Table of Content

Cover Page i
Title Page ii
Approval/Certification iii
Acknowledgment iv
Introduction 1
Patient’s Bio Data 2
Disease History 3

Anatomy and Physiology of the Lungs 4

Comprehensive Literature Review 7
Incidence 7
Causes 7
Clinical Manifestations 8
Diagnostic Investigation 8
Types of Myomectomy 9
Benefits of Myomectomy 9
Complications of Myomectomy 10

Application of the Nursing Process 11

Nursing History 11
Nursing Management 13
Nursing Diagnoses 15
Nursing Care Plan 16
Pharmacological Review of Drugs Used 23
Progress and Discharge Summary 27
Conclusion 27
Implication of the Study 28
Importance of the Study 28
Inferences Drawn from the Study 28
References 29

1
 INTRODUCTION

Myomectomy is a surgical procedure to remove uterine fibroids, also called leiomyomas. These

common noncancerous growths appear in the uterus. Uterine fibroids usually develop during

childbearing years, but they can occur at any age. Myomectomy is performed to treat symptoms

caused by uterine fibroids. There are three main types of myomectomy:

 Open abdominal myomectomy: This is the traditional type of myomectomy, and it

involves making an incision in the abdomen to remove the fibroids.

 Laparoscopic myomectomy: This is a minimally invasive type of myomectomy, and it

involves making small incisions in the abdomen and using a laparoscope to remove the

fibroids.

 Hysteroscopic myomectomy: This is a minimally invasive type of myomectomy, and it

involves making an incision in the cervix and using a hysteroscope to remove the

fibroids.

Most women who have myomectomy experience relief from their symptoms and are able to resume their

normal activities. However, there is a small risk that fibroids will recur. Women who have myomectomy

to preserve fertility may have difficulty getting pregnant in the future.

1
Patients Bio Data

Name of Patient: Mrs. N. F

Age: 35yrs

Sex: Female

Preoperative diagnoses Multiple uterine fibroids

Religion: Christianity

Occupation: Teacher

Nationality Nigeria

State of Origin Abia State

Address: 47 Umuchi, Umuahia

Next of Kin: Mr. N. O

Address of Next of Kin: 47 Umuchi, Umuahia

Doctor in charge: Dr. Nwankwo A. E

2
Family Composition: Patient stated that the father is deceased. The mother is alive and well.

She has 2 sisters. Both are alive and well. She has no children.

Social History: Mrs. N.F is married and lives in a suburban home with her husband. She works

as a teacher and enjoys spending time with her family and friends. She does not smoke or use

alcohol. She attends St. Joseph’s Anglican church and is actively involved in her community.

Disease History: Mrs. N. F is 35-year-old woman who has been experiencing heavy menstrual

bleeding, pelvic pain and infertility for the past two years. Her menstrual periods typically last

for 7 – 10 days and are so heavy that she needs to change pads every 2 -3 hours. She also

experiences cramping and pain in her lower abdomen during her period. She has tried several

different types of birth control but none of them have helped to control her bleeding. Mrs. N. F

has also been trying to get pregnant for the past year, but she has not been able to conceive. She

has had a pelvic ultrasound that showed that she has uterine fibroids.

Past Medical History: Mrs. N. F has no significant past medical or surgical history. She is not

currently taking any medications.

3
 ANATOMY AND PHYSIOLOGY OF THE UTERUS

Description: The uterus is a pear-shaped, hollow, muscular organ located in the female pelvis

between the bladder and rectum. It is about 3 inches long, 2 inches wide, and 1 inch thick. The

uterus is responsible for menstruation, implantation, and gestation.

Anatomy of the Uterus

The uterus has four main parts:

 Fundus: The top, rounded part of the uterus.

 Body: The main part of the uterus, located below the fundus.

 Isthmus: The narrow part of the uterus that connects the body to the cervix.

 Cervix: The lower part of the uterus that connects to the vagina. The cervix has a small

opening called the os.

Layers of the uterus

The uterus is made up of three layers of tissue:

 Perimetrium: The outer layer of the uterus, made up of connective tissue.

