Myomectomy

Myomectomy is a surgical procedure that involves the removal of uterine fibroids, which are noncancerous growths that can develop in the uterus.

This procedure is typically performed to relieve symptoms such as heavy menstrual bleeding, pelvic pain, or pressure on the bladder or bowel.

It is often recommended for women who wish to preserve their fertility.

HOW IS MYOMECTOMY DONE?

There are different methods for performing a Myomectomy:

 

  • Laparoscopic Myomectomy: This procedure involves inflating the abdomen with carbon dioxide, followed by making small incisions in the abdomen. After the incision is made, the doctors then put ports into the uterus through the incisions and the surgery is done.
  • Robot-assisted Laparoscopic Myomectomy: This type of procedure is similar to a typical laparoscopic myomectomy, except that it is just done with the aid of a robot. This new technology allows doctors to exercise better control over the tissue, and so they are able to sew better. This technique leads to relatively more comfort for the patient as they experience less pain, less bleeding, and less disability after surgery and can return quickly to their normal life.
  • Abdominal Myomectomy: In this, doctors go for a bikini cut or a vertical cut through the abdomen. This is an extremely common type of surgery that has been used for years. However, this procedure generally causes the patient to recover more slowly.
  • Hysteroscopic Myomectomy: The fibroids that are submucous or just adjacent to the lining, can be removed this way. For this, a camera along with a light source, is moved through the vagina into the uterus.

RESULTS:

Myomectomy can provide relief from symptoms such as heavy menstrual bleeding, pelvic pain, or pressure on the bladder or bowel.

Additionally, for women who wish to become pregnant, myomectomy may increase the chances of successful conception and a healthy pregnancy by preserving the uterus and reducing the risk of complications such as miscarriage or preterm birth.

However, there is still a risk of recurrence of fibroids following myomectomy, and some women may require additional treatment in the future.