What are the rates of complications for myomectomies?
Overall complication rate:
The overall complication rate for myomectomies is approximately 10-20%.
Major complication rate:
The major complication rate for myomectomies is approximately 1-2%. Major complications include:
* Uterine rupture
* Hemorrhage
* Infection
* Deep venous thrombosis (DVT)
* Pulmonary embolism (PE)
Minor complication rate:
The minor complication rate for myomectomies is approximately 8-10%. Minor complications include:
* Pain
* Nausea and vomiting
* Urinary tract infection (UTI)
* Constipation
* Diarrhea
* Fatigue
* Incisional hernia
Risk factors for complications:
The risk of complications from a myomectomy may be increased by the following factors:
* Age over 35 years
* Obesity
* Diabetes
* High blood pressure
* History of uterine surgery
* Previous cesarean section
* Multiple fibroids
* Large fibroids
* Location of fibroids (e.g., intramural fibroids are more likely to cause complications than subserosal fibroids)
Prevention of complications:
The following measures may help to prevent complications from a myomectomy:
* Choosing a surgeon who is experienced in performing myomectomies
* Following the surgeon's instructions before and after surgery
* Taking medication as prescribed
* Getting plenty of rest
* Avoiding strenuous activity
* Eating a healthy diet
* Maintaining a healthy weight
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