Myomectomy

Myomectomy for Fibroids Surgery in C-scheme, Jaipur

Myomectomy refers to the surgical procedure that removes fibroids from a woman’s uterus. Fibroids are growths that develop on the uterus. During a myomectomy, the uterus is preserved in order to retain the reproductive potential of the woman.

What is a myomectomy?

Myomectomy is a surgical procedure performed to remove fibroids from the uterus. In some cases, fibroids might cause infertility in women. That is why a myomectomy is the best option for a woman who still wants to have children as the procedure preserves the uterus and only gets rid of the fibroids. Depending on the size, number and location of the fibroids in the uterus, one of the following procedures might be recommended:

• Abdominal myomectomy- In this surgery an incision is made through the abdomen to access the uterus. The incision can be horizontal or across like a bikini cut. This is an ideal procedure for large fibroids.
• Laparoscopic myomectomy- In this, a small telescope-like device is inserted to remove fibroids. The device allows the surgeons to see the ovaries, fallopian tubes and uterus. The same device is also used for inserting longer instruments to remove the fibroids. It involves making smaller incisions which are sewn after the fibroids have been removed. If the fibroids are large, then the surgery might be switched to the abdominal method.
• Hysteroscopic myomectomy- Submucosal fibroids are small fibroids that are within the uterine wall. They can't be removed with any other procedure. In this surgery, instruments are inserted through the vagina and cervix to access the uterus. The instrument inserted is either a wire loop resectoscope or a manual hysteroscopic morcellator to cut the fibroids from the uterine wall. Before that, fluid is flushed into the uterus to expand the cavity and get better visibility.

After the surgery:

The recovery time depends on the procedure that is performed. It may take 4 to 6 weeks for abdominal myomectomy, 2 to 4 weeks for laparoscopic and a few days for hysteroscopic myomectomy. Some pain and light spotting might be experienced after the surgery. You might also experience slight cramping or bleeding. The specialists at Apollo Spectra, Jaipur will prescribe some medications to relieve discomfort.

Regular exercise and activities are also discouraged till your incisions fully heal. Please ask your doctor before you engage in sexual intercourse or any other strenuous physical activity.

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Risk factors of myomectomy:

Like any surgery, myomectomy also has some risks, but they are very rare.

• Infection while the incisions heal is a risk that you need to be aware of. Frequent visits to the doctor till the wounds heal are recommended to avoid or catch any early signs of infection.
• After a laparoscopic surgery, your uterus might become weaker. So in case you want to get pregnant in the future, an abdominal myomectomy is recommended.
• In case of persistent bleeding, contact the specialists at Apollo Spectra, Jaipur immediately. If this turns serious, you have to get a transfusion.
• Injury to the uterus or surrounding organs

It is also important to note that fibroids might recur after the surgery leading to the same symptoms. All new fibroids may or may not require treatment. If they grow and cause painful symptoms, then additional surgical or non-surgical procedures might be recommended.

Conclusion:

Myomectomy is the procedure used to remove non-cancerous tumors called fibroids from the wall of the uterus. The kind of surgery recommended by your doctor will depend on the size and placement of the fibroids. The uterus and your reproductive organs are not removed during this procedure so that you can still bear children after having a myomectomy.