Uterine myomectomy

Surgical procedure to remove uterine fibroids

Surgical removal of a fibroid during a myomectomy

A uterine myomectomy is a surgical procedure to remove uterine fibroids, which are noncancerous growths of the uterus that often appear during childbearing years. Unlike a hysterectomy, which removes the entire uterus, a myomectomy removes only the fibroids and leaves the uterus intact.

Indications

Myomectomy is indicated for women who experience symptoms from fibroids, such as heavy menstrual bleeding, pelvic pain, or infertility. It is often chosen by women who wish to preserve their uterus for future pregnancy.

Types of Myomectomy

There are several types of myomectomy, each with different approaches and techniques:

Abdominal Myomectomy

This is an open surgery where an incision is made in the abdomen to access the uterus and remove the fibroids. It is suitable for large or multiple fibroids.

Laparoscopic Myomectomy

A minimally invasive procedure where small incisions are made in the abdomen, and a laparoscope is used to remove the fibroids. This method typically results in less pain and a quicker recovery.

Hysteroscopic Myomectomy

This procedure is performed through the vagina and cervix using a hysteroscope. It is used for fibroids that protrude into the uterine cavity.

Recovery

Recovery time varies depending on the type of myomectomy performed. Abdominal myomectomy may require a hospital stay and several weeks of recovery, while laparoscopic and hysteroscopic myomectomies generally have shorter recovery periods.

Risks and Complications

As with any surgery, myomectomy carries risks such as infection, bleeding, and damage to surrounding organs. There is also a risk of fibroid recurrence.

Related Pages

• Uterine fibroids
• Hysterectomy
• Laparoscopy
• Gynecology