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Myomectomy

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A myomectomy is an operation to remove fibroids while preserving the uterus. Fibroids are round growths that develop in the uterus. While usually benign and non-cancerous, fibroids can still cause various amounts of medical issues, and some of them can actually be cancerous. For younger women who want to have children in the future and are experiencing fibroid symptoms, myomectomies are the best treatment option.

Myomectomies can be performed in several different ways. Depending on the size, number, and location of your fibroids, you may be eligible for an abdominal, laparoscopic, or hysteroscopic myomectomy.

Abdominal Myomectomy:

The abdominal myomectomy, also called the open myomectomy, is a major surgical procedure. It involves making an incision through the skin on the lower abdomen—also called a bikini cut—and removing the fibroids from the wall of the uterus. The muscle is then sewn together using several layers of stitches. Though anesthesia will be administered during the procedure, the estimated recovery time can be anywhere between 4-6 weeks, depending on the severity of the operation, and number and size of the fibroids being removed.

Most women spend 2-3 nights in the hospital after the procedure. Additionally, you will most likely have a visible scar near your pubic hair and bikini line.

Laparoscopic Myomectomy:

During this myomectomy you’ll be sedated into a sleep. After four incisions are made, the abdominal cavity is filled with carbon dioxide gas. A thin, lighted telescope called a laparoscope is then placed through one of the incisions, allowing the doctors to see the ovaries, fallopian tubes and uterus. Then long instruments are inserted into the nearest incisions to remove the fibroids. After all the fibroids are removed, the uterine muscle is sewn back up, the gas is released, and the incisions are closed.

Recovery time for this procedure is typically two to four weeks, and most women spend at least one night in the hospital after the operation.

Hysteroscopic Myomectomy:

Only women with submucosal fibroids are eligible for a hysteroscopic myomectomy. Fibroids located within the uterine wall cannot be removed with this technique.

This is an outpatient surgical procedure, during which the patient is usually asleep. During the procedure, you will lie on your back with your feet held in gynecology stirrups. A speculum is placed in the vagina. A long, slender "telescope" is placed through the cervix into the uterine cavity. Fluid is introduced into the uterine cavity to lift apart the walls. Instruments passed through the hysteroscope are used to shave off the submucosal fibroids.

After the procedure, you will be able to go home after several hours of observation in the recovery room.

The information provided on this page is for general use only. All cases are unique to the woman experiencing them. For more information concerning myomectomies contact Dr. Amaro and schedule an appointment today.

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