How are you feeling after your Hysteroscopic Myomectomy?

Thought I should finally start a “How are you feeling after…” post about my first fibroid procedure. From FibroidSecondOpinion.com:

Hysteroscopic myomectomy is a technique that can be performed only if the fibroids causing the symptoms are within or bulging into the uterine cavity (submucosal). This procedure is performed as outpatient surgery without any incisions. Anesthesia is needed because the surgery may take one to two hours and would otherwise be uncomfortable. A small telescope, the hysteroscope, is passed through the cervix, and the internal uterine cavity is seen. A small camera is attached to the telescope, and the view is projected on a video monitor. This magnifies the picture and also allows your physician to perform the surgery while sitting in a comfortable position. The surgery can then proceed more rapidly.

For more information:
Hysteroscopic Myomectomy (FibroidSecondOpinion.com)
Hysteroscopy (WebMD)
Myomectomy (Wikipedia)

My Hysteroscopic Myomectomy was outpatient, under general anesthesia, and caused very little pain. Since I had never gone through surgery before, I was freaking out some over the idea of general anesthesia but it all worked out well. Of course, I don’t remember any details from the procedure itself but the recovery was not that bad. The nausea from the drugs bothered me more than any pain or bleeding. You can follow my story in excruciating detail through the Related Posts at the end.

If you have a Hysteroscopic Myomectomy experience, thoughts, or questions, please leave a comment here.

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Related Posts:
Is there such a thing as minor fibroid surgery?
No longer freaking out over my fibroid surgery tomorrow
Memories before my myomectomy
Memories directly after my myomectomy
Does anyone have a hysteroscopy experience to share?

Just what are your uterine fibroid tumor treatment options?

uterine fibroid treatment option decisionsBeen blogging here for a number of months on the medical decisions I made to finally address my uterine fibroid tumor problem. I consider myself fortunate because a number of women have decided to share their choices as well. It’s now time to string some of the Forum “threads” together and assemble a post that lists fibroid treatment options.

I’ll start with some general information from the MayoClinic.com Uterine Fibroids Decision Guide. Visit the site for treatment details including what to expect, common concerns, and pros and cons. I’ll also include links to related posts on this site for each of the options.

Read the rest of this entry »

How are you feeling after your Laparoscopic Myomectomy?

A contributor here left a detailed comment on her experience with laparoscopic myomectomy and hysteroscopy/endometrial ablation so I’ll create two separate posts to start the discussion.

Mary: I just had a laparoscopic myomectomy and hysteroscopy/endometrial ablation two days ago.

Pre-surgical issues and diagnosis: I had a huge, slow growing external fibroid that was about 9 * 10 cm at its peak, plus several smaller internal fibroids that were the cause of my long, heavy, painful periods. My gynecologist referred me to a surgeon who is head of Ob-Gyn at a local hospital and teaches at a major Canadian medical school. (Very relaxed guy, easy to talk to, and well-respected.) He checked me out and declared that the internal fibroids could be taken care of with hysteroscopy and ea. He’s done over a hundred of these procedures and is probably the go-to guy in my city for this procedure. He also said that it looked as if the external fibroid was on a stalk and could be at risk of twisting, although he also said I wasn’t showing any of the signs of being at risk — no feeling of movement — so it was up to me whether I wanted to just leave that one alone or remove it as well. I decided to go for the laparoscopy because of the twisting risk (my sister went through the horror of an ovary getting twisted and i didn’t want to go through anything similar) and because it would be nice not to look five months pregnant.

Surgery: It was supposed to be about 2 hours, but turned into three as it turned out the external fibroid wasn’t on a stalk, but was embedded in the external wall. I asked my doctor after surgery about the risk of adhesions given that such a relatively large surface had been excavated, but he says that I should be all right.

Recovery: I was in the recovery room for an hour after surgery, then moved to my hospital room, where I was told I was staying overnight just to be cautious, given the extended work required for the external fibroid (we had originally discussed the option of going home the same day). The nurses had me up and peeing within a couple of hours. The first time out of bed was a doozie, and my bladder was tight, sore, reluctant and overfull the first time, so I didn’t get rid of two cups of urine until my second attempt. After that, I was up and down several more times throughout the day, alternately reading, napping, chatting with my husband, or having my vitals checked. By 8 PM, I was adept at getting myself out of bed on my own, unplugging the IV from the wall, and going off to have a pee. (They dumped a few liters of saline in me, so I was peeing like a racehorse all day.) By 11 PM, I got out of bed and wandered the halls with my IV because I was bored and wanted to move. The pre-surgical anti-inflammatory suppository took care of most pain except what I felt when I got out of bed and the gas pains in my shoulders.

They let me have jello, broth, juice and a few crackers for supper the first day, and a real breakfast of egg, bun and cream of wheat the next morning. I was discharged by 8:30 and home by 9:30, where I caught up with some clients for a few hours (self-employment isn’t all it’s cracked up to be sometimes) but I was sore by supper time and took off the rest of the day. Gas-X, naproxen and stool softeners were my friends, and even though I have percocet, I haven’t taken any yet. I did take some cough syrup to suppress coughing, which hurt yesterday, although much less today.

