Myomectomy

It is surgical procedure to remove uterine fibroids which called leiomyomas. These are non-cancerous growth that appears in the uterus which occur in any age group but mostly during childbearing period. It allows the uterus to left in place and for some women makes pregnancy more likely than before. It preferred fibroid treatment for women who want to become pregnant.

Surgical Methods of Myomectomy include

• Hysteroscopy
• Laparoscopy
• Laparotomy

But the method of the surgical depends on the size, location and numbers of fibroids.

Hysteroscopy can be done to remove the fibroids which are located in the inner wall of the uterus that have not grown up deep into the uterus wall.

Laparoscopy reserved only for one or two fibroids which is upto 2 in.(5.1cm) across, that are growing in the outsides of the uterus.

Laparotomy is used to remove large fibroids, many fibroids or fibroids that have grown deep inside the uterine wall

Recovery time

• Hysteroscopy requires from a few days to 2 weeks to recover.
• Laparoscopy requires 1 to 2 weeks.
• Laparotomy requires 4 to 6 weeks.

Why it it done/ necessary ?

Myomectomy preserves the uterus while treating fibroids. It may be a reasonable treatment option if you have:

• Anemia that is not relieved by treatment with medicine.
• Pain or pressure that is not relieved by treatment with medicine.
• A fibroid that has changed the wall of the uterus. This can sometimes cause infertility or repeat miscarriages. Before an in vitro fertilization, myomectomy is often done to improve the chances of pregnancy.

How Well It Works

Myomectomy decreases pelvic pain and bleeding from fibroids.