WOMENS-HEALTH Messages for October, 2000: Re: myomectomy prep

Re: myomectomy prep

From: anonymous@obgyn.net
Tue, 31 Oct 2000 11:07:17 -0600 (CST)

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In reply to: Jan: "myomectomy prep"

At Tue, 31 Oct 2000, Jan wrote: >
>Hi!
>I am preparing for a myomectomy (laparotomy with a bikini line
>incision). Additionally, I will be having a hysteroscopy at the same
>time (to get out the fibroids in the inner uterine cavity). In
>preparation for this surgery, I have stepped up my workouts to include a
>lot of toning and light weight lifting. I heard that one doctor
>recommended that her patient not tone her abdominal muscles prior to
>surgery, because toned abs makes it harder to 'push over' the muscles in
>order to get the uterus. I heard that if a women's abs are too toned,
>then they can't be 'pushed over,' then more cutting through the muscles
>would be necessary?
>
>What do you think of this advice?
>Thanks in advance! Janice

It's not really an issue. Under general anesthesia, the muscles are very relaxed. I have never had to cut the muscles because I could not move them aside, only when the nature of the proceedure changed, and I needed lots more exposure (unexpected cancer for instance). Certainly, if we (well, not me we, but surgeons we) can operate on the abdomen of men, typically much more heavily muscled than even very fit women, we can operate on you.

-- William D. McIntosh, MD, FACOG

This is for educational purposes only, and is not a substitute for consultation with, and examination by, a qualified medical professional.

Due to time and energy constraints, I will be unable to answer any personal e-mails. Thank you for your consideration in this matter.

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In reply to: Jan: "myomectomy prep"

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