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Myomectomy (Fibroid Removal Surgery)

  • What is a myomectomy (fibroid removal surgery)?

    Myomectomy

    Myomectomy (also known as fibroidectomy) is a surgical procedure that is done to remove a fibroid from your uterus. The procedure aims to remove only the fibroid, leaving your uterus in place. Myomectomy is commonly performed if you have a fibroid that causes pain, bleeding or problems with childbearing. A myomectomy is typically done by abdominal surgery or laparoscopic surgery.

    Types of myomectomy

    There are different ways to perform a myomectomy, depending on the number, location, and size of your fibroids. Below are the different types of myomectomy you may be eligible for.

    Abdominal myomectomy

    This is performed to remove large intramural fibroids. A bikini cut or an incision in your lower abdomen will allow your doctors to remove your fibroids from the wall of your uterus surgically. After, the uterine muscle is sewn back together.

    Hysteroscopic myomectomy

    A type of myomectomy exclusive to women with submucous fibroids in the uterine cavity, hysteroscopic myomectomy involves a hysteroscopic resectoscope to remove submucous fibroids. The instrument is passed through the vagina and cervical canal into the uterine cavity.

    Laparoscopic myomectomy

    If you are diagnosed with subserous fibroids that predominantly dwell outside the uterus, you may be treated via laparoscopy. During this procedure, thin scopes are used to view and surgically remove the fibroids. Unlike abdominal myomectomies, laparoscopy requires only a tiny incision that shortens recovery time and poses fewer risks of blood loss or scarring.

    Robotic myomectomy

    During this procedure, your doctor will make small incisions in your abdomen, giving robotic arms and surgical tools access to your uterus. This careful technique minimises bleeding and enables the surgeon to excise the fibroids from the surrounding uterine tissue with precision.

    Once successfully removed, your surgeon will use a morcellator, a device that cuts fibroids to smaller pieces that are easily removed via initial incisions. After a robotic myomectomy, you will experience less post-surgical pain and quicker recovery than abdominal myomectomies.

  • Myomectomy is needed by women of childbearing age whose fibroid symptoms affect their normal activities, but who wish to retain their fertility or who do not wish to have a hysterectomy. If you need surgery for uterine fibroid(s), the reasons for your gynaecologist to choose myomectomy instead of hysterectomy include:

    • You plan to have children
    • Uterine fibroid might be interfering with your fertility
    • You want to keep your uterus
  • Recovery from a myomectomy

    Your hospital stay and recovery time will vary depending on the type of myomectomy performed and your body’s reaction.

    Women who undergo abdominal myomectomy often stay between 1 – 2 nights in the hospital for observation and 6 – 8 weeks of reduced activity or bed rest. This is due to a higher risk of blood loss and uterine scarring that is common for the procedure.

    If you underwent hysteroscopic myomectomy, an outpatient procedure, you could go home after a few hours in the recovery room.

    Laparoscopic myomectomy and robotic myomectomy, on the other hand, usually involve at least a night’s stay in the hospital for observation followed by 4 weeks of reduced activity or bed rest.

    Although abdominal myomectomy involves higher risks than other forms of myomectomies, if you plan to get pregnant post-surgery, an open abdominal myomectomy is the best option.

    Pregnancy after a myomectomy

    A myomectomy is the only fibroid treatment that can improve pregnancy chances, especially with submucosal fibroids.

    After having your myomectomy, the best options for childbirth is a cesarean section delivery. This heavily depends on the size and location of your myomectomy incisions. C-section deliveries are often required after abdominal myomectomy. This is because your doctor wants to reduce trauma to your uterus during labor. Although standard delivery is possible, the need for a C-section delivery will depend on how deep your fibroids where once embedded in your uterus wall.

  • At Gleneagles Hospital, we offer myomectomy as a treatment to remove uterine fibroids while preserving the uterus.

    Our dedicated team of O&G specialists are also experienced in diagnosing and managing a wide range of women’s health conditions.

    Quality, customised healthcare has been our legacy for more than 60 years, and we are committed to placing your needs at the heart of all we do.

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