 Myometrium: The middle layer of the uterus, made up of smooth muscle. The

myometrium is responsible for contracting the uterus during childbirth.

 Endometrium: The inner layer of the uterus, made up of glandular and mucous tissue.

The endometrium is responsible for menstruation and implantation.

4
Physiology of the Uterus

The uterus is a dynamic organ that undergoes changes throughout a woman's life. These changes

are controlled by the hormones estrogen and progesterone.

1. Menstruation: During menstruation, the endometrium is shed. This is because

progesterone levels drop, causing the blood vessels in the endometrium to constrict. The

shed endometrium and blood are expelled from the body through the vagina.

2. Implantation: If an egg is fertilized, it will travel down the fallopian tube and implant in

the endometrium. The endometrium will grow and thicken to support the developing

embryo.

3. Gestation: During gestation, the uterus will grow to accommodate the growing fetus. The

myometrium will also thicken and become stronger to prepare for childbirth.

4. Childbirth: During childbirth, the myometrium will contract to push the baby out of the

uterus. The cervix will also dilate (open) to allow the baby to pass through.

After childbirth, the uterus will return to its normal size. The endometrium will also shed, and

menstruation will resume.

Hormonal Control of the Uterus

The uterus is controlled by the hormones estrogen and progesterone. These hormones are

produced by the ovaries.

a. Estrogen: Estrogen is responsible for the growth and development of the endometrium. It

also helps to trigger ovulation, the release of an egg from the ovary.

5
 b. Progesterone: Progesterone is responsible for maintaining the endometrium and preparing

it for pregnancy. If pregnancy does not occur, progesterone levels drop and the

endometrium is shed during menstruation.

Arterial Supply: The arterial supply to the uterus is primarily via the uterine arteries, which

arise from the internal iliac arteries. The uterine arteries branch into the spiral arteries, which

supply the myometrium, and the basilar arteries, which supply the endometrium.

Venous Drainage: The venous drainage of the uterus is via the uterine veins, which drain into

the internal iliac veins. The uterine veins are formed from the confluence of several smaller

veins, including the spiral veins and the basilar veins.

Lymph Nodes: The lymphatic drainage of the uterus is via the lymphatic vessels that drain into

the following lymph nodes:

 Parauterine lymph nodes

 Obturator lymph nodes

 Internal iliac lymph nodes

 Sacral lymph nodes

 Lumbar lymph nodes

Nervous Supply: The nervous supply to the uterus is via the sympathetic and parasympathetic

nervous systems. The sympathetic nervous system innervates the uterus via the hypogastric

6
plexus, which arises from the lumbar splanchnic nerves. The parasympathetic nervous system

innervates the uterus via the pelvic splanchnic nerves, which arise from the sacral plexus

COMPREHENSIVE LITERATURE OF MYOMECTOMY

Uterine fibroids, also known as leiomyomas, are benign (noncancerous) tumors that grow in the

wall of the uterus. They are one of the most common gynecological problems, affecting up to

70% of women by age 50 (Collins, 2022). While most fibroids do not cause any symptoms, some

women may experience heavy menstrual bleeding, pelvic pain, pressure, or bloating (Sarah et al,

2019).

Myomectomy is a surgical procedure that involves the removal of uterine fibroids, which are

noncancerous growths that develop in the uterus. These fibroids can cause a variety of

symptoms, including heavy menstrual bleeding, pelvic pain, and infertility. Myomectomy is a

common treatment option for women with symptomatic fibroids.

Causes of uterine fibroids

According to Horner (2020), the exact cause of uterine fibroids is unknown, but several factors

are thought to contribute to their development, including:

i. Hormonal factors: Estrogen and progesterone, the female sex hormones, play a role in

the growth of uterine fibroids. Women with higher levels of these hormones are at

increased risk of developing fibroids.

ii. Genetic factors: Family history of uterine fibroids is a strong risk factor for developing

them.

iii. Other factors such as

7
  Obesity

 High blood pressure

 Exposure to certain environmental toxins may also increase the risk of developing

uterine fibroids.

