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Gynaecology - Myomectomy

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Introduction

A surgical procedure called Myomectomy is performed to remove the uterine fibroids that grow in a woman’s uterus. These are noncancerous growths that usually develop before menopause. However, they can occur at any stage of a woman’s life.

This procedure is also known as leiomyomas, and while performing the surgery, the surgeon aims to remove the symptom-causing fibroids and reconstruct the uterus back to how it was. It is considered a highly effective procedure and shows significant improvements in a female’s body. It decreases heavy menstrual bleeding and pelvic pressure and improves her symptoms.

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Under What Circumstances Would I Need a Myomectomy?

This surgery is performed on women whose fibroids are causing them trouble. It is also recommended for women looking to get pregnant in the future and wish to retain their uterus.

The symptoms are:

  • ● Irregular bleeding
  • ● Frequent urination
  • ● Heavy periods
  • ● Pelvic pain

Is Surgery the Only Option to Remove Fibroids from My Uterus?

At Smiles Institute of Gastroenterology, expert surgeons and doctors first assess your condition and order tests to understand the most suitable treatment type. There are medications to reduce the size of the fibroids developing in your body. This way, they can be extracted easily. Your treatment depends on your health conditions and the intensity of symptoms. Here are a few tests your doctor may order to understand the situation:

  • ● Electrocardiogram
  • ● MRI scans
  • ● Pelvic ultrasound
  • ● Blood tests

Once the test results are available, the doctor will evaluate and come up with a solution and the preferred type of surgery for the fibroids in your uterus. If the doctor suggests surgery, they may also ask you to follow a healthy lifestyle to increase the success rate of your surgery and gain adequate strength to undergo surgery.

How Many Types of Surgery are Available for Myomectomy?

Expert surgeons and doctors at Smiles Institute of Gastroenterology will recommend the most suitable surgery. Here are the types:

  • Abdominal Myomectomy
    In this procedure, your doctor will administer general anesthesia to ensure there’s no pain. The surgeon will then make an incision in your lower abdomen to reach your uterus. This can happen in several ways:
  1. A horizontal incision will be made approximately 3 to 4 inches long above your pubic bone area. This incision will cause you minimum pain and leave little to no scars. However, such a small incision may not be enough to remove the large fibroids from your uterus.
  2. A vertical incision can be made starting below your belly button and ending at your pubic bone area. This incision is used only for larger fibroids. It is highly effective and reduces bleeding.

The surgeon decides the type of incision – horizontal or vertical. Once the fibroids are removed from your uterus, the surgeon will stitch your uterine muscles. After this procedure, your doctor may recommend you rest for at least 3 days in the hospital while they monitor your condition.

  • Laparoscopic Myomectomy
    For this procedure, you will be administered general anesthesia to reduce pain and discomfort.
  1. There will be four incisions, each about ½ inch long, on your lower abdomen.
  2. Before this, your belly will be filled with carbon dioxide gas to enable the surgeon to see clearly inside your abdomen area.
  3. Then the surgeon will insert a laparoscope (a thin tube with a camera at the end) inside your abdomen from the incision made, and other small instruments will be placed into another incision.
  4. The surgery can be done robotically, and the surgeon will control the instruments remotely with the help of a robotic arm.
  5. The surgeon will cut off fibroids in small pieces and then remove them. If they are too large for this, your surgeon will change the myomectomy type and create a larger incision inside your abdomen.
  6. The surgeon will then remove all the instruments, release the gases, and stitch close your incisions.

After the procedure, your condition may be monitored for 24 hours at the hospital.

  • Hysteroscopic Myomectomy

Before the surgeons begin this surgery, they will administer a local anesthetic to reduce pain during surgery.

  1. Your surgeon will insert a thin and light scope inside your vagina that will pass through the cervix and reach your uterus. He or she will also place a liquid inside your uterus that will open the area wide, allowing them to see the fibroids clearly.
  2. The surgeon will then use a loop wire to eliminate the pieces of fibroids in your uterus. He or she will wash the pieces of fibroids off your uterus.

Recovery does not take much time usually. The doctor may send you home on the same day.

What are the Risks Associated with Myomectomy?

The following are a few risks of surgery:

  • ● Uterus injury or injuries to other body parts near the uterus
  • ● Infection
  • ● Scar tissue formation
  • ● Excessive bleeding
  • ● Fibroids may grow back in the future.

What are the Conclusion Associated with Myomectomy?

At Smiles Institute of Gastroenterology, we understand that every medical requirement needs to be treated with utmost professionalism and care. Our Gynaecology department comprises a team of expert doctors, surgeons, rehabilitators, nurses, lab technicians, etc., who perform various surgeries. Our state-of-the-art hospital employs modern techniques and methods to offer the best possible treatment to every patient for a better and healthier life.

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FAQ's

Is Having Fibroids in the Uterus a Genetic Health Issue?

Research has found that fibroids usually contain genetic changes rather than uterine cells. So yes, in some cases, they may be a genetic health issue.

How many Women Suffer from Fibroids in their Uterus?

Approximately 40 to 80% of women have fibroids in their uterus.

Can I get Pregnant After a Myomectomy?

Yes, Myomectomy is often beneficial for women looking to get pregnant in the future.

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