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Operations: Myomectomy

Insurance code: Q0920

Introduction: This information is written by John Fairbank and is provided for the benefit of his patients. Additional information will be given during consultation in the clinic and during the pre-operative discussion. It is not appropriate for all surgeons’ individual practice or for all patients.

Purpose of operation: Removal of fibroids

Description of procedure: A transverse or longitudinal skin incision is made and the abdominal cavity is opened to gain access to the uterus. Fibroids are removed and the uterus is then repaired with stitches. The abdomen is closed in layers. A pelvic drain is often left in place to remove any blood clot and assess bleeding.

Anaesthetic: A general anaesthetic is normally used for this operation.

Length of stay: A four to five night stay is common

Post-operative management: The Haemoglobin is checked on the first post-operative day. A blood transfusion is sometimes required. A long course of anti-biotics is often given to reduce the risk of infection.

Potential complications: Blood loss is the commonest serious complication due to the vascular nature of the uterus and a blood transfusion is sometimes required. Infection can occur so a long course of anti-biotics can be required. Bowel function can be slow to return. A second operation can sometimes be necessary within the first 24 hours and a hysterectomy is occasionally required to stop heavy bleeding.

Post-operative consultation: Review at between four and six weeks is typical depending on the operation and the post-operative course.

Other considerations: Myomectomy is often a last resort and there are other non-surgical options in some cases. An MRI scan is often necessary to determine the exact nature and position of fibroids. Surgery is not always the best option.

Relevant websites
Information on fibroids and general measures

Information on the surgical management of fibroids

Information on fibroids and Robotic Myomectomy.