Myomectomy is a surgical procedure to remove non cancerous uterine fibroids. These fibroids are usually benign, but can be painful
- Instead of removing the entire uterus, only the fibroids are removed
- Uterus is left intact, thereby preserving the woman's child bearing capacity
- The surgery may last for 30 minutes to one hour, depending on the number and location of the fibroids
This surgery is done when the patient has fibroids causing discomfort and interfere with daily activities, but wants to keep the uterus intact, as opposed to a complete hysterectomy.
- Diagnosis of fibroids is done by imaging techniques like MRI scan, etc
- A sample of tissue from the uterus is also taken for identifying any malignancy in the tumors.
Fibroids is characterized by the following symptoms:
- Severe abdominal pain, particularly in the lower abdomen
- Excessive and uncontrollable bleeding during menstrual cycle
- Talk to your doctor about the procedure, be mentally prepared.
- Follow medication and diet rules hours before the surgery, as per the doctor's instructions
- Prepare for a hospital stay if necessary
- In laparoscopic myomectomy, the surgeon makes a small incision in or near your bellybutton. Then he or she inserts a laparoscope (a narrow tube fitted with a camera) into your abdomen. The surgeon then performs the surgery with instruments inserted through other small incisions in the abdominal wall.
- The fibroid is surgically cut into smaller pieces with these instruments and removed through the small incisions in the abdominal wall.
- Laparoscopic surgery uses smaller incisions than other surgeries. This means you may suffer from less pain, lose less blood and return to normal activities quickly. Uterine size, fibroid number and location are factors in determining when laparoscopic surgery is appropriate.
- The patient has to follow up with the physician for at least 6-8 weeks after surgery.
- In case of excessive bleeding or high fever, consult the physician immediately.