Myomectomy

It is not uncommon for a woman that has been diagnosed with fibroids of the uterus to experience such heavy menstrual bleeding that it interferes with her daily activities. Some woman may also experience anemia or pain that is not helped by medicine, or some may even have difficulty getting pregnant.

For women of child bearing years and others that prefer a treatment option that does not involve removal of their uterus they may want to consider a Myomectomy. A Myomectomy is the surgical removal of the fibroids and repair of the uterus, and is performed by our doctor for patients in our region. It is the preferred method for young women in their childbearing years and for some it may even improve the chances of pregnancy.

Are there different types of Myomectomy Surgery?

Yes. The type of Myomectomy surgery performed is determined by the size, location, and number of fibroids a woman has. There are three types of surgical approaches: hysteroscopy, laparoscopy, and laparotomy. Hysteroscopy is performed to remove fibroids that have bulged into the uterus and not grown into the uterine wall. Laparoscopy is performed when there a small, limited number of fibroids that have grown outside the uterine wall. Laparotomy is performed to remove numerous or large fibroids that have grown deep into the uterine wall.

How are the different types of Myomectomy performed?

The Laparoscopic Myomectomy is performed using a laparoscope, a thin surgical instrument that looks similar to a telescope, on a flexible tube fitted with a camera to view the outside of the uterus. After the anesthesia is administered, a small incision is placed in the abdomen below or in the navel. Carbon dioxide is then pumped into the abdomen so the pelvic organs will be seen more clearly and the laparoscope is then inserted. Our doctor then performs the operation with special instruments inserted through small incisions. After the surgery the instruments are removed, the gas is released and the wound closed.

A Hysteroscopic Myomectomy is a procedure using a resectoscope, a small lighted instrument that is inserted through the vagina and cervix into the uterus. Attached to the resectoscope is a small tube that releases liquid into the uterus to expand the uterus for better viewing. Our doctor may shave the fibroid until it is flat with the uterine wall or remove it.

The Laparotomy Myomectomy or abdominal myomectomy requires a surgical incision that can be either horizontal or vertical depending on the size of the uterus and location of the fibroid. This allows our doctor to visually inspect and touch the fibroids. An incision will be made in the uterus to remove the fibroids and repair the uterus. Laparotomy usually requires a hospital stay and has a longer recovery.

Our doctor performs Myomectomy procodures to give you the best results possible.

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