 Myomectomy is a surgical procedure that primarily addresses surface tumors of the uterus. It means the surgical removal of just the fibroid, with reconstruction and repair of the uterus. There are a number of techniques used to do myomectomy: through an abdominal incision, vaginal incision, with a laparoscope, or with a hysteroscope. This procedure is the privileged fibroid treatment for women who want to become pregnant. 60% of women who have myomectomy for infertility become pregnant. Myomectomy can also lower the risk of miscarriage among women with fibroids.
The most ordinary method of removing fibroids is by making a four- to six-inch "bikini" cut on the abdomen just below the pubic hairline. But with large tumors, the doctor may choose to use an up and down incision to adapt for the enlarged uterus.
After examining the uterus to determine the number and position of the fibroids, the uterus is injected with pitressin, a solution that limits bleeding during the surgery. Then the clothing of the uterus that lie above the fibroid is cut. After that the fibroids are separated and removed from the normal uterine muscle. In that fibroids push away normal uterine muscle as they grow (and do not destroy it), the normal uterine muscle can be sewn back together.This procedure takes about one to two hours, depending on the sizes, number and positions of the fibroids.
Before the myomectomy you will be asked not to eat or drink anything for at least eight hours. And you need to stay overnight before the procedure.
After the operation you’ll be moved to a recovery room. Some patients may shiver or experience nausea after a myomectomy. Both of these symptoms can be connected with anesthesia. Your healthcare providers can give you medication to help with these symptoms. Warm blankets are also available to comfort you. Also after operation you will feel some pain in your abdomen.
You need to stay in the hospital until your doctor see that you are recovering well. After than you return to normal activity and work.
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