This is for anyone getting a myomectomy and just wants to read the perspective of someone who had just been through it. It is still very fresh in my mind.
Well I got out of hospital 2 days ago. I am still quite restricted in what I can do. I had a laparotomy and abdominal myomectomy to remove uterine fibroids. I had a few of them, the biggest being around 5cm, which was pedunculated. The others being within the walls of the uterus. I didn’t really have any symptoms of note. They were diagnosed during a cat-scan after a UTI to check on my kidneys. They were confirmed by an internal ultrasound. On this basis the gyno recommended removal, although there was no urgency.
I had to fast from 12 midnight for turning up at the hospital at 7am. I could not have any water either. My surgery was programmed for around 1030. I had to make sure I had shaved 3cm of pubic hair away as well.
After taking details and doing some paperwork I was taken to pre-op where I dressed into the lovely smock, and lay there in a cubicle waiting. I had a bit of a cold so the anaesthetist came to see me to make sure I could go through with the operation. The main reason was coughing, which would be difficult after the operation. I really appreciate this now, but played it down at the time so the operation wouldn’t be delayed.
I was wheeled into a darkened section of the hospital, a sort of pre-op section. Here I was asked my name again, my id bracelet was checked, again, and I was asked if I had any allergies, again. I would have waited there for about 15 minutes. I was then wheeled down a corridor through some automatic sliding doors into a brightly lit room. The operating theatre. The bed was wheeled adjacent the operating table, and I was asked to get onto it.
The anaesthetist was on my left side and I layed out my arm to access the back of my hand. She inserted the IV needle which I didn’t feel. Meanwhile the nurses were attaching monitors around my forehead. The last thing I remember is starting to hold the oxygen to my mouth and nose.
I remember vaguely, waking up and a nurse talking to me saying that we were going to the ward. I remember being wheeled into what was to be my room for the next few days, and seeing my partner sitting there smiling at me. I was pleased to see her, I said hello. I was told afterwards that I was very loud.
I was connected to various equipment five ways. I had a urinary catheter. I had a hydration drip. I had fentanyl pump which I manually controlled. It was restricted to delivering a dose at a minimum of 5 minute intervals. This is called patient controlled analgesia or PCA. Both the fentanyl and hydration was delivered through the tube in the back of my left hand. I had oxygen via nose tube. Finally I had an ‘ON-Q’ pump. This is the delivery of analgesia directly to the wound site. A little balloon the size of a large tennis ball is filled with local anaesthetic and delivers it via a tiny tube which is inserted into the wound itself. In addition I was given antibiotic twice a day. A couple of panadol every four hours, and ibuprofen as well. In addition I was given an anti-coagulant needle in my stomach every day. I still have the bruising.

At the time I was quite comfortable. I didn’t need to move at all. I could move my bed up and down via a control on my right. I had access to the tv with Foxtel pay TV via a control on my left. I had a table on wheels on which I got three course meals and cups of tea and biscuits. I wanted for nothing. I thought I was having a great time, and that I was quite fortunate compared to all those poor people who had to go to work! In hindsight, I was probably in a slight state of euphoria from the fentanyl.
The operation was on Wednesday. I was out of surgery around midday Wednesday. I had hourly observations taken until Thursday morning. I didn’t move really. On Thursday morning they removed the urinary catheter. It is held in place by a fluid filled balloon. To remove the catheter, the nurse used a syringe to drain the balloon, then just pulled it out. No pain at all. But this meant I had to get out of bed to go to the toilet. This meant unplugging both the IV and Fentanyl machines, unhooking from the oxygen, and bringing the little black bag which housed the ON-Q, and wheeling the whole contraption into the toilet. It was slightly painful. I was starting to feel bloated as well.
On Friday morning they removed the IV for both the Fentanyl and Saline. I had my left had free. It was a little scary seeing my beeping machines being wheeled out of the room. I was alone. I still had my ON-Q but the ball was much smaller and I suspected that most of the local had been delivered. I got rid of the oxygen as it was only needed whilst I was on the Fentanyl. I was still taking the panadol, the ibuprofen and the needles. The ON-Q was then removed. I was free from attachments which was great. However I was feeling bloated and blocked. Asked for a laxative, which helped.
By Friday afternoon I was walking, very slowly, around the hospital. I had to try not to hunch. I still took a while to get in and out of bed and had to lift my legs with my hands.
On Saturday morning I was discharged with ibuprofen and panadol. I was feeling nauseous and have been since. It is only today (Monday) when the nausea has started to fade.
At the moment (Monday afternoon) I still have to walk very slowly. I am very hunched after I have been sitting, but after a while I can straighten up. My last panadol was 0430 this morning and I only have a bit of pain, so perhaps that’s it for the panadol. I am still a bit bloated. I have a worrying hard lump just above the scar to the left, which I think may be bowel mass. It doesn’t seem to move. But I am ‘going’ so I am not sure if I should be worried. This is one of the possible results of a myomectomy so I will see how it goes.
I got some information from this site, which was really quite accurate. In the end, I am glad it is over, but I am still waiting for a full recovery. I am yet to see how it will effect my life. All in all, the discomfort of the procedure is mostly prominent just after discharge from the hospital. The nausea is horrible and I am having serious night sweats as well. The operation itself I do not remember obviously, as I was well out to it. I am hoping the fibroids were got, they are not cancerous, and the wound heals okay. The pain management was very very good.
I hope this helps anyone going through this.
Post Script (12Dec 2010).
I have been running around for months now, without any thought of the operation. The hard lump around the scar is actually scar tissue. I had been worried about it, the lump is still there. The doctor told me to massage it and exercise, and the scar tissue would eventually go. He also said it was normal for the site and area around it to feel tender. This is normal after the operation, and reflects the nerves which were impacted. I think the scar tissue is slowly reducing as the lump is becoming smaller.