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Myomectomy and Fibroids: all you need to know

myomectomy

What is myomectomy

A myomectomy is an operation to remove fibroids while preserving the uterus. 
Uterine fibroids usually develop during childbearing years, but they can occur at any age.

Myomectomy is very effective, but fibroids can re-grow. The younger you are and the more fibroids you have at the time of myomectomy, the more likely you are to develop fibroids again in the future. Women nearing menopause are the least likely to have recurring problems from fibroids after a myomectomy.

Depending on the size, number and location of your fibroids, you may be eligible for an abdominal, a laparoscopic or a hysteroscopic myomectomy.

TYPES

Abdominal Myomectomy

abdominal myomectomy

Also known as an “open” myomectomy, it 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.

After a myomectomy, your doctor may recommend a Caesarean section (C-section) for the delivery of future pregnancies. This is to reduce the chance that your uterus could open apart during labor.

Laparoscopic Myomectomy

Laparoscopic Myomectomy

unlike the previous type, very few fibroids can be removed by this process. If the fibroids are large, numerous or deeply embedded in the uterus,
this process allows your surgeon to remove your fibroids through several small incisions. It’s less invasive and recovery is faster than with abdominal process.

Hysteroscopic Myomectomy

Only women with submucosal fibroids are eligible for this type. Fibroids located within the uterine wall cannot be removed with this technique.

it, therefore, requires your surgeon to use a special scope to remove your fibroids through your vagina and cervix.

They’ll place a liquid in your uterus to widen it to therefore allowing them to see your fibroids more clearly.

Your surgeon will use a wire loop to shave off pieces of your fibroid. Then, the liquid will wash out the removed pieces of fibroid.

complications and risks

Any surgery can have risks, and myomectomy is no different. therefore risks of this procedure they may include :

Excessive blood loss. Many women with uterine leiomyomas already have low blood counts due to heavy menstrual bleeding, so they’re at a higher risk of problems due to blood loss. 

Scar tissue. Incisions into the uterus to remove fibroids can lead to adhesions — bands of scar tissue that may develop after surgery. 

Rare chance of hysterectomy. Rarely, the surgeon must remove the uterus if bleeding is uncontrollable or other abnormalities are found in addition to fibroids.

Pregnancy or childbirth complications. it can increase certain risks during delivery if you become pregnant, as a result of incisions to the get to the uterus wall.

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