First bowel movement was late yesterday (first evening after surgery day), and there was no pain, although reaching to wipe was a little awkward. At my worst, my whole abdomen felt taut, swollen and sorte, with occasional gas pains on top. Today, I got up feeling significantly better, and my belly is less taut and numb.

I’d love to know how long it’s going to take all this swelling to go down. My face and eyes were very swollen the first day, I still couldn’t wear my watch and rings yesterday, although I can today, but my waist and belly are larger than they were than when I went in. (Gas? Fluid? Swollen tissues?) I have no idea how long it will take for those to shrink, as I would think that removing something 4 inches in diameter would make things smaller in circumference.

I’ll report back with anything else of interest.

Thanks Mary. Nothing more I can add except a couple of links for more information:

Laparoscopic Myomectomy (FibroidSecondOpinion.com)
Laparoscopic Myomectomy (Mayo Clinic)

Please post your experiences, thoughts, or questions.

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Related Post:
How are you feeling after your Endometrial Ablation?

How are you feeling after your Abdominal Myomectomy?

[Note: This forum became so full of comments that I created a second thread. Please see "How are you feeling after your Abdominal Myomectom? (part 2)" and post your comments there.]

A couple of contributors here have firsthand knowledge of this procedure so I’ll include a few passages and then open the floor. Click the links to view the entire comment.

fibroid free: 5 weeks post abdominal myomectomy..was feeling better except I was having this burning pain around my navel and down the left side of my abdomin for the last week

fibroid free: Keep an eye on your tempature the first few days. Mine was up a bit first night or 2 but I was on Cirpo antibiotics for 1 week. One week follow up doc appointment went well – on track. Things are gong well – have to remind myself not to do to much

One day to go – no more: My first real bout of pain was as I was walking into the house crunched over in pain, my friend standing in the doorway made a comment as she took my arm about this being us in 30 or 40 years. Let’s just say I could NOT stop laughing and I had no pillow or towel on my abs so IT HURT IT HURT.

For more information:
Abdominal Myomectomy (FibroidSecondOpinion.com)
Abdominal Myomectomy (OBGYN.net)
Abdominal Myomectomy (Mayo Clinic)
[Abdominal Myomectomy surgery video (OR-Live.com)]

[Edited to add OR-Live surgery video link. Thanks Val!]

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Related Posts:
How are you feeling after your Abdominal Myomectomy? (part 2)
How are you feeling after your Abdominal Myomectomy? (part 3)
Is anyone having fertility issues because of uterine fibroid tumors?
Has anyone had a postoperative infection after a fibroid procedure?
Has anyone needed a second uterine fibroid surgery or procedure?

OR-Live brings fibroid surgery video to your computer via medical webcasts

Thinking about a procedure but you want to learn a little more? Well, welcome to the world of almost too much information. OR-Live allows you to view a myriad of moderated surgical videos. Archived broadcasts are categorized by specialty (in case you want to see non-fibroid stuff). Plan ahead and you can even catch a video live.

OR-Live medical webcasts

I used this site as part of my medical decision process. After seeing the Uterine Fibroid Embolization broadcast several months ago, I knew I had to have it. Glad I viewed the UFE previously since I remember nothing from my actual procedure. :-)

Here’s the list:

Uterine Fibroid Embolization

Robotic Myomectomy Enables Treatment of Uterine Fibroids While Preserving Fertility

[Abdominal Myomectomy - A Treatment for the Removal of Fibroids]

da Vinci® Minimally Invasive Robotic Hysterectomy (view live on September 20, 2006; visit the site and sign up for an email reminder)

Advanced Technique for Minimally Invasive Hysterectomy

Laparoscopic Supracervical Hysterectomy

OK. Grab some popcorn and enjoy.

[Edited to add Abdominal Myomectomy video link. Thanks Val!]

Get your fibroids on the dance floor and do the robot

Glanced over some news feeds yesterday and noticed this headline under Yahoo! News | Uterine Fibroids:

Robot-assisted surgery removes fibroids but preserves women’s fertility

You know I love robots and other gizmos (because I’m a geek) so I had to click the link. The story revolves around Anna Crowder who needed a fibroid removed but still wanted to have a child. Read the rest of this entry »

The infamous Hostess fruit pie experiment

I’ve been reading through my posts to reassign them to the new categories. Noticed the one about consuming a fruit pie the night before surgery. Huh?

You know how you aren’t supposed to eat anything after midnight? Well, I suffered from food insanity the night before my hysteroscopic myomectomy. Made the curfew but ended up eating all kinds of stuff I normally severely limit including a Hostess® fruit pie.

Thought this was one of the reasons why I felt so sick to my stomach after the general anesthesia used during the procedure. After forming my hypothesis, I pledged not to eat anything abnormal the night before my Uterine Fibroid Embolization and I didn’t.

I was pretty confident that the conscious sedation of the UFE wouldn’t make me nearly as sick as general anesthesia. Perhaps it was the combination of that with the drugs for pain but I felt much worse after the conscious sedation.

What are the results of the Hostess® fruit pie experiment?
Of course, I haven’t used any statistical methods to “crunch the numbers” but I do believe there is a high probability that these drugs will make you sick no matter what you consume. So, go ahead. Eat that fruit pie. Just don’t overdo.

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