Myomectomy Treatment
It is a surgical procedure to remove uterine fibroids — also called leiomyomas. These are common noncancerous growths that appear in the uterus, usually during childbearing years, but they can occur at any age.
The surgeon’s goal during myomectomy is to take out symptom-causing fibroids and reconstruct the uterus. Unlike hysterectomy, which removes your entire uterus, myomectomy removes only the fibroids and leaves your uterus intact.
Women who undergo myomectomy report improvement in fibroid symptoms, including heavy menstrual bleeding and pelvic pressure.
Women nearing menopause are the least likely to have recurring problems from fibroids after a myomectomy.
A myomectomy can be performed several different ways. Depending on the size, number and location of your fibroids, you may be eligible for
- Abdominal myomectomy
- Laparoscopic myomectomy
- Hysteroscopic myomectomy.
Abdominal Myomectomy:
Also known as an “open” myomectomy, an abdominal myomectomy is a major surgical procedure. It involves making an incision through the skin on the lower abdomen, known as a “bikini cut,” and removing the fibroids from the wall of the uterus. The uterine muscle is then sewn back together using several layers of stitches.
Laparoscopic Myomectomy:
Only certain fibroids can be removed by a laparoscopic myomectomy. If the fibroids are large, numerous or deeply embedded in the uterus, then an abdominal myomectomy may be necessary. Also, sometimes during the operation it is necessary to switch from a laparoscopic myomectomy to an abdominal myomectomy.
Hysteroscopic Myomectomy:
Only women with sub mucosal fibroids are eligible for a Hysteroscopic myomectomy. Fibroids located within the uterine wall cannot be removed with this technique.