الجراحة المفتوحة لاستئصال الورم العضلي

قبل الإجراء

قد يقوم طبيبك بما يلي:

• اختبار بدني
• تحاليل الدم
• Review your medicines
• Dilation and curettage (D&C)—a procedure to remove tissue from the lining of the uterus (endometrium)
• Ultrasound—shows images of pelvic organs
• Intravenous pyelogram—x-rays taken of the kidneys, ureters, and bladder after a contrast medium is injected into a peripheral vein (done if the fibroids are affecting the ureters)

You should discuss with your doctor:

• Whether you should have hormone treatment for 2-4 months before the procedure—This treatment shrinks fibroids. It makes them small and reduces the risk of excess blood loss during the procedure.
• If cancer is found in the uterus—One option is to remove the uterus during the myomectomy.
• Whether you should donate your own blood for the procedure

المؤدية إلى الإجراء الخاص بك:

• Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to one week before the procedure, such as:
  • الأسبرين أو غيره من العقاقير المضادة للالتهابات
  • Blood thinners such as warfarin (Coumadin)
  • clopidogrel (Plavix)
• Arrange for a ride home from the hospital. Also, arrange for help at home.
• Do not eat or drink for at least eight hours before the procedure.

التخدير

General anesthesia is used most often. It will block any pain and keep you asleep through the surgery. It is given through an IV in your hand or arm.

وصف الإجراء

The doctor will make an incision in the lower abdomen. Muscles will be separated, and tissue will be cut to expose the uterus. Next, the doctor will remove the fibroids. In some cases, you will be given a drug called Pitressin before the fibroid is removed. This drug will reduce the amount of blood loss.

After removing the fibroids, the doctor will stitch each layer of tissue in the uterus. This will prevent blood clots, excess bleeding, and infection. Lastly, the doctor will use stitches to close the incision area.

مباشرة بعد الإجراء

After the procedure, you will be:

• Taken to the postoperative area
• Watched for complications
• Given IV fluids and medicines

كم من الوقت سيستغرق ؟

1-2 ساعة

هل سيكون هناك ألم؟

You will have abdominal pain and discomfort for 7-10 days. Your doctor will give you pain medicine to help control the pain.

متوسط ​​الإقامة في المستشفى

2-3 days

رعاية ما بعد العملية

Full recovery will take about 4-6 weeks. When you return home, do the following to help ensure a smooth recovery:

• تأكد من اتباع تعليمات طبيبك.
• Wear sanitary pads or napkins to absorb blood. The first menstruation after the procedure may be heavier than normal.
• Try to walk often. This will decrease the risk of blood clots.
• Take medicines as prescribed by your doctor. If you had to stop medicines before the procedure, ask your doctor when you can start again.
• اسأل طبيبك حول, عندما هي آمنة للاستحمام, السباحة, أو نقع في الماء.
• Ask your doctor when you will be able to:
  • Return to work and drive
  • Resume sexual activity
  • Resume strenuous activity (You may need to wait 2-6 weeks)