What is Myomectomy?

Myomectomy is a surgical procedure performed to remove fibroids, which are noncancerous growths that develop in the uterus. The goal of myomectomy is to preserve the uterus while addressing the symptoms associated with fibroids, such as heavy menstrual bleeding, pelvic pain, or fertility issues. Myomectomy can be performed through various techniques, including hysteroscopy, laparoscopy, or open abdominal surgery, depending on the size, number, and location of the fibroids.

What are the different surgical approaches for myomectomy?

The different surgical approaches to Myomectomy, includes:

• Abdominal Myomectomy: Describe the procedure, which involves making an incision in the abdomen to access and remove fibroids from the uterus.
• Laparoscopic Myomectomy: Explain the minimally invasive technique using small incisions and a laparoscope to remove fibroids.
• Hysteroscopic Myomectomy: Describe the procedure that involves removing fibroids through the cervix using a hysteroscope.

When will you be advised Myomectomy?

Myomectomy is considered in the following situations:

• Severe or persistent symptoms: Myomectomy is recommended when fibroid-related symptoms significantly affect a person's quality of life, such as heavy menstrual bleeding, pelvic pressure or pain, frequent urination, or difficulty conceiving.
• Fertility preservation: For individuals who wish to conceive, myomectomy may be performed to remove fibroids that are potentially causing infertility or recurrent pregnancy loss.
• Pedunculated fibroids: Pedunculated fibroids, which are attached to the uterus by a stalk, can cause pain or twisting of the stalk, necessitating their removal.
• Submucosal fibroids: Fibroids that protrude into the uterine cavity (submucosal fibroids) may lead to heavy or irregular menstrual bleeding and can be removed during a hysteroscopic myomectomy.

Advantages of doing a Myomectomy Surgery:

• Symptom relief: Myomectomy can alleviate symptoms caused by fibroids, such as heavy menstrual bleeding, pelvic pain, and pressure.
• Fertility improvement: By removing fibroids that interfere with conception or implantation, myomectomy can enhance fertility and increase the chances of successful pregnancy.
• Uterine preservation: Myomectomy allows for the preservation of the uterus, which is important for individuals who desire future pregnancies or wish to maintain their reproductive organs.
• Minimally invasive options: Depending on the size, number, and location of fibroids, minimally invasive techniques like laparoscopic or hysteroscopic myomectomy may be available, leading to smaller incisions, less pain, and faster recovery.

Risk associated with Myomectomy surgery:

• Bleeding: Excessive bleeding during or after surgery is possible, requiring additional intervention or blood transfusion.
• Infection: Although rare, there is a risk of developing an infection at the surgical site or within the pelvic cavity.
• Adhesions: Formation of scar tissue after myomectomy may lead to adhesions, which can cause pelvic pain or fertility issues.
• Uterine rupture: If you become pregnant after myomectomy, there is a small risk of uterine rupture during labor.
• Anesthesia-related complications: As with any surgery, there are potential risks associated with anesthesia administration.