Myomectomy

Myoma is a non-cancerous tumor made up of fibrous tissue. It is also called leiomyoma, but more often called a fibroid tumor. Myomectomy is the removal of a fibroid tumor without removing another organ, like the uterus or ovary, with it. Fibroids range from the size of a pea to a grapefruit. They are rarely cancerous. Myomas only need treatment when they are growing or when they cause symptoms, such aspain, pressure, bleeding, and pain with intercourse.

LET YOUR CAREGIVER KNOW ABOUT:

  • Any allergies, especially to medicines.

  • If you develop a cold or an infection before your surgery.

  • Medicines taken, including vitamins, herbs, eyedrops, over-ther-counter medicines, and creams.

  • Use of steroids (by mouth or creams).

  • Previous problems with numbing medicines.

  • History of blood clots or other bleeding problems.

  • Other health problems, such as diabetes, kidney, heart, or lung problems.

  • Previous surgery.

  • Possibility of pregnancy, if this applies.

RISKS AND COMPLICATIONS

  • Excessive bleeding.

  • Infection.

  • Injury to other organs.

  • Blood clots in the legs, chest, and brain.

  • Scar tissue (adhesions) on other organs and in the pelvis.

  • Death during or after the surgery.

BEFORE THE PROCEDURE

  • Follow your caregiver's advice regarding your surgery and preparing for surgery.

  • Avoid taking aspirin or blood thinners as directed by your caregiver.

  • DO NOT eat or drink anything after midnight on the night before surgery, or as directed by your caregiver.

  • DO NOT smoke (if you smoke) for 2 weeks before the surgery.

  • DO NOT drink alcohol the day before the surgery.

  • If you are admitted the day of the surgery,arrive1 hour before your surgery is scheduled.

  • Arrange to have someone take you home from the hospital.

  • Arrange to have someone care for you when you go home.

PROCEDURE

There are several ways to perform a myomectomy:

  • Hysteroscopy myomectomy. A lighted tube is inserted inside the uterus. The tube will remove the fibroid. This is used when the fibroid is inside the cavity of the uterus.

  • Laparoscopic myomectomy. A long, lighted tube is inserted through 2 or 3 small incisions to see the organs in the pelvis. The fibroid is removed.

  • Myomectomy through a sugical cut (incicion) in the abdomen. The fibroid is removed through an incision made in the stomach. This way is performed when thethe fibroid cannot be removed with a hysteroscope or laprascope.

AFTER THE PROCEDURE

  • If you had laparoscopic or hysteroscopic myomectomy, you may go home the same day or stay overnight.

  • If you had abdominal myomectomy, you may stay in the hospital a few days.

  • Your intravenous (IV)access tube and catheter will be removed in 1 or 2 days.

  • If you stay in the hospital, your caregiver will order pain medicine and a sleeping pill, if needed.

  • You may be placed on an antibiotic medicine, if needed.

  • You may be given written instructions and medicines before you are sent home.