![]() Most patients with hysteroscopic myomectomy do not have a lot of pain and do not need prescription pain medication. They will remove the fibroid(s) with a small blade and pull them out through the incision.Ībdominal myomectomies sometimes require a one to two-day stay in the hospital for recovery.Īfter your myomectomy, you may have some mild cramping. If you have an existing scar from a previous surgery, they may be able to use the same incision to avoid making another scar. Sometimes the surgeon will have to make a vertical incision from below the belly button down toward pubic bone. Most surgeons will try to use a horizontal incision along your bikini line (the lower part of your stomach) so the scar will be less noticeable. Your surgeon will start by making one large incision (cut) along your abdomen. If your fibroids are too large to be removed with a hysteroscopy or laparoscopy, we will perform an abdominal myomectomy. ![]() We may consider this procedure to remove fibroids that measure up to 10 centimeters. Next, they will insert small tools to cut the fibroid(s) away from your uterus and pull them out through the abdominal incisions. They will insert a small tube with a camera to see your uterus. Your surgeon will make one or more small incisions (cuts) in your abdomen. Your surgeon will finish the surgery by removing any extra saline fluid in your uterus. Your surgeon will use a small tool to cut the fibroid tissues away from your uterus with a blade. Your surgeon will carefully monitor these fluid levels to minimize any risk of fluid overload in your body. This fluid can be absorbed into your body much like other fluids. They will push sterile saline (saltwater) into the uterus to expand it so they can examine your inner uterine walls. ![]() Hysteroscopic Myomectomyĭuring hysteroscopic myomectomy, your surgeon will insert a small lighted camera through your vagina, which will be guided up to your uterus. However, you will need someone to drive you home after surgery once you wake up. A myomectomy is usually an outpatient procedure, which means you will not need to stay overnight at the hospital. ![]() You will be under anesthesia (put to sleep) during the whole procedure and should not feel pain during the procedure, or remember the procedure afterward. ![]()
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