Laparoscopic myomectomy can take two to four hours, based on the number of fibroids and their size. You can go home the same day or spend a night in the hospital, depending on how you feel after the procedure.
Also known as an "open" myomectomy, an abdominal myomectomy is a major surgical procedure. It involves making an incision through the skin on the lower abdomen, known as a "bikini cut," and removing the fibroids from the wall of the uterus.
If you have laparoscopy, expect some soreness around the surgical site during the first 24 to 48 hours following surgery. Walking is encouraged, based on your energy level. This surgery has a quick recovery with most patients feeling much better within the first few days after surgery.
Whether you stay in the hospital for just part of the day or overnight depends on the type of procedure you have. Abdominal myomectomy (laparotomy) usually requires a hospital stay of one to two days. In most cases, laparoscopic or robotic myomectomy is done outpatient or with only one overnight stay.
Most people who have fibroid removal surgery have no serious complications, but they may experience pain or bleeding following surgery and will need time to recover.
Women always ask me if they'll lose weight after having UFE and the answer is you'll probably shed unwanted pounds if you treat your fibroids. If you have fibroids, you are most likely carrying extra weight. Eliminating the fibroids or shrinking them with UFE can often lead to weight loss.
You may notice that your bowel movements are not regular right after your surgery. This is common. Try to avoid constipation and straining with bowel movements. You may want to take a fibre supplement every day.
Many women get uterine fibroids, noncancerous growths in the uterus that develop in the childbearing years. If you require surgery to remove fibroids, you'll likely be given general anesthesia and will be asleep during the procedure.
Risks include bleeding, infection, and scar tissue. Cutting into the uterus to take out just the fibroids could cause a problem with how the uterus works in a future pregnancy. Pelvic pain that you had before either surgery may not get better.
You should be able to drive again when you feel able to concentrate fully and can do an emergency stop comfortably: usually about 4 weeks after the operation if you have had a cut to your tummy, earlier if keyhole surgery.
Avoid strenuous activities, such as biking, jogging, weightlifting, and aerobic exercise, for 4 to 6 weeks. You may shower. Pat the incision dry when you are done. Do not take a bath for the first week after surgery or until your doctor tells you it is okay.
You should be able to drive within the week and return to work in one to three weeks. Abdominal myomectomy — You will need to spend one to two nights in the hospital after undergoing this procedure.
Bring chap stick, body wash, shampoo, conditioner, pajamas or robe, socks, panties. Purchase a magazine or two to read, and some playing cards. Wash your clothes and bed linens a few days before the surgery. Go grocery shopping for really easy things to make when the woman comes home from the Hospital.
Larger fibroids—about four centimeters or more—that are in the muscle of the uterus can also impact implantation. Fibroids that are inside the muscle of the uterus might block the fallopian tubes, which can cause infertility.
Small fibroid – less than 1-5 cms in length (Size of a pea to a cherry) Medium fibroid – 5cms -10cms (size of a plum to a large orange) Large fibroid – 10cms or more (Size of a grapefruit and above)
Most experts believe that about 9-10 centimeters (about 4 inches) diameter is the largest size fibroid that should be removed laparoscopically.
Myomectomy, when performed by an expert, is a safe and effective alternative to hysterectomy. This operation can usually be accomplished with minimal blood loss. When the operation is performed with optimal technique by a highly experienced surgeon, the need for blood transfusions is limited to very few cases.
Laparoscopic myomectomy can take two to four hours, based on the number of fibroids and their size. You can go home the same day or spend a night in the hospital, depending on how you feel after the procedure. Overall recovery is about two to four weeks.
You may shower, but do not rub your incisions. The first week after surgery, you may feel more tired than usual. Take it easy this first week, and then gradually increase your activity level with short walks and light activity. Sexual activity can resume when you feel comfortable.
If your doctor told you to take your medicines on the day of surgery, take them with only a sip of water. Take a bath or shower before you come in for your surgery. Do not apply lotions, perfumes, deodorants, or nail polish. Do not shave the surgical site yourself.
A comfortable set of loose-fitting clothes and cotton underpants to wear home after surgery. The waistbands should be loose and comfortable. A case for your glasses, if you wear them.
After surgery, you may feel some pain in your belly for several days. Your belly may also be swollen. You may have a change in your bowel movements for a few days. And you may have some cramping for the first week.
One of the best sleeping position after going through any surgery is resting straight on your back. If you have had surgery on your legs, hips, spine, and arms, this position will benefit you the most. Moreover, if you add a pillow underneath your body areas, it provides more support and comfort.