Laparoscopic Myomectomy: Before Your Surgery
What is a laparoscopic myomectomy?
A myomectomy is surgery to take out fibroids. The uterus is left in place. Uterine fibroids are tumours that grow in the wall or muscle of the uterus. They are not cancer.
Before surgery, you will get medicine to make you sleep.
Laparoscopic surgery is done with only small cuts. These cuts are called incisions. The doctor puts a lighted tube, or scope, and other tools through the cuts in your belly. The doctor is able to see your organs with the scope. The doctor removes the fibroids. The cuts heal quickly, and the scars usually fade over time.
Most people go home on the day of the surgery. After surgery, you will probably have some pain for several days.
This surgery should reduce the pain and heavy bleeding you've had from fibroids. If you've had trouble getting pregnant, this surgery may help after several months of healing. Your doctor may talk to you about when you can have sex and when it's safe to try to get pregnant.
How do you prepare for surgery?
Surgery can be stressful. This information will help you understand what you can expect. And it will help you safely prepare for surgery.
Preparing for surgery
- Be sure you have someone to take you home. Anesthesia and pain medicine will make it unsafe for you to drive or get home on your own.
- Understand exactly what surgery is planned, along with the risks, benefits, and other options.
- If you take aspirin or some other blood thinner, ask your doctor if you should stop taking it before your surgery. Make sure that you understand exactly what your doctor wants you to do. These medicines increase the risk of bleeding.
- Tell your doctor ALL the medicines and natural health products you take. Some may increase the risk of problems during your surgery. Your doctor will tell you if you should stop taking any of them before the surgery and how soon to do it.
- Make sure your doctor and the hospital have a copy of your advance care plan. If you don't have one, you may want to prepare one. It lets others know your health care wishes. It's a good thing to have before any type of surgery or procedure.
What happens on the day of surgery?
Follow the instructions exactly about when to stop eating and drinking. If you don't, your surgery may be cancelled. If your doctor told you to take your medicines on the day of surgery, take them with only a sip of water.
Take a bath or shower before you come in for your surgery. Do not apply lotions, perfumes, deodorants, or nail polish.
Do not shave the surgical site yourself.
Take off all jewellery and piercings. And take out contact lenses, if you wear them.
At the hospital or surgery centre
Bring a picture ID.
The area for surgery is often marked to make sure there are no errors.
You will be kept comfortable and safe by your anesthesia provider. You will be asleep during the surgery.
This surgery can take 15 minutes for a small, simple fibroid to a few hours for multiple large fibroids. Ask your surgeon how long your surgery is likely to take.
When should you call your doctor?
- You have questions or concerns.
- You don't understand how to prepare for your surgery.
- You become ill before the surgery (such as fever, flu, or a cold).
- You need to reschedule or have changed your mind about having the surgery.
Where can you learn more?
Go to https://www.healthwise.net/patientEd
Enter I372 in the search box to learn more about "Laparoscopic Myomectomy: Before Your Surgery".
Current as of: November 27, 2023
Author: Healthwise Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.