Clinical Manifestations of uterine fibroids

The symptoms of uterine fibroids vary depending on the size, location, and number of fibroids.

Some women may experience no symptoms at all, while others may experience:

a. Heavy menstrual bleeding: This is the most common symptom of uterine fibroids. Heavy

menstrual bleeding can lead to anemia, which causes fatigue, weakness, and shortness of

breath.

b. Pelvic pain: Pelvic pain is another common symptom of uterine fibroids. The pain can be

crampy, constant, or aching.

c. Infertility: Uterine fibroids can interfere with fertility by blocking the fallopian tubes or

making it difficult for an embryo to implant in the uterus.

d. Pressure or bloating: Uterine fibroids can cause a feeling of pressure or bloating in the

lower abdomen.

e. Frequent urination: Uterine fibroids can put pressure on the bladder, causing frequent

urination.

Diagnostic Investigations of uterine fibroids

Several diagnostic tests can be used to diagnose uterine fibroids and determine if myomectomy is

the right treatment option. These tests include:

8
  Pelvic ultrasound: This is the most common test used to diagnose uterine fibroids. Pelvic

ultrasound uses sound waves to create images of the uterus and other pelvic organs.

 Sonohysterography: This is a type of ultrasound that uses a saline solution injected into

the uterus to get a clearer picture of the fibroids.

 Hysterosalpingography (HSG): This is an X-ray test that uses a dye to outline the uterus

and fallopian tubes. HSG can be used to diagnose uterine fibroids and other conditions

that can cause infertility.

Types of Myomectomy

There are three main types of myomectomy:

i. Abdominal myomectomy: This is the most traditional type of myomectomy and involves

making an incision in the abdomen to remove the fibroids

ii. Laparoscopic myomectomy: This is a minimally invasive procedure that involves making

small incisions in the abdomen and using a laparoscope, a thin tube with a camera, to

guide the surgeon.

iii. Hysteroscopic myomectomy: This is a minimally invasive procedure that involves

inserting a hysteroscope, a thin tube with a light and camera, through the vagina and into

the uterus to remove the fibroids (Mayo clinic 2022)

Benefits of Myomectomy

According to Susan (2023) myomectomy can offer a number of benefits, including:

 Relief of symptoms: Myomectomy can effectively relieve symptoms such as heavy

menstrual bleeding, pelvic pain, and infertility

9
  Preservation of the uterus: Myomectomy is a conservative treatment option that preserves

the uterus, which is important for women who want to have children in the future.

 Improved quality of life: Myomectomy can significantly improve quality of life for

women who are experiencing symptoms from uterine fibroids.

Complications of Myomectomy

As with any surgery, there are some risks associated with myomectomy, including:

a. Bleeding

b. Infection

c. Scarring

d. Damage to the uterus or other organs

e. Adhesion formation: Adhesion formation is the formation of scar tissue between organs,

and it can occur after myomectomy. Adhesion formation can cause pain and infertility,

but it is usually treated with pain medication or surgery.

f. Recurrence of fibroids: There is a small risk that fibroids will recur after myomectomy,

especially in women who are younger or who have a family history of fibroids. (ACOG,

2023)

10
 APPLICATION OF THE NURSING PROCESS NURSING HISTORY

Mrs. N. F reported to the hospital on 3rd April, 2023 with complaints of heavy menstrual

bleeding and pelvic pain for the past two years. She stated that her symptoms are worse during

her menstrual period and also when she is stressed. She also reported changes in appetite, weight

and bowel habits.

Assessment of the systems

 Head, Ear, Eyes, Nose and Throat: No headache, dizziness, or vision changes

 Respiratory: No cough, shortness of breath, or chest pain.

 Cardiovascular: No chest pain, palpitations, or edema.

 Gastrointestinal: No nausea, vomiting, or abdominal pain.

 Genitourinary: Heavy menstrual bleeding, pelvic pain and infertility.

