Myomectomy, the removal of fibroid tumors.

Myomectomy, the removal of fibroid tumors.



What is myomectomy:

Myomectomy represents the  removal of uterine fibroids. Fibroma is a benign tumor that forms and grows inside or outside the womb. The causes of uterine fibroids are not exactly known, but can be taken into account genetic abnormalities, vascular anomalies, menstruation started to age 10, alcohol consumption, uterine infections and hypertension. Uterine fibroids, also called myomas can be removed by surgery. Here there are two types of interventions: myomectomy (that involves only fibroid removal) or hysterectomy (which implies the removal of the entire uterus). The type of surgery is influenced by the type of fibroid. We have subserosal fibroids (located in the mucous membrane on the outside of the uterus) , submucosal fibroids (located inside the uterine cavity under the uterus) and intramural fibroids  (located in the muscular wall of the uterus). The surgeon may choose one of three interventions: laparoscopic myomectomy (more incisions are made in the abdomen through which the fibroids are excised), hysteroscopic myomectomy(fibroids are removed through the vagina and cervix) and abdominal myomectomy (an abdominal incision is made through which the surgeon can enter in the pelvic cavity to remove fibroids).


Uterine fibroids symptoms:

Symptoms of uterine fibroids include: heavy menstrual bleeding, prolonged menstruation – seven days or longer menstrual bleeding, feeling of pelvic pressure or pain in the pelvic area, frequent urination, difficulty to empty the bladder, constipation, back pain or leg pain.


Complications of myomectomy:

Although the rate of complications is low in myomectomy, the surgeon may encounter some problems during surgery. Among the complications of myomectomy there are: losing more blood (especially because fibroids stimulate the formation of new blood vessels in the uterus, through which they can develop themselves); it is possible that uterine scarring after surgery to determine infertility (this depends on where the fibroids were);development of new fibroids (favored by small tumors that doctor could not see them and remained in the uterus); natural birth complications (uterus can become weaken and may break as a result of the cuts made to remove fibroids); unable surgeon to reconstruct the uterus.


Types of myomectomy:

Depending on the type and size of fibroids, the surgeon will choose one of the 3 types of myomectomy:

  •  Laparoscopic Myomectomy, in which several incisions are made in the abdomen, the surgeon accesses and removes the fibroids;
  • Hysteroscopic Myomectomy ,  fibroids are accessed through the vagina and cervix;
  • Abdominal Myomectomy, the surgeon enters in the pelvic cavity through an incision vertically or horizontally – depends on the location of fibroids and surgeon-specific approach.This surgery is performed under general anesthesia;


After myomectomy:

Postoperatively, after myomectomy you can receive oral or intravenous analgesics and nutrition in the early days could be strictly liquid, depending on your condition. Usually after an abdominal myomectomy, hospitalization lasts about 3 days, in other types of myomectomy you can be discharged immediately.

This blog post is an educational resource only and does not replace a medical consultation with a doctor .

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