A myomectomy is a surgical operation for removing fibroids while preserving the uterus. As such, for the females who are confronting symptoms of fibroids and still wish to bear children in the future, myomectomy is seen as the most appropriate treatment choice.
Myomectomy is considered very useful, but the fibroids have the tendency of re-growing. If you are young enough and have a large number of fibroids at the time of performing myomectomy, the probability of developing fibroids again is higher in the future. The females who are close to attaining menopause are less vulnerable to recurrent issues of fibroids after undergoing myomectomy.
A myomectomy is done in many different manners. Based on the location, size and the number of fibroids, the myomectomy is performed in the following ways:
A hysteroscopic myomectomy is an appropriate procedure for the females afflicted with submucosal fibroids. The fibroids found in the uterine wall cannot be eliminated with this technique.
This is a clinical surgical method wherein the patient is put to asleep by giving general anesthesia. In this procedure, you are made to lie down on your back with folded legs seized in a gynecology stirrup posture.
Your vagina is widened by placing a speculum in it. A slender and long hysteroscope is inserted into your cervix through the uterine cavity. The uterine cavity is filled with a fluid for lifting the uterine walls apart. Afterwards, with the help of special tools introduced through the hysteroscope, the submucosal fibroids are eliminated.
You are kept under observation for a few hours before allowing you to go home after the procedure.
You are likely to experience light bleeding and cramping after the procedure. Generally, it takes one to four days for your complete recovery. The scar tissues on your skin disappear slowly and steadily.
With laparoscopic myomectomy, only some types of fibroids are eliminated. In case the fibroids are intensely embedded in the uterus, or big enough, or large in numbers, an abdominal myomectomy is seen as the preferred option. Moreover, at times, while performing the laparoscopic procedure, a decision to shift to the abdominal myomectomy is taken.
You are given general anesthesia during the procedure for putting you to sleep during the operation. For carrying out the procedure, the Incisions, four in numbers, each of nearly one centimeter, are made in your lower abdomen – one below the naval area, one each near the two hips and one near the pubic area (beneath the bikini line). The carbon dioxide is introduced into the abdominal cavity for widening it apart.
For examining the uterus, the Fallopian tubes and your ovaries, a slender laparoscope fitted with a tiny camera is placed. Once examined the fibroids, lengthy devices are introduced via the other incisions for removing the fibroids. Afterwards, the uterine muscle is stitched jointly. After finishing with the procedure, the carbon dioxide is released and the incisions in the skin are also stitched back.
Mostly, the females are made to expend one night at the Clinic and 2 to 4 weeks of recovery time at home. After the laparoscopic procedure, small scar tissues remain visible where precisely the incisions were done.
Though rarely, as in the other surgical operations, a laparoscopic myomectomy brings some risks and complications. They could be advertent injuries to the interior organs followed by bleeding.
Besides, your uterus may get weaker after performing the procedure. Consequently, the females wishing to get pregnant in the future are generally recommended to undergo abdominal myomectomy.
It is pertinent to know that fresh fibroids may also get generated and you may experience the symptoms recurrently, which may require supplementary procedural treatment.
Abdominal myomectomy is the foremost surgical operation, which is also called “Open Myomectomy”. In this procedure, an incision is made in the lower abdominal area, called a “bikini cut” and the fibroids are eliminated from the uterine wall. The muscle of the uterus is afterwards stitched back with many layers. The procedure is done by giving anesthesia.
For making up the blood loss during the procedure, you may need a blood transfusion. Several females choose to store their own blood instead of depending on the quality available in the blood bank.
Mostly, the females are made to stay in the Clinic for two nights before they are sent back home for recovering that takes nearly 4 to 6 weeks. You may have to live with a 4-inch scar horizontally near your “bikini line” or pubic hair.
For delivering your future pregnancies after undergoing the procedure, your treating doctor may always suggest you to go in for caesarean section. This way, you may lessen the chances of your open parting the uterus during labor. The requirement of undergoing caesarean section will also depend on how intensely the fibroids were found to be embedded in the uterine wall at their surgical elimination time.
It is pertinent to know that there is a probability of developing fresh fibroids and their symptoms recurrently which may require additional methods of removal.
Though rarely, an abdominal myomectomy may bring some risks like any other surgical operation. Nearly 5% of females may catch an infection after the procedure, which is cured by giving 5-Day doses of antibiotics. Similarly, nearly 5% females may catch infection in the wound, which is generally cured at home, but may require frequent visits to the treating doctor for his or her monitoring.