Here's what you can do to prepare:
Jun. 04, 2013
- Gather information. Before surgery, get all the information you need to feel confident about your decision to have a myomectomy. Ask your doctor and surgeon questions.
- Follow instructions about food and medications. You'll need to stop eating or drinking anything in the hours before your surgery — follow your doctor's recommendations on the specific number of hours. If you're on medications, ask your doctor if you should change your usual medication routine in the days before surgery. Tell your doctor about any over-the-counter medications, vitamins or other dietary supplements that you're taking.
- Discuss the type of anesthesia and pain medication you may receive. Abdominal, laparoscopic and robotic myomectomies are performed under general anesthesia, which means you're asleep during the surgery. Hysteroscopic myomectomy is performed under general anesthesia or spinal anesthesia, where medication is injected into your spinal canal to numb the nerves in the lower half of your body. Ask about pain medication and how it will likely be given.
- Arrange for help. Your facility may require that you have someone accompany you on the day of surgery. Make sure you have someone lined up to help with transportation and to be supportive.
- Plan for a hospital stay if necessary. Whether you stay in the hospital for just part of the day or overnight depends on the type of procedure you have. Abdominal (open) myomectomy usually requires a hospital stay of two to three days. In most cases, laparoscopic or robotic myomectomy only requires an overnight stay. Hysteroscopic myomectomy is often done with no overnight hospital stay.
- American College of Obstetricians and Gynecologists (ACOG) Committee on Practice Bulletins — Gynecology. ACOG Practice Bulletin No. 96. Alternatives to hysterectomy in the management of leiomyomas. Obstetrics and Gynecology. 2008;112:387.
- Laughlin SK, et al. Uterine leiomyomas: Individualizing the approach to a heterogenous condition. Obstetrics and Gynecology. 2011;117:396.
- Frequently asked questions. Gynecologic problems FAQ074. Uterine fibroids. American College of Obstetricians and Gynecologists. http://www.acog.org/~/media/For%20Patients/faq074.pdf?dmc=1&ts=20130423T1546469165. Accessed April 23, 2013.
- Parker WH. Abdominal myomectomy. http://www.uptodate.com/home. Accessed April 23, 2013.
- Parker WH. Laparoscopic myomectomy and other laparoscopic treatments for uterine leiomyomas (fibroids). http://www.uptodate.com/home. Accessed April 23, 2013.
- Bradley LD. Hysteroscopic myomectomy. http://www.uptodate.com/home. Accessed April 23, 2013.
- Brady PC, et al. Uterine fibroids and subfertility: An update on the role of myomectomy. Current Opinion on Obstetrics and Gynecology. In press. Accessed April 23, 2013.
- Parker WH. Techniques to reduce blood loss during abdominal or laparoscopic myomectomy. http://www.uptodate.com/home. Accessed April 23, 2013.
- Gallenberg MM (expert opinion). Mayo Clinic, Rochester, Minn. April 30, 2013.
- Stewart EA (expert opinion). Mayo Clinic, Rochester, Minn. April 29, 2013.
- Jensen JR (expert opinion). Mayo Clinic, Rochester, Minn. May 15, 2013.