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Myomectomy (2 Clinics)

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star star Feb 2020

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star star Jan 2020

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Recommended For Myomectomy

Female patients who are suffering from uterine fibroids (also called myoma or leiomyoma of the uterus) can be the candidates for myomectomy. It does not happen often, but sometimes leiomyoma of the uterus develops cancer, and it may cause bleeding, pain, and infertility.

Not Recommended For Myomectomy

If the patient's leiomyoma did not turn into cancer, which rarely happens, then the patient is suitable for the operation. It is relatively a safer and less complex operation than a hysterectomy.

Number Of Trips Abroad

1

Discharge From Hospital

Outpatient (hysteroscopic myomectomy and laparoscopic myomectomy) 1-4 days (abdominal myomectomy)

Minimum Stay

Outpatient (hysteroscopic myomectomy and laparoscopic myomectomy) 1-4 days (abdominal myomectomy)

Overview

Myomectomyis a surgery for the removal of uterine fibroids. Also, this treatment lets patients avoid hysterectomy operation. There are different kinds of myomectomy, which are hysteroscopic myomectomy, laparoscopic myomectomy, an abdominal myomectomy (or laparotomic myomectomy). In contrast to hysterectomy, patients who had myomectomy can get pregnant after the operation.


Types of Myomectomy Surgery

There are three main types of myomectomy procedure: 

• Hysteroscopic Myomectomy – hysteroscopic myomectomy is usually used to remove uterine fibroids growing inside the uterus. Hysteroscopy is a medical device inserted through the vagina and allowing for operation without external incisions. 

• Laparoscopic Myomectomy – This method is very useful in cases of minor uterine fibroids which are located on the outer wall of the uterus. Laparoscopic myomectomy is performed with a medical tool called laparoscope. It involves a camera and a light. Surgeons make several small incisions instead of a single big one.

• Abdominal Myomectomy (Laparotomic Myomectomy) – In this method, surgeons make a large incision in the abdomen. This method finds its use in complicated cases of leiomyoma of the uterus, with large numbers of uterine fibroids in different locations.

Preparation

Before the surgery, some patients may need hormonal therapy with so-called GnRH-a. It would be effective in reducing the bleeding from the uterus. Also, before the operation, you should always inform your doctors about the medical conditions you have and the medicines you are taking. Therefore, your doctors may want you to stop taking some of the medicines which may affect the process negatively. 

How It Is Performed

Even though there are different methods (hysteroscopic myomectomy, laparoscopic myomectomy, and abdominal myomectomy) to perform myomectomy, their purpose is the same, which is to the removal of the uterine fibroids. After the operation, surgeons pay attention to the operated area in case of extreme bleeding to stop it, and they might make stitches. (like in the abdominal myomectomy and, to a smaller extent, in the laparoscopic myomectomy).

Recovery

The myomectomy recovery period varies depending on the type of the myomectomy performed. Hysteroscopic myomectomy has a very short recovery time, which is a couple of days while the recovery period for abdominal myomectomy is around 6 weeks. In general, during the myomectomy recovery period, patients may experience pain, but it would not require any medical intervention.

Risks

Even though the myomectomy surgery is a safe one, still there are some risks and complications. For example, surgeons may cause harm to surround organs during the operation. Also, infection is one of the complications of myomectomy. Rarely, this surgery may cause infertility in some of the patients. Yet the most important complication of myomectomy is extreme bleeding. Surgeons may need to perform a hysterectomy to be able to stop it.

Side Effects

Myomectomy surgery has no known side effects.

Success Rates

There is no clear data about the success rate of myomectomy operation, but it is known that many patients who had myomectomy are pleased. 

Faq

What Is Myomectomy? 

Myomectomy is performed as a treatment for uterine fibroids. Myomectomy can be performed in three different ways. During the hysteroscopic myomectomy, surgeons remove uterine fibroids from the vagina while in laparoscopic myomectomy several small cuts are made and in abdominal myomectomy, there is a big cut made to perform the operation. There are different kinds of methods for the different needs of the patients.

 

 

Myomectomy vs. Hysterectomy – Which Is Better? 

The answer depends on the patient's expectation. If the patient is willing to get pregnant, then myomectomy is the best choice. However, hysterectomy enjoys higher success rates when it comes to the overall satisfaction of patients. 

 

Is There a Connection between Fibroids and Pregnancy? 

Many patients have uterine fibroids without even realizing it. Yet there might be issues caused by leiomyoma of the uterus which can lead to performing of myomectomy surgery.

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Extra Content

This content is written and reviewed by our medical content team in August, 2019.