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What Happens During a Myomectomy?

Clip Number: 16 of 40
Presentation: Women's Health -- Common Conditions, Tests, and Procedures
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Reviewed By: Arthur Schoenstadt, MD
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After your anesthesia is given, to help reduce the chance of infection, your abdomen will be washed with a special solution and you'll be covered with sterile sheets.
Then a catheter, or plastic tube, will be inserted into your bladder to measure the urine you make during the procedure.
Depending on the size and location of the fibroids, your surgeon will make a 6 to 9 inch incision, or cut, across your lower abdomen. This incision may be either horizontal or vertical on the skin.
Inside your abdomen your doctor will carefully inspect your organs, including the uterus, checking the size, location and number of any fibroids present. If fibroids are found, they may be removed. The method used will depend on their size and location.
Fibroids on the outside of the uterus can be cut and removed through the incision. If a fibroid is in your uterus, it will be opened with another incision, and the fibroids will be removed. The fibroids are usually removed together in a group, but sometimes it is necessary to remove them in pieces. Once the fibroids have been removed, the uterine incision is closed with stitches that your body will dissolve over time. The tissue and your skin are then closed with stitches or skin staples and covered with a sterile bandage.

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