Myomectomy ( removal of fibroids )
A myomectomy is an operation to remove fibroids while preserving the uterus. For women who have fibroid symptoms and want to have children in the future, myomectomy is the best treatment option.
Myomectomy is very effective, but fibroids can re-grow. The younger you are and the more fibroids you have at the time of myomectomy, the more likely you are to develop fibroids again in the future. Women nearing menopause are the least likely to have recurring problems from fibroids after a myomectomy. A myomectomy can be performed several different ways. Depending on the size, number and location of your fibroids, you may be eligible for an abdominal myomectomy, a laparoscopic myomectomy or a hysteroscopic myomectomy.
- Abdominal myomectomy may be best for you if you have many or very large fibroids growing in your uterine wall.
- Laparoscopic myomectomy may be better if you have smaller and fewer fibroids.
- Hysteroscopic myomectomy may be better if you have smaller fibroids inside your uterus.
It is also referred to as hysteroscopic resection of fibroid. It’s suitable for fibroids that occur on the within (cavity) of the uterus. These fibroids are removed using a fine, slender instrument known as hysteroscope. Operative hysteroscopy may be a type of endoscopic surgery performed by minimally invasive surgeons.
Open Abdominal Myomectomy
This is the standard method of removing fibroids from the abdomen – and it’s the foremost common route of myomectomy performed by gynaecologists. The fibroid is removed via an oversized incision on the abdominal skin (laparotomy). The incision are often horizontal (a bikini line incision) or vertical from just under the navel to pubic bone. Complete recovery usually takes 4-6 weeks.
Laparoscopic (keyhole) Myomectomy
Instead of a large bikini line incision, our minimally invasive physician makes only tiny incisions (typically 0.5 – 1.5cm) on the abdomen and uses laparoscopic instruments to get rid of the fibroid.