Myomectomy (Lap /Open)

Myomectomy is a surgical procedure to remove uterine fibroids — also called leiomyomas. These common noncancerous growths appear in the uterus. Uterine fibroids usually develop 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 a hysterectomy, which removes your entire uterus, a myomectomy removes only the fibroids and leaves your uterus.

Who Needs Myomectomy (Lap/Open)

Myomectomy (Lap/Open) may be recommended for individuals who experience:

• Symptoms caused by fibroids: Fibroids can cause a variety of symptoms such as heavy or prolonged menstrual bleeding, pelvic pain or pressure, frequent urination, constipation, or difficulty conceiving. If these symptoms significantly affect a person’s quality of life, myomectomy may be considered.

• Desire to preserve fertility: If a person wishes to retain their ability to conceive and bear children in the future, myomectomy can be an appropriate treatment option. It allows the removal of fibroids while keeping the uterus intact.

When to See a Specialist

If you experience symptoms related to fibroids or have concerns about fertility preservation, it is advisable to consult with a specialist. They will evaluate your condition, perform a thorough examination, and discuss the best course of treatment, which may include myomectomy.

Procedure

The specific steps involved in myomectomy depend on the technique used (laparoscopic or open). Here is a general overview:

Laparoscopic Myomectomy

• Anesthesia: You will be administered general anesthesia to ensure you are comfortable and asleep during the procedure.

• Incisions: Several small incisions will be made in the abdomen to insert a laparoscope (a thin, lighted instrument) and other surgical tools.

• Visualization and removal: The surgeon will use the laparoscope to visualize the uterus and identify the fibroids. The fibroids will be carefully removed or dissected using specialized instruments.

• Closure: The incisions will be closed with sutures or adhesive strips.

Open Myomectomy

• Anesthesia: General anesthesia will be administered to keep you comfortable and asleep during the surgery.

• Incision: A larger abdominal incision will be made to access the uterus and fibroids.

• Removal of fibroids: The surgeon will identify and remove the fibroids while preserving the healthy uterine tissue.

• Closure: The incision will be closed using layers of sutures or staples.

Road to Recovery

Recovery time can vary depending on the extent of the procedure and individual healing.

After surgery, you may experience pain, swelling, or discomfort, which can be managed with pain medications prescribed by your healthcare provider.

It is important to follow your healthcare provider’s instructions regarding rest, physical activity, and incision care during the recovery period.

Risk Management

As with any surgical procedure, there are risks involved with myomectomy, including infection, bleeding, damage to surrounding organs, or complications related to anesthesia. Your healthcare team will take necessary precautions to minimize these risks and provide appropriate post-operative care.

Benefits of Myomectomy (Lap/Open)

• Symptom relief: Myomectomy can alleviate symptoms caused by fibroids, such as heavy menstrual bleeding, pelvic pain, and pressure, thereby improving your quality of life.

• Fertility preservation: Myomectomy allows for the removal of fibroids while preserving the uterus, making it a suitable option for individuals who wish to maintain their fertility.

   

Frequently Asked Questions

1. Will my fibroids grow back after myomectomy?

   The recurrence of fibroids after myomectomy is possible, as new fibroids can develop or previously undetected fibroids may grow. However, the majority of women experience long-term relief from their symptoms following the procedure.

    

2. Can I still get pregnant after myomectomy?

   Myomectomy aims to preserve fertility by removing fibroids while keeping the uterus intact. However, the impact on fertility depends on several factors, such as the number, size, and location of fibroids. It is advisable to consult with a fertility specialist to assess your individual case.

    

3. How long does it take to recover from myomectomy?

   The recovery time can vary, but it generally takes a few weeks to several months to fully recover from myomectomy. Your healthcare provider will provide specific guidelines regarding post-operative care and restrictions on physical activity during the recovery period.

    

4. Will I have a visible scar after myomectomy?

   In laparoscopic myomectomy, the incisions are small and typically result in minimal scarring. In open myomectomy, the abdominal incision may leave a visible scar. However, the scar will fade over time and can often be concealed beneath clothing.