Recommendations prior to Uterine Fibroid surgery

• In the case of uterine fibroid surgery, it is very important to know which type of approach will be used, open or laparoscopic.
• In this surgery, it is vital to carry out a preoperative examination and sign the informed consent form, so that authorisation is given for the operation to be carried out.

• Length of hospital stay: After an operation for uterine fibroids, the patient will stay in hospital for one day in the case of laparoscopic myomectomy and two days if the surgery is performed by abdominal myomectomy.
• Duration of the surgery: There are several factors that can affect the duration of the surgery, such as the location of the fibroids, the type of fibroids, whether it is one or several, etc; although the normal time in the operating theatre is between an hour and an hour and a half. You can read more about this in our article on the duration of fibroid surgery.
• Anaesthesia for the operation: The uterine fibroid operation is performed under general anaesthesia in both types of approach, abdominal or laparoscopic, as it is a major surgery.
• Recovery time: Full recovery after surgery for uterine fibroids is usually between 10 and 15 days in the case of laparoscopy and about a month in the abdominal approach, although the patient can return to normal daily life sooner.
• Aesthetic sequelae: In the removal of fibroids via the abdominal approach, a scar will remain above the pubic symphysis or pubis, whereas laparoscopically only small, almost imperceptible scars will remain from the use of the laparoscope. In any case, depending on your specific case, the type of fibroids and other factors, the surgeon will indicate which approach is best for your specific case.
• Painkillers: After the operation you may need to take painkillers. Ask your surgeon which painkillers you should take in case your discomfort forces you to take some painkillers.
• Postoperative bleeding: After the surgery, whether abdominal or laparoscopic, you will probably have a small amount of bleeding from the vagina, like a small period that may last a few days. This is normal. You should use sanitary towels and not tampons, as these can be a risk of infection for the internal scars of the operation. You should therefore keep sanitary towels at home ready for use after the operation.

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Before the operation for uterine fibroids, there are a series of steps that the patient must follow to ensure that the surgery is performed with maximum safety guarantees. Here are some of them:

• Signing the informed consent: After the specialist has explained the entire procedure, as well as the possible (although rare) complications that the intervention may have, the patient must sign the informed consent form to authorise the surgery to be performed.
• Preoperative: As with most operations, the operation for uterine fibroids requires a preoperative examination to determine the patient's state of health and whether or not they are suitable for surgery. This preoperative consists of 3 tests: a complete blood analysis, an electrocardiogram and a chest X-ray.
• Inform about possible allergies: It is important to indicate if the patient has had any allergy problems with anaesthetics, latex, metals, etc. It is important to tell the specialist and anaesthetist so that they know and thus avoid any problems. In any case, it is usual for the specialist to ask.
• Inform about medication: In the event that you are taking medication, whether prescription drugs, over-the-counter drugs or even herbal supplements, it is important to tell the doctor, as this may influence the correct performance of the surgery.
• Report on anticoagulant drugs: This is extremely important. If the patient has a previous history of bleeding disorders or is taking medication to thin the blood, such as Sintrom, the doctor should be informed immediately.
• Associated diseases: Medical problems such as diabetes, hypertension, heart or respiratory problems, among others, should be reported to the specialist in order to avoid serious complications during surgery or post-operatively.
• Find out what your convalescence will be like: If you are going to require dressings, special posture, bandages, if you will need special hygiene, etc. You can find out more in this article.

In addition to the above, there are a series of recommendations in the days before, which we mention below:

• Stop smoking: This is not usually necessary, as the anxiety of not smoking can be worse, but smoking is never good, neither when healthy nor when ill, but you should be aware that smoking affects blood circulation and therefore hinders postoperative recovery and therefore lengthens it over time.
• Do not drink alcohol: Again, alcohol is not very healthy, but it is important not to drink alcohol at least 48 hours before surgery. If it can be avoided beforehand, all the better.
• Empty stomach: Do not eat or drink anything 8 hours before the fibroid operation.

• Transfer service request: Operarme’s team provides you with a vehicle to take you from your home to the hospital on the day of admission. You must indicate 48 hours before the surgery that you are going to use it in order to make the necessary arrangements by contacting your personal advisor or by sending us a contact form.
• Speak to your patient service advisor: Each of our patients is assigned a patient service advisor who will guide you through the whole process, solve doubts and problems and help you in any way necessary.
• Speak to our specialist: During your free consultation with the specialist at Operarme, remember to ask him or her any questions you may have about the surgery. It is a very common surgery, so don't worry, the explanation is simple.
• Read other patients’ reviews: At Operarme we perform many interventions for uterine fibroids, and it is solved with a fairly common surgery (at the hands of an expert surgeon). Many of our patients leave their testimonials on our website so that future patients can see them.

If you are thinking of having surgery for uterine fibroids with Operarme, remember that you can request a free surgical assessment consultation with one of our specialists in Gynaecology and Obstetrics, so that you can get to know them, familiarise yourself with your case and together you can decide on the best option. 

To request a free consultation you can send us a contact form, call at +34 91 141 33 56 or click on the image below:

Do you need myomectomy surgery?

Request a free and immediate appointment with our specialists in Gynaecology

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