Healthsheet

Myomectomy

Myomectomy

Myomectomy is a surgical procedure to remove uterine fibroids. This procedure may preserve your uterus and your ability to have children.


Before Your Surgery

Depending on which procedure you and your doctor choose, you may be asked to do the following:

  • Have tests that your doctor has ordered.

  • Stop eating and drinking 10 hours before surgery.

  • Take medications as prescribed by your doctor to shrink fibroids.

  • Stop taking aspirin or ibuprofen 2 weeks before surgery. Tell your doctor what other medications you take and ask whether you should stop them.

  • Arrange for a ride home after surgery.


Cross section of uterus and vagina showing fibroids in wall of uterus. Dotted lines around fibroids show they will be removed. Closeup of instrument removing fibroid from wall of uterus from outside. Label reads: With abdominal and laparoscopic myomectomy, fibroids are removed through abdominal incisions. Closeup of instrument inserted into uterus through cervix removing fibroid from inside uterus. Label reads: With hysteroscopy, fibroids are removed through the vagina.

Types of Myomectomy Procedures

Abdominal

Your doctor makes incisions in your abdomen and uterus to remove the fibroids. Then the uterus is repaired and the incisions are closed.

Laparoscopic

Your doctor inserts a laparoscope and other surgical instruments through half-inch incisions in your abdomen. One or more incisions are made in your uterus to remove the fibroids. Then the uterus is repaired and the incisions are closed.

Hysteroscopic

A hysteroscope is inserted into the vagina. An electrical instrument is used to remove the fibroids from your uterus.

Call Your Doctor If You Have:

  • Severe or increasing pain

  • Fever or chills

  • Nausea or vomiting

  • Redness or swelling around your incision

  • Persistent or heavy vaginal bleeding



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