Description

Familiarity with Treatment

A myomectomy is a surgical procedure to remove uterine fibroids, also known as leiomyomas. These are noncancerous growths that appear in the uterus and can cause symptoms like heavy menstrual bleeding, pelvic pain, and reproductive issues.

Procedure Explanation

During a myomectomy, the surgeon removes the fibroids while preserving the uterus. This allows the patient to retain their reproductive potential. There are different methods for performing a myomectomy, including:

• Abdominal Myomectomy: An incision is made in the lower abdomen to access and remove the fibroids.
• Laparoscopic Myomectomy: Small incisions are made, and a laparoscope (a thin, lighted tube) is used to remove the fibroids.
• Hysteroscopic Myomectomy: A hysteroscope is inserted through the vagina and cervix to remove fibroids from inside the uterus.

Who is it Suitable For?

• Women with symptomatic fibroids causing heavy menstrual bleeding, pelvic pain, or reproductive issues.
• Women who wish to preserve their uterus and maintain fertility.
• Women who prefer an alternative to hysterectomy.

Who is it Not Suitable For?

• Women with very large fibroids that may require more extensive surgery.
• Women who do not wish to preserve their fertility and may opt for a hysterectomy instead.
• Women with certain medical conditions that may increase surgical risks.

Advantages

• Preserves the uterus and fertility.
• Alleviates symptoms caused by fibroids, such as heavy bleeding and pain.
• Can improve quality of life and reproductive outcomes.

Complications

• Risk of bleeding and infection.
• Potential for scar tissue formation (adhesions) in the uterus.
• Possible recurrence of fibroids.
• Risks associated with anesthesia.

Previous Care

• Preoperative evaluation, including imaging studies like ultrasound or MRI to assess the size and location of fibroids.
• Blood tests and other assessments to ensure the patient is fit for surgery.
• Discussion of surgical options and potential risks with the healthcare provider.

Aftercare

• Hospital stay for a few days, depending on the type of myomectomy performed.
• Pain management and monitoring for any signs of complications.
• Gradual return to normal activities, with restrictions on heavy lifting and strenuous exercise for several weeks.
• Follow-up appointments to monitor recovery and ensure the absence of complications.