 Musculoskeletal: No joint pain or weakness

 Neurological: No headaches, dizziness, or weakness

 Psychiatric: No anxiety or depression

Physical Examination

 Vital signs:

- Blood pressure: 120/80 mmHg

- Respiratory rate: 16 breaths/min

- Temperature: 36.5o C

- spO2: 96%

11
Doctors Plan

- Schedule a myomectomy to remove the uterine fibroids

- Counsel Mrs. N.F about the risks and benefits of myomectomy

- Give Mrs. N.F information about postoperative care.

Preoperative Nursing Management for Myomectomy

The primary focus of preoperative care is to optimize the patient's health status, provide

education and support, and address any potential concerns.

Assessment and History

 The nurse conducted a thorough medical history, including past surgeries,

medications, allergies, and family medical history.

 The nurse assessed the patient's overall health status, including cardiovascular,

respiratory, and renal function.

Physical Examination: The nurse assessed for any signs or symptoms of anemia, such as pale

conjunctiva, fatigue, or shortness of breath.

Laboratory Tests: Routine laboratory tests, including complete blood count (CBC), electrolyte

panel, and coagulation studies was ordered.

Education and Counseling

 The nurse provided clear and concise explanations about the myomectomy procedure,

including its purpose, risks, and benefits.

12
  The nurse educated the patient on preoperative preparation, including bowel preparation,

dietary restrictions, and medication adjustments.

Psychological Support

 Acknowledging and addressing the patient's emotional concerns about surgery and its

impact on their body image and fertility.

 The nurse encouraged the patient to seek support from family, friends, or support groups

if needed.

Preoperative Medication Management: The nurse administered preoperative antibiotics to

reduce the risk of infection.

Nutrition and Hydration

 Counseling was provided on maintaining a healthy diet to support the healing process.

 Patient was instructed to follow bowel preparation instructions to ensure a clean colon for

surgery.

Postoperative Nursing Management of Myomectomy

Postoperative nursing care focuses on monitoring the patient's recovery, managing pain,

promoting healing, and providing education for self-care at home.

Pain Management

 Patient's pain level was assess regularly and pain medication was administered as

prescribed.

13
  Non-pharmacological approaches such as ice packs, heat therapy, and relaxation

techniques were used in pain management.

 Patient's response to pain medication was monitored and dosage was adjusted as needed.

Wound Care

 The nurse inspected the incision daily for signs of infection, such as redness, swelling,

drainage, or pain.

 The incision was dressed as needed and instructions were provided for proper wound care

at home.

 The nurse monitored for any complications related to the incision, such as bleeding,

dehiscence, or infection.

Fluid Balance

 The nurse monitored the patient's fluid intake and output, ensuring adequate hydration to

support healing.

 Intravenous fluids were administered as needed to maintain fluid balance and electrolyte

levels.

 Patient was encouraged to drink plenty of fluids after discharge to prevent dehydration.

Ambulation and Activity

 Encourage early ambulation to promote mobility and prevent complications, such as deep

vein thrombosis (DVT).

 Patient was educated on activity restrictions and advised to avoid strenuous activities

until fully recovered.

14
Discharge Planning

 Written discharge instructions, including pain management, wound care, activity

restrictions, and follow-up appointments were provided

 The nurse reviewed any medications prescribed for home and ensures the patient

understands their usage.

 Follow-Up appointment was scheduled to monitor the patient's progress and address any

concerns.

Pre-operative Nursing Diagnoses for Myomectomy

1. Anxiety related to fear of the unknown, potential complications of surgery, and changes

in body image manifested by patient’s verbalization.

2. Risk for Deficient Fluid Volume related to potential complications of anesthesia and

surgery, such as nausea, vomiting, or hemorrhage.

3. Risk for Ineffective Tissue Perfusion (cardiovascular, cerebral, gastrointestinal, renal, or

pulmonary) related to potential complications of anesthesia and surgery, such as

hemorrhage, infection, or electrolyte imbalance.

Post-operative Nursing Diagnoses for Myomectomy

1. Acute Pain related to surgical incision and tissue trauma manifested by patient’s facial

expression.

2. Risk for Infection related to surgical incision and potential exposure to pathogens.

3. Risk for Impaired Urinary Elimination related to anesthesia, pain medication, or bladder

manipulation during surgery.

