This surgery involves removing fibroids from the wall of the uterus (womb). Fibroids are noncancerous tumors in the muscle of the uterus.
Myomectomy is done to relieve problems caused by fibroids without doing a hysterectomy (removal of the uterus). These problems can include:
The symptoms caused by fibroids are often successfully controlled with this procedure. This may include a return to a normal menstrual cycle and the ability to become pregnant.
Complications are rare, but no procedure is completely free of risk. If you are planning to have a myomectomy, your doctor will review a list of possible complications, which may include:
Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications such as:
Your doctor may do the following:
You should discuss with your doctor:
Leading up to your procedure:
General anesthesia is used most often. It will block any pain and keep you asleep through the surgery. It is given through an IV in your hand or arm.
The doctor will make a small cut in the navel. He will insert a laparoscope into the abdomen through the cut. A laparoscope is a tube with a tiny camera on the end. The doctor will use this to examine the abdomen. Two or three additional small cuts will be made in the abdomen. Other tools will be inserted through these cuts. The doctor will find each fibroid and remove it. In some cases, you may be given the drug Pitressin to reduce blood loss. After the fibroids are removed, the doctor will use stitches to close the incision area.
Laparoscopic View of Uterus
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Be aware that in some cases, the doctor may need to switch to an open surgery. During an open surgery, she will make a larger cut in the abdomen to do the surgery.
After the procedure, you will be:
Your doctor will give you pain medicine to help control the pain.
You will either stay overnight or leave the hospital the same day as your surgery.
During your stay, the hospital staff will take steps to reduce your chance of infection such as:
There are also steps you can take to reduce your chances of infection such as:
Full recover will take about 2-4 weeks. When you return home, do the following to help ensure a smooth recovery:
After you leave the hospital, contact your doctor if any of the following occurs:
In case of an emergency, call for medical help right away.
National Uterine Fibroids Foundation
Women's Health Matters
American Congress of Obstetricians and Gynecologists. Alternatives to hysterectomy in management of leiomyomas. Practice Bulletin. 2010;96.
Cohen SM, ed. Operative Laparoscopy and Hysteroscopy. New York, NY: Churchill Livingstone; 1996.
Myomectomy. Duke University Medical Center Reproductive Endocrinology and Infertility website. Available at: http://www.dukehealth.org/Services/Fertility/Programs/Surgery/Myomectomy?search_highlight=myomectomy. Accessed June 1, 2008.
Uterine fibroid treatment options. Society of Cardiovascular and Interventional Radiology website. Available at: http://www.sirweb.org/patPub/uterineTreatments.shtml#my. Accessed June 1, 2008.
6/2/2011 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Mills E, Eyawo O, et al. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
Last reviewed December 2013 by Andrea Chisholm, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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