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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do Heavy Vaginal Bleeding And Nausea After Robotic Laparoscopic Myomectomy Indicate?

I had a robotic laparoscopic myomectomy done and 2 weeks post op (the same day my cycle started). The first day was EXTREMELY heavy and I started experiencing dizziness and occasional nausea. I went to the acute care on day 5 and was given a shot of Phenergan and prescribed Reglan and Antivert. The dizziness has not subsided and I am week 3 post op. The Gynecologist who performed surgery ran blood tests and everything was normal. Is this normal after this procedure?
Fri, 8 May 2020
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General Surgeon,  's  Response
Hello,

* As per my clinical experience, the heavy vaginal bleeding is not considered normal part of post operative recovery period of myomectomy procedure.

* There can be a bleeder responsible for heavy vaginal bleeding.

* Immergency ultrasound of the pelvis is mandatory to evaluate for collection of blood in form of hematoma, active spurter or other problems.

* Minor bleeder or ooze do response best to hemostatic agents as Trenaxemic acid or Ethamsylate

* Moderate to major bleed may need surgical packing or cauterization with harmonic scalpel.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. Bhagyesh V. Patel
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What Do Heavy Vaginal Bleeding And Nausea After Robotic Laparoscopic Myomectomy Indicate?

Hello, * As per my clinical experience, the heavy vaginal bleeding is not considered normal part of post operative recovery period of myomectomy procedure. * There can be a bleeder responsible for heavy vaginal bleeding. * Immergency ultrasound of the pelvis is mandatory to evaluate for collection of blood in form of hematoma, active spurter or other problems. * Minor bleeder or ooze do response best to hemostatic agents as Trenaxemic acid or Ethamsylate * Moderate to major bleed may need surgical packing or cauterization with harmonic scalpel. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Bhagyesh V. Patel