Laparoscopic or Robotic-Assisted Myomectomy
What is a myomectomy?
Myomectomy is a surgery to remove fibroids from the uterus. Fibroids are noncancerous tissues that grow inside your uterus. As many as 3 in 4 women will have a fibroid at some point in their lives. The procedure is a minimally invasive surgery that only uses a few small incisions in your lower abdomen. This can usually be achieved with a traditional laparoscope or with robotic assistance.
Why am I having this surgery?
Fibroids can cause symptoms such as heavy or long periods, backache, pelvic pain or pressure, constipation, and frequent or difficult urination. If your provider discovers fibroids in your uterus, you may need a myomectomy to remove them. Surgery to remove fibroids may be an effective treatment option to ease these symptoms or improve fertility. Another possible reason to remove fibroids is if you are trying to become pregnant, as fibroids may cause infertility problems.
What happens during this surgery?
Before surgery begins, you will be given anesthesia to sleep. A laparoscope – a thin tube with a camera on the end – is inserted into the abdomen, usually at the sight of your navel, through a small incision. Additional incisions will be made in your abdomen. Air will be used in the abdomen to create more space between your abdominal wall and internal organs. Surgical instruments will then be used to remove the fibroids and repair the uterus.
What are the risks?
This procedure has a small risk of:
- Bleeding during surgery, which may require a blood transfusion
- Infection of the bladder or surgical site
- Damage to surrounding organs (bladder, bowel, and ureters)
- Possible need for further surgery
What should I do to prepare for the procedure?
- Do not eat or drink anything after midnight the night before your surgery.
- You will be under anesthesia for the procedure so you will need someone to drive you to and from your appointment.
- Be sure to arrive two hours before your estimated surgery start time.
- Ask your provider any questions you may have before the procedure, especially instructions on stopping or continuing to take any existing medications.
- Follow the instructions from our office to schedule your pre and post op appointments.
What should I expect during recovery?
After the procedure, it is normal for your navel area and abdomen to be sore and possibly bruised. Your shoulders and back may hurt from the gas placed in your abdomen during the procedure. Also, it is normal for the anesthesia to sometimes make you feel weak and nauseous. You may have some vaginal discharge or spotting after surgery.
The incisions in your abdomen will be closed with skin adhesive or stitches and may be covered with Band-Aids. If you have bandages, they can be removed 24 hours after surgery, and the adhesive or stitches will dissolve on their own. If you have small bandage trips on your incisions, leave them on and they will fall off on their own. If they do not fall off you can remove them seven days after your procedure. Do not soak your incisions in the bathtub or go swimming. 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.
Call your provider if you experience:
- Fever greater than 100.4 degrees Fahrenheit
- Severe nausea / vomiting or abdominal pain
- Heavy bleeding (more than 2 pads soaked per hour)
- Redness, swelling, or discharge from your incisions
Office number: (404) 778-3401, Monday – Friday 8:00AM – 5:00PM
- For emergencies after hours, calling this number will connect you to the operator, who will page the OBGYN physician on call.
- If your pain becomes severe, or your fever rises above 102oF in the 3 days following the procedure you should go to the emergency room.