Depending on the size, number and location of your fibroids, your surgeon may choose one of three surgical approaches to myomectomy.

Myomectomy Laparoscopic (keyhole)

Fibroid Myomectomy Laparoscopic - THE FACTS

Type

Anaesthetic

Requirements

Open abdominal surgery / keyhole surgery / hysteroscopic.

General

Oxygen mask to help you breathe. A drip in the arm to give blood and fluids. A temporary bladder catheter. A drain from the wound. A pain-relief pump for when you wake up.

Will I still have periods

Can the fibroids grow back

How long will I stay in  Hospital

Yes

Yes

Overnight / 1-2 days

Recovery

Work

Side Effects

4-8 weeks

Feeling tired or weak.
Feeling ‘low’ and emotional.
Vaginal discharge or bleeding for up to 10-14 days.
changes in bowel patterns up to several weeks.
Swollen tummy.
Uterine pain and cramping.
constipation.

Medication

You will be prescribed strong painkillers to help manage any pain.
You should use sanitary towels (not tampons) in order to reduce the risk of infection. Keep the wound site clean and dry.

It is not advisable to drive until you feel comfortable, usually no sooner than four weeks after your surgery. You should be able to put on your seatbelt yourself and feel con dent you could perform an emergency stop if needed. Check if you are covered by your insurance policy.

Driving

Periods

Your periods should gradually return to a more normal frequency.

Procedure

Risks

General Anaesthetic

Bleeding

Hysterectomy

Small risk

As for all operations there is a risk of bleeding that may require a blood transfusion.

Very unusual during Myomectomy but would mean you would not be able to have children

Clot in leg / lung

Unlikely, you will be asked to wear special stockings on your legs and be given a small injection in the tummy to thin the blood

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Myomectomy

Contraception

You will still need to use contraception if you do not wish to get pregnant.
We recommend that you avoid becoming pregnant for three months following surgery.

Fertility

Recurrence

Damage to Bladder

As above

Small risk

Small risk: - The bladder would be repaired and a catheter in the bladder would be necessary

Damage to bowel

Small risk: - The bowel would be repaired but you may need a colostomy where the bowel drains into a bag attached to your tummy

Infection

Small risk of a water infection (urine) or a chest infection that may require antibiotics

Myomectomy Laparoscopic
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Treatment Comparison PDF

We know making the right choice for you is important thats why we have come up with this download document so you can make the choice that suits you.

Simply click on the image opposite to see your options

Fibroids Treatment Comparison PDF

Abdominal myomectomy

In abdominal myomectomy (laparotomy), an open abdominal incision is made to access your uterus and remove fibroids. 

Laparoscopic myomectomy

In laparoscopic myomectomy, a minimally invasive procedure, your surgeon accesses and removes fibroids through several small abdominal incisions a small incisions using instruments inserted through these ‘ports’.

Sometimes, the fibroid is cut into pieces and removed through a small incision in the abdominal wall. Other times the fibroid is removed through a bigger incision in your abdomen so it can be removed without being cut into pieces.

Laparoscopic surgery use smaller incisions than a laparotomy. This means you may have less pain, lose less blood and return to normal activities more quickly than with a laparotomy. 

Hysteroscopic myomectomy

To treat fibroids that bulge significantly into your uterine cavity (submucosal fibroids), your surgeon may suggest a hysteroscopic myomectomy. Your surgeon accesses and removes fibroids using instruments inserted through your vagina and cervix into your uterus.

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© 2018 Mercia Fibroid Clinic LLP - c/o Nuffield Hospital, Stoke on Trent, Clayton Road, Newcastle under Lyme. ST5 4DB - Company Partnership Number OC418016

FOOTER

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Newcastle Road,
Stoke-on-Trent,
Staffordshire,
ST4 6QG

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Stoke on Trent,
Clayton Road,
Newcastle under Lyme,
ST5 4DB

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