Myomectomy

What is a myomectomy?

Uterine fibroids often referred to as leiomyomas, are removed from the uterus through a technique called a myomectomy. Growths called fibroids are composed of muscle and connective tissue cells. They could show up inside your uterus or outside of it. Almost always, they don't have cancer (they are benign). You can have one, several, or different-sized fibroids. Your doctor performs a myomectomy to remove the fibroids while keeping the uterine tissues intact to allow you to conceive in the future.

A hysterectomy, which removes your uterus, cervix, and fibroids, can be substituted with a myomectomy.

Who qualifies for a myomectomy?

A myomectomy is a possibility for women with fibroids who intend to become pregnant in the future or who need to keep their uterus for another reason.

A myomectomy eliminates your fibroids but leaves your uterus in place, in contrast to a hysterectomy, which removes your entire uterus. You can now attempt to have children in the future.

Your doctor may recommend one of the following types of myomectomy, depending on the size and location of your fibroids:

  • If you have numerous or very large fibroids growing in your uterine wall, an abdominal myomectomy can be your best option.
  • If you have smaller and fewer fibroid tumours, laparoscopic myomectomy can be preferable.
  • If you have fewer uterine fibroids, a hysteroscopic myomectomy may be preferable.

Why is a myomectomy conducted?

  • Myomectomy of the abdomen: During an abdominal myomectomy, your doctor makes an open cut in your abdomen so that he or she can get to your uterus and remove fibroids.
  • Robotic or laparoscopic myomectomy: A small incision is made by your surgeon in or around your belly button. A laparoscope, a little tube with a camera attached to one end, is then inserted into your belly. With the use of equipment placed through smaller abdominal wall incisions, your surgeon executes the procedure.
  • Myomectomy using robots: The instruments are put in through small cuts that are the same size as those used in a laparoscopic myomectomy. Your surgeon then uses a separate console to move the instruments.
  • Gynaecological myomectomy: To address smaller fibroids that protrude significantly into your uterus, your doctor may recommend a hysteroscopic myomectomy. By inserting tools through your cervix and vagina into your uterus, your surgeon can reach and remove the fibroids.

What are the benefits of a myomectomy?

Most women who have myomectomy surgery report improvement from troublesome signs and symptoms such as heavy menstrual blood pelvic pressure and pain.  Fertility progress  Within roughly a year of surgery, women who have a laparoscopic myomectomy, whether with or without robotic assistance, have successful pregnancies.

What are the risks or complications of a myomectomy?

Myomectomy has similar risks to other surgeries. Although they are uncommon, the risks of this surgery include:

  • Profuse bleeding from infection.
  • Organs nearby are harmed.
  • Your uterus may have scar tissue from a hole (perforation) that could block your fallopian tube or make it hard to get pregnant.
  • fresh fibroids that demand further removal
  • After your surgery, contact your doctor if you experience any of these signs:
  • fever and heavy haemorrhage
  • acute pain and breathing difficulties

Conclusion

A procedure called a myomectomy is used to remove fibroids while leaving the uterus intact. The best course of treatment for fibroid symptoms in women who intend to have children in the future is a myomectomy. There are numerous ways to do a myomectomy. You might be a candidate for an abdominal myomectomy, a laparoscopic myomectomy, or a hysteroscopic myomectomy depending on the size, number, and location of your fibroid.

Request an appointment at Apollo Cradle, Hyderabad - Jubilee Hills. Call 1860-500-1066 to book an appointment.

1. Is a myomectomy an extensive procedure?

An abdominal myomectomy is a major surgery, and a myomectomy is a type of myomectomy that is done "open."

2. Is having a baby after a myomectomy possible?

After a laparoscopic, hysteroscopic, or abdominal myomectomy, there are no changes in the chances of getting pregnant or having a healthy baby.

3. Can I get pregnant three months after a myomectomy?

You'll need to wait three to six months after your myomectomy to start trying to get pregnant to give your uterus time to heal.

4. How long should you recover after a myomectomy?

After an open myomectomy, it could take up to six weeks before you are fully healed and able to do your normal things again.

5. Why does a myomectomy hurt so much?

A myomectomy is a major operation that may be painful due to adhesions that linger in the body for a long time after the procedure.

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