Myomectomy is a surgery done to remove fibroids. Symptomatic Fibroids are operated. Even these days most myomectomies are performed by an open surgery. It can also be done laparoscopically. With faster recovery and early return to normal activities this method should be considered the preferred for many
Why it's done
Your doctor might recommend myomectomy for fibroids causing symptoms that are troublesome or interfere with your normal activities. If you need surgery, reasons to choose a myomectomy instead of a hysterectomy for uterine fibroids include:
Ways to do myomectomy
Laparoscopic myomectomy
In laparoscopic or minimally invasive procedures, your surgeon accesses and removes fibroids through several small abdominal incisions.
The fibroid is cut into smaller pieces and removed through these small incisions in the abdominal wall or, rarely, through an incision in your vagina (colpotomy).
This means you may have less pain, lose less blood and return to normal activities more quickly than with a laparotomy. Uterine size and fibroid number and location are factors in determining when laparoscopic surgery is appropriate.
How you prepare
Here's what you can do to prepare:
Not all surgeons are trained in laparoscopic surgery; because of the small size of the incisions, removing uterine fibroids with laparoscopic myomectomy requires special training.
how to prevent possible surgical complications
To minimize risks of myomectomy surgery, your doctor may recommend
Hysteroscopic myomectomy
To treat fibroids that bulge significantly into your uterine cavity (submucosal fibroids), your surgeon may suggest a hysteroscopic myomectomy. Your surgeon accesses and removes fibroids using instruments inserted through your vagina and cervix into your uterus.
Risks of myomectomy
Myomectomy has a low complication rate. Risks of myomectomy include:
When you go home
POINTS TO REMEMBER
Dr Mathews' GynaeOncology Clinic
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