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:
Please post your experiences, thoughts, or questions.
How are you feeling after your Endometrial Ablation?