myomectomy sucks...

[Guest guest]

I'm home this morning. online for only a few. can't wait to post the

anesthesia record of my myomectomy online...I guess I'm just a horse

when it comes to stopping pain for me! But myo has UAE beat without any

doubt on pain richter scale... is 950 mcg of fentanyl a lot of

fentanyl? plus 25 of demerol, plus..... the list is long.... and

continued for well over the first 24 hours. Anesthesiologist gave

instructions to keep it high because of my tolerance level for

narcotics...but nursing staff disregarded him and went with the floor

SOPs. Screaming in pain as I woke up and begging for meds occurred with

myo just as it did with UAE...only this time my husband stayed with me

the entire time and advocated immediately for intervention and paging

Broder.

Dr. Broder had to do a suspension as well. utero sacral ligaments were

attenuated and stretched by about 2 cm. he folded them back and

reinforced them into place with stitching. didn't cut them or shorten

them by severing them. just folded them and stitched them down on

either side of uterus. also did something else that I don't remember

right now. still in lots of pain and taking percoset back to back to

keep it down some. need to get report and read it after it's written.

don't know if it will work but complete prolapse was truly going to

occur after the fibroids were removed without some type of intervention

-- it was that bad.

subserosal fibroid (~8 cm) was soft, very necrosed, and liquified in

center. It was posterier pre-UAE. It had completely relocated itself

anteriorly and was tipping the whole uterus forward. I told him so. He

didn't believe me until he saw it for himself upon pulling the uterus

out and did express surprise over this. UTerus was positioned normally

-- not turned -- fibroid was anterior and tilting the whole thing

downward into the vagina. said he thought he saw PVA in this

fibroid and asked to be paged by pathology when the slides are done.

curious myself... 3 other, 1 cm or so intramural fibroids removed.

will know more in another week or so.

got to lay back down. flowers from SCVIR very beautiful. very nice.

love you guys. sorry my fibroids didn't cooperate and sit still with

UAE -- but I guess that I was meant to have more to say about all of

this in the future.

BTW, another uterine prolapse reported in Arkansas. Ugh. That woman

had a 30+ week size fibroid uteri prior to UAE over a year ago. Normal

uterus now as she has passed a lot of submucosal material. Total

prolapse of the uterus into the vagina last Saturday. Terrified me

reading her email as I was preparing for the hospital. Changed my

surgical plans with and gave him permission to do uterine

suspension if necessary. It was necessary. Must lie back down. MOre

next week.

Thank you all for your good wishes. I feel good about this surgery.

glad to be rid of the fibroids too. why dit it have to take over 16

years of begging for appropriate treatment, UAE, and prolapse though?

why did it have to take screaming from the rooftops of the internet to

get any attention or respect for my wishes? why?

carla