Laparoscopic fibroid removal, also known as laparoscopic myomectomy, is a minimally invasive surgical procedure used to remove uterine fibroids. This procedure is recommended for women who experience significant symptoms from their fibroids and want to preserve their uterus for future pregnancy. In this blog, we will discuss the recovery process after laparoscopic fibroid removal, when a myomectomy is recommended, recovery in the hospital, follow-up care, problems expected after fibroid surgery, and pregnancy planning after myomectomy.
A myomectomy is recommended for women who experience heavy menstrual bleeding, pelvic pain, pressure, or discomfort caused by uterine fibroids. Women who want to preserve their uterus for future pregnancy may also opt for a myomectomy. However, a myomectomy may not be recommended if the fibroids are too large, multiple, or located in a position that makes removal complicated especially if the women has completed her childbearing and not planning for future pregnancy.
Laparoscopic fibroid removal is performed under general anesthesia, and patients typically remain in the hospital for 1-2 days after the surgery based on the size and the number of fibroids removed. During this time, the patient will receive pain medication and will be monitored for any complications. Patients are encouraged to walk around as soon as possible after the surgery to help prevent blood clots and promote healing. A clear liquid diet is usually recommended after few hours of the surgery, followed by a soft diet and normal diet as tolerated.
Patients will be given specific instructions for post-operative care before being discharged from the hospital. These instructions will include details on how to care for the incision sites, when to resume normal activities, and when to follow up with the surgeon. Patients will be advised to avoid strenuous activity and heavy lifting for at least 2-3 weeks after surgery. A follow-up appointment will be scheduled for 2-3 weeks after the surgery to check on the patient's progress and wound status.
Some pain and discomfort are normal after laparoscopic fibroid removal, and patients may experience some vaginal bleeding or discharge for a few weeks after the surgery. However, patients should contact their surgeon immediately if they experience any of the following symptoms:
• Heavy bleeding
• Severe pain that is not relieved by medication.
• Signs of infection (redness, swelling, or discharge at the incision site)
• Painful or increased frequency of urination suggestive of urinary tract infection.
Women who have undergone a myomectomy can still become pregnant, but it is important to wait until the body and uterus has fully healed before trying to conceive. It is typically recommended to wait at least three-6 months before attempting pregnancy to allow the uterus to fully heal. The decision of 3 -6 months is recommended by your doctor based on the size, number of the fibroids removed and the depth of myometrial (uterine wall involvement).Patients who have undergone a myomectomy may be advised to have a Cesarean section for delivery to avoid any complications that may arise from scarring or damage to the uterus. Again, it is decided based on the type and size of fibroid removed, which your doctor will advise assessing your condition.
In conclusion, laparoscopic fibroid removal is a safe and effective procedure for women who experience significant symptoms from their fibroids and want to preserve their uterus for future pregnancy. Patients can expect to recover in the hospital for 1-2 days after the surgery and will need to follow specific instructions for post-operative care. Although some pain and discomfort are normal after surgery, patients should contact their surgeon immediately if they experience any concerning symptoms. Women who have undergone a myomectomy can become pregnant but should wait at least three -6 months before trying to conceive and may need a Cesarean section for delivery.
Head of the Department
Advanced Gynecological Laparoscopic Surgeon & Pelvic Reconstructive Surgeon
MEDICLINIC WELCARE HOSPITAL
Al Garhoud, Dubai
MEDICLINIC PARKVIEW HOSPITAL
Umm Sequim, Al Barsha South 3, Dubai