Myomectomy is a operation to remove the fibroids, without removing the uterus. Depending on the size and placement of the fibroids, they will be removed in numerous ways in which, as described below. Whereas open surgery is that the commonest type of myomectomy done by gynaecologists, because of our experience in minimally invasive surgery, we've replaced this with laparoscopic or hysteroscopic myomectomy for many of our patients.
It is also referred to as hysteroscopic resection of fibroid. It's suitable for fibroids that occur on the within (cavity) of the uterus. These fibroids are removed using a fine, slender instrument known as hysteroscope. Operative hysteroscopy may be a type of endoscopic surgery performed by minimally invasive surgeons.
This is the standard method of removing fibroids from the abdomen – and it's the foremost common route of myomectomy performed by gynaecologists. The fibroid is removed via an oversized incision on the abdominal skin (laparotomy). The incision are often horizontal (a bikini line incision) or vertical from just under the navel to pubic bone. Complete recovery usually takes 4-6 weeks.
Instead of a large bikini line incision, our minimally invasive physician makes only tiny incisions (typically 0.5 – 1.5cm) on the abdomen and uses laparoscopic instruments to get rid of the fibroid.
Compared to open myomectomy, minimally invasive surgery offers the benefits of less pain, infection, and scarring, in addition as faster return to normal activities.
Myomectomy is an efficient way to take away fibroids and it brings good outcomes in treating fibroid-related issues. However, there are some special issues that a woman need to take into account once selecting myomectomy.
Bleeding throughout the operation - The risk is particularly higher if there are multiple fibroids to be removed. There are blood vessels connecting the fibroids and also the uterus tissue. Separating a fibroid from the attached tissue will usually cause additional bleeding than a hysterectomy (see below).
Eventual re-growth of fibroids - The younger the patient, the higher a chance that different fibroids might grow from the uterus again before reaching menopause.
Special precaution in pregnancy – Doctor might advise the woman to possess caesarean section delivery for pregnancies in the future. This can be due to the chance of rupture of the myomectomy scar on the uterus when the woman goes into labour.
Because of these issues, if the woman now not decide to get pregnant in the future, hysterectomy can provide a permanent solution and definitive cure to her fibroid issues.
Each woman is individual and her situation needs a personal plan of management. If you're considering a surgery to treat your fibroid-related issues, please contact us to arrange a personal consultation. Our doctor can discuss your treatment choices and assist you build the correct selection.