Fibroid Removal Surgery (Abdominal Myomectomy/ Laparotomy)

My Fibroid removal surgery is scheduled for April 9, 2019.

I have been pushing this surgery off since 3 months post partum, which is when they wanted to perform the surgery. I have delayed it for many reasons, but one of the primary reasons is that I wanted to be done breastfeeding before my surgery. I am a terrible pumper, I have been since day 1. I just don’t respond to pumping and I can barely get any. Right now I only have about 10 bags left which should hopefully get me through to his one year Birthday in March. I really only use the frozen milk for when I have to go to work at nights. The recovery floor for my surgery doesn’t t allow anyone under 18 years old. So I wouldn’t be seeing my baby for 3-5 days. I’m going to still try to pump in the hospital but this stretch may force me to end my breastfeeding adventure. It’s also an entire day not pumping with pre surgery prep and then the actual surgery. Like I mentioned, my freezer supply isn’t enough to last the full hospital stay for me. I also hate the thought of not seeing my baby for 3-5 days. This surgery is a 3-5 day hospital stay and a 6 week recovery with a 10 pound lifting restriction. This is also really hard with a 25 pound baby. Even though it’s scheduled for April 9, I am still debating doing it. I know there is risks to every surgery but one of the risks of this one is ending up with a Hysterectomy. This is my biggest fear. Do I even want to risk it? I really want another baby soon. I’m going to be 37 in 3 months. If I have the surgery it’s one year to start trying for a baby, 2 years to deliver. If I don’t have the surgery I may end up on hospital bed rest again. They did discuss the cervix cerlage. Which is a stitch around the base of the cervix to keep you from dialating early. There’s also a high chance that I can’t get pregnant at all right now, fibroids can prevent you from getting pregnant. So do I try and if I fail then last resort do the surgery? But i’m getting old, do I really have that kind of time? Should I just take the risk of a possible Hysterectomy and do the surgery? I have talked to many people about this and so far ALL of their surgeries ended up with an unplanned Hysterectomy.

Why Is Myomectomy Performed?

FIBROIDS & FERTILITY: The main reason myomectomy is performed is to preserve the uterus for pregnancy, or to remove fibroids that are preventing the patient from becoming pregnant.

-Submucosal fibroids in the cavity should be removed since they may make conception of the pregnancy difficult, and may also increase the risk of miscarriage.

-Intramural fibroids should be removed in those patients with difficulty conceiving.

-In general, subserosal fibroids have little effect on the ability to become pregnant.

SYMPTOMS: Heavy menstrual bleeding and clotting, pain, compression of fibroids against the bladder, bowel, blood vessels that can lead to pain, difficulty going to the bathroom, and/or complications with circulation.*

Abdominal myomectomy

This procedure, also known as a laparotomy, is better for large fibroids, but it leaves a bigger scar than the other two procedures. For this procedure,your surgeon makes a cut in your lower belly and removes your fibroids.

Risks of surgery

All of these procedures are safe, but they can have risks, such as:

• bleeding

• infection

• the need for a repeat procedure

• damage to organs in your abdomen, such as your bladder or bowel

• scar tissue in your abdomen, which can form bands that bind organs and tissue together

• bowel or urinary problems

• fertility issues

• pregnancy complications

• rare chance that you’ll need a hysterectomy**

There is other surgery options such as laparoscopic available, but Unfortunately for me my fibroids are huge and I will need a Abdominal Myomectomy also known as a laparotomy.

I’m still so undecided. I think my plan is to go to the pre op appointment in February and talk to the surgeon more about all of my concerns.

*https://innovativegyn.com/procedures/myomectomy/

**https://www.healthline.com/health/womens-health/fibroid-surgery

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