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Bleeding With a Myomectomy

In small amounts, bleeding with a myomectomy is normal. This usually stops on its own or can be treated easily during the surgery. When people have serious bleeding with a myomectomy, they may need open surgery to control the bleeding and prevent loss of life. A transfusion of blood or blood products may also be required if this happens.

Bleeding With a Myomectomy: An Overview

A small amount of bleeding with a myomectomy is normal. There can be several causes for this, and the treatment will vary, depending on the cause and your individual situation. In most cases, the bleeding will stop on its own or can be easily taken care of during the procedure.
If you have serious bleeding, or if there is serious damage to a major blood vessel, the myomectomy may need to be changed to an open surgery to control the bleeding and prevent loss of life. This means that a larger incision will be made so that your doctor can view the inside of your abdomen better. Sometimes, an injury may not appear at the time of the operation, but may show up later. This can require another surgery to repair the damage.

Blood Transfusion With a Myomectomy

If there is severe bleeding with a myomectomy, a transfusion of blood or blood products may need to be done. Because the blood and blood products are actively screened for various diseases and problems, including AIDS and hepatitis (among others), blood transfusions are generally safe. However, there is an extremely rare chance that you may contract an illness secondary to a transfusion. The estimated risk of contracting hepatitis C from blood transfusions is about 1 in 100,000, the risk of hepatitis B is about 1 in 200,000, and the risk of HIV is about 1 in 600,000.
Last reviewed by: Arthur Schoenstadt, MD
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