15
 PRE-OPERATIVE NURSING CARE PLAN FOR MRS. N.F UNDERGOING MYOMECTOMY

S/N Nursing Diagnosis Nursing Objectives Nursing Intervention Scientific Rationale Evaluation

1. Anxiety related to fear The patient will 1 Provide emotional 1 To create a therapeutic The patient

of the unknown, experience a reduction support and reassurance nurse-patient relationship experienced a

potential complications in anxiety as evidenced by listening attentively to and foster trust. reduction in anxiety

of surgery, and by verbal expressions the patient's concerns. 2 To provide accurate as evidenced by

changes in body image of calmness, relaxed 2 Offer clear and concise information and reduce verbal expressions

manifested by patient’s body posture, and explanations about the uncertainty. of calmness,

verbalization. improved sleep patterns myomectomy procedure, 3 To address the patient's relaxed body

within 1 hour of including its purpose, individual concerns and posture, and

nursing intervention. risks, and benefits. promote emotional well- improved sleep

3. Encourage the patient being. patterns after 1 hour

to ask questions and 4 To provide coping of nursing

address any fears or mechanisms for intervention.

concerns they may have. managing anxiety.

4. Teach relaxation 5 To reduce anxiety

techniques, such as deep symptoms and promote

16
 breathing exercises and relaxation. - To evaluate

guided imagery, to the effectiveness of

manage anxiety. interventions and identify

5. Administer anxiolytic any persistent anxiety.

medication as prescribed

if necessary.

2 Risk for Deficient The patient will 1. Monitor vital signs - To detect early signs of The patient

Fluid Volume related maintain adequate fluid every 4 hours or as hypovolemia. maintained

to potential volume as evidenced needed. - To assess hydration adequate fluid

complications of by stable vital signs, 2. Assess mucous status. volume as

anesthesia and surgery, moist mucous membranes for moisture - To maintain adequate evidenced by stable

such as nausea, membranes, and and skin turgor for fluid balance and prevent vital signs, moist

vomiting, or adequate urine output elasticity. hypovolemia. mucous

hemorrhage. throughout the period 3. Monitor urine output - To prevent fluid loss membranes, and

of hospitalization. and maintain an adequate due to nausea and adequate urine

fluid intake of 2-3 liters vomiting. output throughout

per day. the per3iod of

17
 4.Administer intravenous - To evaluate the hospitalization.

fluids as ordered to effectiveness of

maintain fluid balance. interventions and identify

5. Administer antiemetic any potential

medication as prescribed complications.

to manage nausea and

vomiting.

3 Risk for Ineffective The patient will 1. Monitor vital signs - To detect early signs of The patient

Tissue Perfusion maintain adequate every 4 hours or as hypovolemia or maintained

(cardiovascular, tissue perfusion as needed. electrolyte imbalance. adequate tissue

cerebral, evidenced by stable 2. Assess skin perfusion - To assess tissue perfusion as

gastrointestinal, renal, vital signs, adequate by checking capillary oxygenation and evidenced by stable

or pulmonary) related skin perfusion, and refill and skin color. perfusion. vital signs, adequate

to potential normal urine output 3. Monitor urine output - To maintain adequate skin perfusion, and

complications of throughout the period and maintain an adequate fluid balance and prevent normal urine output

anesthesia and surgery, of hospitalization. fluid intake of 2-3 liters hypovolemia. throughout the

such as hemorrhage, - To correct electrolyte period of

18
 infection, or electrolyte per day. imbalances and maintain hospitalization.

imbalance. 4. Administer normal tissue function.

intravenous fluids as - To evaluate the

ordered to maintain fluid effectiveness of

balance. interventions and identify

5. Administer electrolyte any potential

replacement therapy as complications.

needed.

