Myomectomy Summary

A myomectomy is a surgical procedure that is used to remove uterine fibroids. Not all uterine fibroids need treatment. Fibroids may require surgical treatment if they cause bleeding, pressure, pain or other life altering symptoms. Myomectomy is also chosen when a woman needs treatment, but would like to keep her uterus so she can have children.

Length of the procedure: 1 to 2 hours

Hospital Stay: Most patents are hospitalized 5 days when they have a myomectomy.

Recovery before traveling home: Patients seeking a myomectomy through medical tourism can return home 10 days after their procedure.

Travel Tip: Technically, you can travel when you are released from the hospital, but most physicians recommend that you stay a few days beyond your hospital stay and recover in a hotel before traveling.

Procedure Details

Your surgery will begin with the administration of general anesthesia. This procedure is done either laparoscopically or hysteroscopically. The procedure that is done is chosen ahead of time by the surgeon. The choice is based upon the size and amount of fibroids that need removing.

During a laparoscopic procedure 3 to 4 small incisions are made in the abdomen. The laparoscopic instruments are inserted through the incisions. The abdomen is inflated with air for better viewing and more work room for the surgeon. The fibroids are removed using an electrical current or laser that shrinks them. Then, the uterine wall is repaired and the surgical incisions are closed with sutures or tape.

The hysteroscopic myomectomy is done through your cervical canal. The procedure uses a device called a resectoscope to cut the fibroids away from the uterine wall or it uses an electrical current to evaporate the fibroids. No sutures are required because no incision is made.

After the Procedure

After the procedure you will be taken to recovery. Your vitals will be monitored carefully during this time. When you have woken from the surgery and your vitals are stable you will be moved to a regular hospital room.

It is normal for patients to have abdominal pain and discomfort after this procedure. Pain is controlled with pain medications given in IV or pill form. Pain from this surgery subsides within 7 to 10 days for most patients.

Self care after myomectomy:

Sanitary pads may be necessary

Bathe and shower normally

Avoid driving for 2 weeks

Avoid strenuous activity for 6 weeks

Avoid sexual activity until physician approval

Results

Generally people recover from myomectomy within 4 to 6 weeks of their procedure. The first period after myomectomy may be abnormally heavy. This procedure is successful in controlling symptoms in 80% of the patients who have it.

Risks and Complications

As is with any surgery there are risks associated with myomectomy. The following is a list of the most common risks and complications:

     •          Reaction to anesthesia or medication

     •          Breathing problems

     •          Blood clots

     •          Pulmonary embolism

     •          Bleeding

     •          Infection

     •          Bowel obstruction

     •          Infertility

     •          Possible hysterectomy

     •          Weakening of the uterine wall

Contact your physician if any of the following occur:

      •          Fever above 100.5 degrees

     •          Bleeding from surgical wound

     •          Surgical wound feels warm or is warm to touch

     •          Draining of surgical wound is bloody, yellow, green, thick or foul smelling.

     •          Pain is uncontrolled with medication

     •          Persistent cough

     •          Loss of appetite or loss of thirst

     •          Nausea, constipation or abdominal swelling

     •          Pain or burning during urination

     •          Inability to urinate

     •          Vaginal discharge has foul odor

     •          Vaginal bleeding is heavy or goes from light to heavy

     •           Abdominal pain that is severe

     •          Headache, dizziness or muscle ache

     •          Swelling or pain in one or both legs