DEFINITION--Removal of fibroid tumors (leiomyoma) from the uterus through an
incision in the lower abdomen.
BODY PARTS INVOLVED--Uterus.
REASONS FOR SURGERY
- Pelvic pain.
- Pressure on the bladder.
- Abnormal bleeding.
- Difficulty in becoming pregnant.
- Discomfort with sexual intercourse.
SURGICAL RISK INCREASES WITH
- Poor nutrition, especially inadequate iron intake that has led to anemia.
- Illness that has reduced strength.
- Use of drugs such as: cortisone; antihypertensives; beta-adrenergic blockers; or
- Use of mind-altering drugs, including: narcotics; psychedelics; hallucinogens;
marijuana; sedatives; hypnotics; or cocaine.
What To Expect
WHO OPERATES--General surgeon or obstetrician-gynecologist.
- Before surgery: Blood studies; dilatation and curettage of the uterus (D & C);
laparoscopy; x-rays of abdomen; barium-enema x-rays; intravenous pyelogram (See Glossary for all).
- After surgery: Blood studies.
ANESTHESIA--General anesthesia by injection and inhalation with an airway tube
placed in the windpipe.
DESCRIPTION OF OPERATION
- An incision is made in the lower abdomen.
- The muscles are separated and connective tissues are cut free to expose the uterus.
- Fibroid tumors are located on the outer uterine layers.
- Each tumor is removed separately, and each excision is repaired.
- The internal structures are closed in layers.
- The skin is closed with sutures or skin clips, which can be removed about 4 to 7 days
- Excessive bleeding
- Surgical-wound infection.
- Recurrence of the tumor.
AVERAGE HOSPITAL STAY--2 to 3 days.
PROBABLE OUTCOME--The uterus is left intact, and you will still have menstrual
periods. Your next period may be heavier than usual but should occur at about the expected
time. Allow about 6 weeks for recovery from surgery.
† Wear sanitary pads--not tampons---to absorb blood.
† You may use non--prescription drugs, such as acetaminophen, for minor pain.
† To help recovery and aid your well--
being, resume daily activities, including work, as soon as you are able.
- Resume driving about 2 weeks after returning home. > Resume sexual relations when
DIET--Clear liquid diet until the gastrointestinal tract functions again. Then eat a
well--balanced diet to promote healing.
Call Your Doctor If
† You experience vaginal bleeding that soaks more than 1 pad per hour.
- You develop signs of infection: headache, muscle aches, dizziness or a general feeling
of ill health and fever.
- You have abdominal swelling or severe abdominal pain.
- The urge to urinate frequently persists longer than 1 month.
- Excessive vaginal discharge persists beyond 1 month after surgery.