Myomectomy refers to the surgical removal of fibroids from the uterus. This procedure can increase the chances of pregnancy in women. Unlike hysterectomy, where the uterus is removed, myomectomy preserves the uterus, allowing women to conceive.
Symptoms of fibroids
When fibroids cause pain, pressure, abnormal bleeding, or interfere with pregnancy, they may need to be removed. Various treatment options exist to manage and control fibroids, including medical treatments like GnRH agonists, hysterectomy, uterine artery embolization, or high-intensity focused ultrasound (HIFU). However, surgical intervention is the preferred choice for women who wish to preserve their uterus.
Methods of performing myomectomy
Depending on the size, location, and number of fibroids, myomectomy can be performed using several different methods, as described below:
- Laparotomy (abdominal surgery):
Laparotomy involves making a large incision in the abdominal wall and entering the abdominal cavity to identify, diagnose, and potentially treat conditions. Diagnostic laparotomy is performed when a surgeon cannot arrive at a definitive diagnosis using other methods. To remove fibroids, one or more incisions are made in the uterine muscle. Recovery after laparotomy typically takes about 6 to 8 weeks.