POST-OPERATIVE NURSING CARE PLAN FOR MRS. N.F UNDERGOING MYOMECTOMY

S/N Nursing Diagnosis Nursing Objectives Nursing Intervention Scientific Rationale Evaluation

19
1 Acute Pain related The patient will 1. Assess pain level using a - To accurately assess pain The patient

to surgical incision report a significant validated pain assessment tool, intensity and guide reported a

and tissue trauma reduction in pain as such as the Numeric Pain treatment decisions. significant

manifested by evidenced by a pain Rating Scale (NRS), every 4 - To provide timely and reduction in pain

patient’s facial score of 3 or less on a hours or as needed. effective pain relief. as evidenced by

expression. 0-10 scale within 30 2. Administer pain medication - To minimize the use of a pain score of 3

minutes of nursing as prescribed, ensuring the pain medication and or less on a 0-10

intervention. patient understands the timing potential side effects. scale after 30

and dosage of each medication. - To optimize comfort and minutes of

3. Utilize non-pharmacological reduce pain perception. nursing

pain management techniques, - To evaluate the intervention.

such as ice packs, heat therapy, effectiveness of pain

and relaxation techniques, as management interventions

appropriate. and provide individualized

4. Reposition the patient care.

frequently to promote comfort

20
 and prevent muscle spasms

2 Risk for Infection The patient will 1. Monitor temperature every 4 - To detect early signs of The patient

related to surgical maintain a normal hours or as needed. infection and initiate maintained a

incision and temperature, exhibit 2. Inspect the incision site daily prompt treatment. normal

potential exposure no signs of infection, for signs of infection, such as - To promote wound temperature,

to pathogens. and demonstrate redness, swelling, drainage, or healing and prevent exhibit no signs

proper wound care pain. infection. of infection, and

practices throughout 3. Change wound dressings as - To empower the patient demonstrate

the period of ordered and maintain a clean to actively participate in proper wound

hospitalization. and dry incision site. their care and reduce the care practices

4. Educate the patient on proper risk of infection. throughout the

wound care techniques, - To prevent the period of

including hand hygiene and development of infection hospitalization.

incision care instructions. and promote healing.

5. Administer prophylactic - To evaluate the

antibiotics as prescribed to effectiveness of infection

prevent infection. prevention interventions

21
 and identify any potential

complications.

3 Risk for Impaired The patient will 1. Assess urinary output every 4 - To monitor bladder The patient

Urinary Elimination maintain adequate hours or as needed. function and identify any maintained

related to urinary output (30-60 2. Encourage the patient to void potential complications. adequate urinary

anesthesia, pain ml/hour) and regularly and provide assistance - To promote bladder output (30-60

medication, or demonstrate normal if needed. emptying and prevent ml/hour) and

bladder bladder function 3. Apply a warm compress to urinary retention. demonstrate

manipulation during throughout the period the lower abdomen to promote - To alleviate bladder normal bladder

surgery. of hospitalization bladder relaxation. discomfort and promote function

4. Monitor for signs of urinary relaxation. throughout the

retention, such as bladder - To detect early signs of period of

distention or discomfort. urinary retention and hospitalization

5. Administer antispasmodic initiate appropriate

medication as prescribed to intervention.

manage urinary retention. - To manage urinary

retention and promote

22
 bladder emptying.

- To evaluate the

effectiveness of

interventions and identify

any persistent urinary

problems.

PHARMACOLOGICAL REVIEW OF THE DRUGS USED

1. Nitrazepam

2. Neomycin

23
 Name of Group Indication Dosage Route Side effects Contraindications Nursing responsibility
drug
Nitrazepam Benzodiazepine Short-term 50mg Oral Drowsiness, Hypersensitivity to - Assess for signs and

treatment of dizziness, benzodiazepines, symptoms of CNS

insomnia impaired acute narrow-angle depression, such as

coordination, glaucoma, severe drowsiness, dizziness, and

memory respiratory impaired coordination.

problems insufficiency, - Monitor respiratory

myasthenia gravis function, especially in

patients with respiratory

insufficiency. - Instruct

the patient to avoid

driving or operating

machinery until they are

fully alert. - Advise the

patient to avoid alcohol

and other CNS

depressants while taking

24
 nitrazepam.

