17 Dec What to Expect During Recovery After Robotic Myomectomy
Recovery after robotic myomectomy is usually quicker and less physically demanding than traditional open surgery, thanks to smaller incisions and advanced surgical precision. This minimally invasive approach is commonly used to remove uterine fibroids while preserving the uterus, and forms part of modern robotic surgery techniques in gynaecology.
Most patients undergoing myomectomy surgery can expect a shorter hospital stay and a gradual return to normal activities within a few weeks. Compared with open surgery, robotic myomectomy is associated with less post-operative pain, reduced blood loss, and quicker mobilisation, particularly for women being treated for fibroids.
Key Takeaways
- Recovery after robotic myomectomy is generally faster than open surgery
- Most patients return home within one to two days
- Pain and fatigue are expected but usually improve steadily over time
- Light activity can resume early, with gradual return to full exercise
- Following post-operative advice is key to safe healing
The First Few Days After Surgery
In the first 24 to 48 hours after robotic myomectomy, it is normal to feel tired and experience mild to moderate abdominal discomfort. Pain is usually well controlled with oral pain relief, and many patients are encouraged to start gentle walking soon after surgery to reduce the risk of blood clots and stiffness.
Some bloating or shoulder tip pain may occur due to the gas used during keyhole surgery. This typically settles within a few days. Light vaginal bleeding or spotting can also occur and usually resolves gradually.
Hospital Stay and Early Recovery
Most patients stay in hospital for one to two nights, depending on the complexity of the procedure and individual recovery. During this time, pain control, mobility, and bladder function are monitored closely.
Once home, rest is important, but complete bed rest is not recommended. Gentle movement around the house helps circulation and promotes healing. Fatigue is common during the first week and energy levels may fluctuate.
Pain, Wound Care, and Daily Comfort
Incisions from robotic surgery are small and usually heal well with minimal scarring. Dressings can generally be removed after several days, and stitches are often dissolvable. Keeping the wounds clean and dry helps reduce infection risk.
Pain tends to improve steadily over the first one to two weeks. Many patients find they need less pain relief after the first few days. If pain worsens rather than improves, medical review is important.
Returning to Normal Activities
Light daily activities can usually be resumed within the first week, but heavy lifting, strenuous exercise, and high-impact movements should be avoided for several weeks. Driving is typically safe once pain is controlled and you are no longer taking strong pain medications.
Returning to work depends on the type of job. Desk-based work may be possible within two weeks, while physically demanding roles often require a longer recovery period. Your surgeon will provide personalised guidance.
Fertility Considerations After Myomectomy
One of the main advantages of myomectomy is preserving the uterus for future pregnancy. Healing of the uterine muscle is important before attempting conception, and patients are usually advised to wait several months before trying to become pregnant.
Your surgeon will discuss individual fertility planning and any recommendations for future pregnancy, including delivery considerations depending on the depth and location of fibroid removal.
Follow-Up and When to Seek Medical Advice
Follow-up appointments are typically scheduled within the first few weeks after surgery to assess healing and discuss pathology results. It is important to seek medical advice urgently if you experience heavy bleeding, fever, worsening pain, redness or discharge from incision sites, or symptoms such as chest pain or shortness of breath.
If you are considering robotic myomectomy or have questions about recovery, you can arrange a consultation via our Contact Us page to discuss your individual circumstances and treatment options.