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 AgreementYou 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.
- 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.
The week before your surgery:
- Write down the correct date, time, and location of your surgery.
- Arrange a ride home. Ask a family member or friend to drive you home after your surgery or procedure. Do not drive yourself home.
- Ask your caregiver if you need to stop using aspirin or any other prescribed or over-the-counter medicine before your procedure or surgery.
- Bring your medicine bottles or a list of your medicines when you see your caregiver. Tell your caregiver if you are allergic to any medicine. Tell your caregiver if you use any herbs, food supplements, or over-the-counter medicine.
- Certain hormones may cause myomas to grow in your uterus. Your caregiver may give you medicine to decrease these hormones and shrink your myomas. If you have anemia, your caregiver may give you iron pills. Ask your caregiver for more information about medicines you need to take before your myomectomy.
- Your caregiver will do a pelvic exam to feel your myomas. He will put gloved fingers into your vagina and press down on your abdomen with the other hand.
- You may need blood or urine tests before your surgery. Your caregiver may use a tool called a hysteroscope to look into your uterus. He may use this scope to take tissue from your uterus to send to a lab for tests. You may have an ultrasound or MRI to see the size and location of your myomas. Talk to your caregiver about these or other tests you may need. Write down the date, time, and location for each test.
The night before your surgery:
Ask caregivers about directions for eating and drinking.
The day of your surgery:
- You or a close family member will be asked to sign a legal document called a consent form. It gives caregivers permission to do the procedure or surgery. It also explains the problems that may happen, and your choices. Make sure all your questions are answered before you sign this form.
- Ask your caregiver before you take any medicine on the day of your surgery. Bring a list of all the medicines you take, or your pill bottles, with you to the hospital. Caregivers will check that your medicines will not interact poorly with the medicine you need for surgery.
- Caregivers may insert an intravenous tube (IV) into your vein. A vein in the arm is usually chosen. Through the IV tube, you may be given liquids and medicine.
- An anesthesiologist will talk to you before your surgery. You may need medicine to keep you asleep or numb an area of your body during surgery. Tell caregivers if you or anyone in your family has had a problem with anesthesia in the past.
What will happen:
- 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 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.
Contact a caregiver if
- You cannot make it to your surgery.
- You feel new pressure or pain in your abdomen.
- You have a fever.
- You get a cold or the flu.
Seek Care Immediately if
- You have bleeding from your vagina that does not stop.
- You have new trouble breathing.
- You suddenly have severe abdominal pain.
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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.