Slide 11

The patient is undergoing a hysteroscopic myomectomy, so we need to get informed consent from her. We have to explain the procedure, including what a hysteroscopy and myomectomy are, the benefits and risks, any additional procedures that may be necessary, such as laparoscopic or open surgery, and the possibility of a hysterectomy if there are complications. We also need to discuss the benefits and risks of alternative treatments or no treatment, and the type of anesthesia used will be general anesthesia. Now we know that our patient is getting a hysteroscopic myomectomy. We have to get informed consent from her. So in order to get this, we have to discuss with the patient the name of the procedure, the proposed procedure, which includes explaining what a hysteroscopy is and then what the myomectomy is, the intended benefits of it, the significant and frequently occurring risks, any extra procedures that may be necessary, which can include converting to a laparoscopic or open abdominal surgery if, for example, we discover that the fibroids are in fact not submucosal. Or if we have uncontrollable bleeding, we might have to do a hysterectomy. We also need to discuss the benefits and the risks of alternative or no treatment at all and discuss the type of anesthesia that we will be doing, which is the general anesthesia.