Oncology Center
Friday, November 22, 2019

Audio Presentation

Myomectomy

Vaginal Fibroid Removal


Your Procedure
  Your Body
  Alternatives
  Medical Record
  Anesthesia
  Before Surgery
  Your Procedure
  Recovery
This information is not intended to replace the advice of your doctor. MedSelfEd, Inc. disclaims any liability for the decisions you make based on this information.
Now it's time to talk about the actual procedure your doctor has recommended for you.

On the day of your operation, you will be asked to put on a surgical gown.
On the day of your operation, you will be asked to put on a surgical gown.
You may receive a sedative by mouth...
You may receive a sedative by mouth...
and an intravenous line may be put in.
and an intravenous line may be put in.
You will then be transferred to the operating table.
You will then be transferred to the operating table.
To perform this procedure, your doctor will need unobstructed access to your uterus, so your feet will be raised, separated and placed in canvas slings - holding your legs in a position much like that position used during a routine gynecological exam. To begin, your genital area will be clipped or shaved ...
To perform this procedure, your doctor will need unobstructed access to your uterus, so your feet will be raised, separated and placed in canvas slings - holding your legs in a position much like that position used during a routine gynecological exam. To begin, your genital area will be clipped or shaved ...
and swabbed with an antiseptic solution ...
and swabbed with an antiseptic solution ...
and sterile towels are draped around until only the vulva is exposed.
and sterile towels are draped around until only the vulva is exposed.
Then the surgeon will use a gloved hand to conduct a vaginal examination and will check the size and location of the uterus by pressing on your lower abdomen.
Then the surgeon will use a gloved hand to conduct a vaginal examination and will check the size and location of the uterus by pressing on your lower abdomen.
Your doctor will then use a retractor to open the vagina.
Your doctor will then use a retractor to open the vagina.
Once the cervix is visible, a forceps is used to grasp the front lip of the cervix ...
Once the cervix is visible, a forceps is used to grasp the front lip of the cervix ...
and to pull it forward - causing the uterus to open.
and to pull it forward - causing the uterus to open.
Through that opening, your doctor will insert an instrument called a hysteroscope.
Through that opening, your doctor will insert an instrument called a hysteroscope.
A hysteroscope allows the surgical team to insert all necessary optical and surgical instruments into the uterus.
A hysteroscope allows the surgical team to insert all necessary optical and surgical instruments into the uterus.
At the beginning of the procedure, a harmless gas or fluid will be introduced into the uterus, causing it to expand.
At the beginning of the procedure, a harmless gas or fluid will be introduced into the uterus, causing it to expand.
By inflating the uterus slightly, your doctor is better able to reach the operative site.
By inflating the uterus slightly, your doctor is better able to reach the operative site.
Next, a wire loop is inserted. This loop is used to grab the fibroid tissue and snip it free from the muscular wall of the uterus.
Next, a wire loop is inserted. This loop is used to grab the fibroid tissue and snip it free from the muscular wall of the uterus.
When your doctor is satisfied that all fibrous tissue has been removed,
When your doctor is satisfied that all fibrous tissue has been removed,
the hysteroscope and all other instruments are withdrawn. The gas or fluid is allowed to escape ...
the hysteroscope and all other instruments are withdrawn. The gas or fluid is allowed to escape ...
and the uterus returns to its normal shape.
and the uterus returns to its normal shape.

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