Neomycin Aminoglycosid Treatment Oral: Oral, Ototoxicity Hypersensitivity to - Monitor hearing and

e antibiotic of serious 500- topical (hearing aminoglycosides, kidney function regularly.

infections 1000 mg loss), history of - Assess for signs and

caused by every 4- nephrotoxicit ototoxicity or symptoms of

susceptible 6 hours y (kidney nephrotoxicity, neurotoxicity, such as

gram- damage), neuromuscular dizziness, vertigo, and

negative neurotoxicity disorders, muscle weakness. -

bacteria, (nerve pregnancy, Instruct the patient to

such as E. damage), lactation report any signs of hearing

coli, hypersensitiv loss, ringing in the ears, or

Klebsiella, ity reactions other adverse effects

and immediately. - Advise the

Pseudomon patient to avoid taking

as other ototoxic or

nephrotoxic medications

25
while taking neomycin.

26
Progress and Discharge Summary

The patient is a 35-year-old female with a history of uterine fibroids for 2 years. She reports a

gradual increase in menstrual bleeding, pelvic pain, and pressure sensation in the lower

abdomen. She has tried medical management with birth control pills and hormonal therapy, but

her symptoms have not improved.

On admission, the patient was in good general health. Her vital signs were stable.

The patient underwent a myomectomy on 18th April 2023. The procedure was uneventful, and

the patient tolerated it well. She was discharged home on 23rd April 2023.

Medications prescribed: Tab. Nitrazepam 50mg.

Conclusion

The patient underwent a successful myomectomy and is expected to make a full recovery. She

was in stable condition and was tolerating her pain well. She continued to be monitored for any

signs of infection or complications and was educated on how to care for her incision at home.

She will be followed up with her surgeon in 2 weeks for a post-operative check-up.

Implication of the study

 Improved understanding of the causes of myomectomy

 Development of new treatment options

 Improved patient outcomes:

Importance of the study

 To improve our understanding of the causes of fibroids

27
  To develop new and more effective treatment options

 To improve patient outcomes

 Identify risk factors for complications and develop strategies to prevent them.

 Educate patients about the risks and benefits of myomectomy and other treatment

options.

Inferences Drawn From the Study

Uterine fibroids, also known as leiomyomas, are benign (noncancerous) tumors that grow in the

wall of the uterus. They are one of the most common gynecological problems, affecting up to

70% of women by age 50. While most fibroids do not cause any symptoms, some women may

experience heavy menstrual bleeding, pelvic pain, pressure, or bloating.

Myomectomy is a surgical procedure that involves the removal of uterine fibroids, which are

noncancerous growths that develop in the uterus. Myomectomy is a safe and effective treatment

for uterine fibroids.

Suggestions for further studies

Further research should be conducted on uterine fibroids

28
 References

American College of Obstetricians and Gynecologists. (2022). Uterine fibroids: Frequently asked
questions. Retrieved from: https://www.acog.org/womens-health/faqs/uterine-fibroids
The American Academy of Family Physicians. (2022). Uterine fibroids. Retrieved from:
https://www.aafp.org/pubs/afp/issues/2017/0115/p100.html
The Mayo Clinic. (2023). Myomectomy. Retrieved from: https://www.mayoclinic.org/tests-
procedures/myomectomy/about/pac-20384710
UpToDate. (2023). Myomectomy. Retrieved from: https://www.uptodate.com/contents/uterine-
fibroids-leiomyomas-open-abdominal-myomectomy-procedure
ACOG. (2022). Uterine fibroids: Frequently asked questions. Retrieved from:
https://www.acog.org/womens-health/faqs/uterine-fibroids
Susan J. (2023) Nurrsing diagnoses handbook: An evidence- based guide to planning care. St.
Louis, MO: Elsevier.
Sara et al, (2019) Medical-surgical nursing: Concepts for interprofessional; collaborative care.
St. Louis, MO: Elsevier.
Collins M (2022) Saunders comprehensive review for the NCLEX-RN examinations. St. Louis,
MO: Elsevier.
Horner A. W (2020) Nursing diagnoses handbook: An evidence- based guide to planning care.
St. Louis, MO: Elsevier.

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