Myomectomy surgery is a treatment for uterine fibroids allowing patients to avoid a hysterectomy procedure. Myomectomy procedure may be performed with various techniques, including hysteroscopic myomectomy, laparoscopic myomectomy, and abdominal myomectomy (or laparotomic myomectomy). Unlike in hysterectomy, patients choosing this type of uterine fibroids treatment may still become pregnant after their myomectomy surgery.
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. Hysteroscope is a medical device inserted through the vagina and allowing for operation without external incisions.
• Laparoscopic Myomectomy – laparoscopic myomectomy finds its use in the cases of small uterine fibroids growing on the outer wall of the uterus. Laparoscopic myomectomy is performed with laparoscope, a medical device equipped with camera and therefore instead of one big incision doctors may perform a series of small cuts.
• Abdominal Myomectomy (Laparotomic Myomectomy) – in this type of myomectomy surgery, doctors create a large cut in one’s abdomen. Abdominal myomectomy is useful in complicated cases of leiomyoma of uterus, with large numbers of uterine fibroids in different locations.
Candidates for myomectomy procedure are women who suffer from uterine fibroids (also known as myoma or leiomyoma of uterus). Leiomyoma of uterus rarely becomes a cancer but it may lead to bleeding, pain, and problems with conceiving a child.
Am I Suitable for Myomectomy?
As long as patient’s leiomyoma did not become a cancer (which is really rare), she is able to undergo a myomectomy surgery. It is often a safer and less complicated alternative to hysterectomy.
Preparing for Myomectomy
Some patients undergo a hormonal therapy with so-called GnRH-a before the myomectomy procedure. It helps reducing bleeding from uterus. Additionally, it is important to inform your doctors about all health issues you suffer from as well as all the medicines you take for them. In this way, they can tell which medicines may negatively affect your myomectomy surgery as well as the myomectomy recovery.
How is Myomectomy Performed?
While hysteroscopic myomectomy, laparoscopic myomectomy, and abdominal myomectomy differ when it comes to the technique, their aim is the same – to access the uterus and remove all or most of the uterine fibroids. After the end of the myomectomy surgery doctors make sure that there is no excessive bleeding in the area and make stitches when it is necessary (like in the abdominal myomectomy and, to smaller extent, in the laparoscopic myomectomy).
Back to Work
Up to the case
Myomectomy recovery timeline depends mostly on the type of myomectomy surgery. For patients undergoing a hysteroscopic myomectomy, the myomectomy recovery timeline is very short – they should be fine after only a few days. For patients after abdominal myomectomy, however, the myomectomy recovery timeline may span up to six weeks. No matter the type of the myomectomy procedure, myomectomy recovery means usually some amounts of pain but do not require elaborate rehabilitation or any activities apart from a good rest.
Myomectomy Risks and Complications
While myomectomy procedure is relatively safe, there are some myomectomy risks worth mentioning. First of all, during myomectomy surgery, doctors may accidentally cause a damage to surrounding organs. There is also infection as one of myomectomy complications. Finally, myomectomy surgery may lead to infertility in rare cases. However, the most serious among myomectomy risks is excessive, unstoppable bleeding, which may cause doctors to perform a hysterectomy in order to stop it.
Myomectomy Side Effects
There are no known side effects of myomectomy procedure.
Myomectomy Success Rates
There are no reliable success rate data regarding myomectomy surgery. However, it is thought that most of the patients are happy after their treatment for uterine fibroids.