Introduction

Uterine fibroids, often referred to by the name of leiomyomas are benign, non-cancerous growths that usually occur in the uterus during pregnancy. While most women who suffer from fibroids do not suffer from symptoms, some may experience excessive menstrual bleeding or pelvic pain. They may also have difficulties with fertility. Myomectomy Surgery is a procedure that’s designed to eliminate fibroids while protecting the uterus. It is the ideal choice for women looking to keep their fertility.

This blog will dig into the myomectomy procedure the reason it’s required as well as the types of Myomectomy and risks, the benefits as well as recovery.

What’s Myomectomy Surgery?

Myomectomy is a surgery which removes fibroids from the uterus. In contrast to the surgery known as hysterectomy (removal from the uterus) the myomectomy keeps the uterus in place which makes it an ideal option for women who are planning to have a baby in the near future.

It is possible to perform the procedure using various techniques based on the size, quantity and location of fibroids.

Why is Myomectomy Performing?

Myomectomy is generally recommended if fibroids cause symptoms like:

Menstrual or heavy bleeding
Pelvic pressure or pain
Frequent urination
Infertility or miscarriages repeatedly
Pain during intercourse
Expanded abdomen

By eliminating fibroids from the uterus, it gets back to its original shape and function, which helps relieve symptoms and improving fertility outcomes.

Myomectomy Procedures in Different Types

Based on the size and location of fibroids depending on the size and position of the fibroids, one of the methods below is suggested:

1. Abdominal Myomectomy :- This involves open surgery via cutting through the abdomen’s lower part. It’s usually used for massive or deeper fibroids. An incision is cut within the abdomen’s lower part in order to access and remove multiple or large fibroids. Recovery takes longer but is more efficient for fibroids that are deeper within the uterine wall.

2. Laparoscopic Myomectomy :- A minimally invasive treatment option that involves tiny incisions, cameras and instruments to eliminate fibroids. Small incisions are cut in the abdomen. an instrument is guided by a camera to remove and cut out fibroids. This results in less scarring, faster recovery, and less blood loss.

3. Hysteroscopic Myomectomy :- This technique is utilized to treat fibroids that are found inside the uterine cavity. A thin tube equipped with camera is inserted into the cervix and vagina into the uterus in order to cut away the fibroids in the cavity, without making abdominal cuts.

4. Robotic-Assisted Myomectomy :- Laparoscopic surgery is a high-tech surgery using robotic arms for precise surgery. Surgeons employ robotic instruments to complete the procedure with greater precision and control, which makes it simpler to remove complicated fibroids while reducing bleeding and faster healing times.

Preparation Prior to Myomectomy

Prior to the procedure, you doctor could decide to:

The use of ultrasound or MRI to detect fibroids
Blood tests to test for anemia
Treatments to reduce fibroids
The guidelines for fasting prior to surgery

Pre-surgical assessments help determine the most efficient approach, as well as ensure that you’re stable medically and limit surgical complications. Some medicines reduce fibroids temporarily to make removal more easy and less bleeding.

The Myomectomy Procedure

Anesthesia is given (general or local)
Incisions are made in accordance with the method of choice
Fibroids are removed and cut cautiously
The uterine muscle can be repaired using sutures
Incisions are closed, and dressings are applied.

During the procedure, the surgeon locates fibroids and removes them, while keeping as much of the healthy uterine tissue as is possible to ensure that the uterus is able to perform normally in the event of a future pregnancy.

Complications and Risks of Myomectomy

Although generally safe, certain risk factors could be present, including:

1. Bleeding :- A significant loss of blood may occur during or after the surgery, especially with large or multiple fibroids. In some cases, a blood transfusion might be necessary to stabilize the patient.

2. Infection :- Infections can develop either at the surgical incision site or internally within the uterus. These are usually treated with antibiotics but may sometimes require additional medical attention if symptoms persist.

3. Scar Tissue :- Scar tissue, or adhesions, may form within the uterus or nearby pelvic organs after surgery. This can lead to pain, menstrual issues, or difficulty with future conception.

4. Uterine Rupture :- Though very rare, uterine rupture can occur in future pregnancies due to the weakened uterine wall after fibroid removal. Doctors may recommend a C-section to avoid labor complications.

Although rare, complications such as scarring, infection, and fibroid growth regrowth could be seen. After-op care and checks reduces the risk and helps recognize issues before they become serious.

Recovery Following Myomectomy

The extent of recovery is contingent on the surgery type:

Abdominal recovery in 4 to 6 weeks
Laparoscopic/Robotic is to be done within 2 to 4 weeks
Hysteroscopic between 1 and 2 weeks

The recovery process includes rest, medications and moderate exercise. The pain usually eases after a few days, however intense lifting and sexual activities must be avoided until complete healing has occurred as directed by your physician.

Advantages Myomectomy Surgery

Protects fertility and the uterus.
The relief from bleeding that is heavy and pelvic pressure
Better quality of life
More chance of a successful pregnancy
Reduction in bowel or urinary symptoms

Myomectomy improves comfort for the body as well as reproductive health and emotional wellbeing by removing fibroids that cause discomfort and maintaining the uterus to allow future pregnancy opportunities.

Who is a good candidate for myomectomy?

You could be a suitable candidate for this if:

You are suffering from fibroids that appear to be symptomatic.
You would like to have children
You would rather maintain your uterus
Your fibroids aren’t cancerous.
Hormonal treatments haven’t helped.

Myomectomy is the best option for women who want relief from symptoms without sacrificing fertility. The specific approach you choose will depend upon your overall health condition, fibroid volume and your desire for future pregnancy.

Myomectomy Vs Hysterectomy

Contrary to hysterectomy, which takes out the uterus entirely, myomectomy keeps the uterus. This is crucial for women who plan to conceive or maintain hormone function. Myomectomy isn’t as extreme as the hysterectomy. It is a treatment for fibroids that does not end the cycle of natural hormones or fertility which makes it a good choice for women who are younger or who are hoping to have a future pregnancy.

Fertility Following Myomectomy

A lot of women can conceive successfully following surgery. Doctors typically recommend waiting 3 to 6 months to become pregnant. The removal of fibroids could increase fertility, particularly in cases where they interfere with the process of implantation or pregnancy. A proper healing period is essential prior to attempting conception, in order to ensure fertility and minimize risks.

How to Call Your Doctor Following Surgery

Pain severe
Heavy vaginal bleeding
Fever
Foul-smelling discharge
Trouble with urination or bowel movements

These may indicate issues such as internal bleeding or infection. Medical attention promptly is essential to ensure prompt treatment and prevents the possibility of further injury to the uterus.

Conclusion

Myomectomy procedure is a secure and efficient option for women suffering from fibroids in the uterus who wish to preserve their uterus and improve their quality of life. With new surgical techniques and shorter recovery times and promising fertility results This procedure can bring the possibility of healing and hope to thousands of women.