoscopic myomectomy. If you have an open myomectomy, your surgeon will make an incision across your abdomen. He will open your uterus and locate the myomas. The myomas will be removed from your uterus.

  • For a laparoscopic myomectomy, your surgeon will make smaller incisions in your abdomen. He will put tools through these incisions to open your uterus and locate the myomas. Your surgeon will then cut the myomas into smaller pieces. The myomas will be removed through one of the smaller incisions or through a larger incision made on your abdomen. Your surgeon will close the incisions with stitches. Bandages will cover your wounds to keep them clean. The myomas may be sent to a lab for tests.

After your surgery:

You will be taken to a room to rest until you are fully awake. Caregivers will monitor you closely for any problems. Do not get out of bed until your caregiver says it is okay. When your caregiver sees that you are okay, you will be able to go home or be taken to your hospital room.

  • You may need to wear pressure stockings or inflatable boots after surgery. The stockings are tight and put pressure on your legs. The boots have an air pump that tightens and loosens different areas of the boots. Both of these improve blood flow and help prevent clots.

  • Medicines:

    • Antibiotics help prevent a bacterial infection.

    • Antinausea medicine helps calm your stomach and prevents vomiting.

    • Blood thinners help prevent blood clots. Blood thinners may be given before, during, and after a surgery or procedure. Blood thinners make it more likely for you to bleed or bruise.

    • Iron pills may be given if you have anemia.

    • Pain medicine may be given. Do not wait until the pain is severe before you ask for more medicine.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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