Friday 29 May 2015

Preparing for an Abdominal Myomectomy Procedure Pt 1 (or,You're going to do WHAT to my Uterus?!)



Knowing I was due to undergo an abdominal myomectomy this year, I scoured the internet and talked to friends and colleagues who have been through the procedure. I wanted to have an idea of what to expect prior to, during and after the operation.

Each UK health trust works differently, my own (Croydon Health Services) were vague about recovery. It occurred to me that a few blog posts on my experience might be of use to others.


Image: http://www.wisegeekhealth.com

What is a Myomectomy?
A myomectomy is a surgical removal of uterine fibroids. Uterine fibroids are non-cancerous tumours that grow on or around the womb.

While the exact cause of fibroids is unknown, we do know they are linked to the hormone oestrogen, at least 40% of women experience fibroid growth to some degree, and fibroid growths develop more frequently in women of African Caribbean origin.


Two types of Myomectomy

There are two types of myomectomy, laparoscopic and abdominal.

Laparoscopic  (keyhole): Surgery incision through a keyhole cut, an instrument is used to remove the fibroids. Typical recovery is 1 - 2 weeks.

Abdominal (open): A cut is made in the abdomen to remove the fibroids. Typical recovery is 4 - 6 weeks.

My consultant explained the size and location of my fibroids called for abdominal surgery.

The clearest explanation of the abdominal procedure I have found is hereI have summarised below.

  • The surgeon makes an incision on the skin over the uterus and takes the uterus out.
  • An incision is made on the uterus itself, the fibroids are found and cut out.
  • The surgeon uses dissolvable sutures to reconstruct the uterus walls.
  • The restored uterus is 'popped back in' (not a medical term obviously), the incision is sewn closed.

I found a very interesting video of the procedure, Note: I DID NOT watch this before the operation - you have to know for yourself how much information will help calm your nerves and what will freak you out!

Thanks for reading! Next post on this topic "Is it hot in here, or is it just me?"



Further Reading

Video of Abdominal Myomectomy Procedure
https://www.youtube.com/watch?v=QMKJ9IoTdD0













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