A myomectomy is a surgical procedure used to remove uterine fibroids (myomas) while keeping the uterus protected. Fibroids are growths made up of connective tissue and muscle cells. These growths can present as one or many fibroids growing inside the muscle of the uterus or even elsewhere in the pelvis. They are typically not cancerous.
During myomectomy, fibroids are removed, and the uterus is repaired. After this procedure, you will typically have a normally functioning uterus.This procedure can help young women who wish to preserve fertility by avoiding a hysterectomy.
There are three main types of myomectomy; open, laparoscopic and hysteroscopic.
An open myomectomy is done through an incision in the abdomen. This type of procedure may be used for extremely large fibroids. Recovery after an open myomectomy is similar to any other major surgery.
This procedure uses a small, lighted tube that is inserted into the uterus. This device has a camera, which allows the surgeon to see inside the reproductive tract. This allows the surgeon to locate and dissect the fibroids for removal.
Several other small incisions are made in other places in the abdomen for the placement of special instruments to assist in removing the fibroids. The fibroids themselves are sometimes removed through the vagina, or through the small openings in the abdomen.
This procedure requires no incisions. When fibroid are in the right place within the uterus, the camera with a specialized attachment can be placed through the vagina into the uterus to remove the fibroids.
All of these minimally-invasive approaches have similar outcomes and complications. These procedures are performed under general anesthesia.