Unlike a hysterectomy, which involves the removal of the entire uterus, a myomectomy involves removal of only the fibroids while leaving the uterus intact. Myomectomy is a surgical technique for removing a myoma or fibroid. Fibroids are noncancerous growths from the uterus that usually cause no problems and are asymptomatic. But in certain cases, they can cause problems such as heavy periods or menstruation, prolonged periods, and painful periods. Along with that, rarely, they can be the cause of infertility, which is not being able to conceive, and occasionally, they can compress adjacent organs and cause symptoms. Based on their position in the uterus, they are classified as intramural when present inside the muscle layer of the uterus, sub-serosal when they grow outward into the abdominal cavity, and sub-mucosal when they grow into the uterine cavity.
Treatment of Myomas
Myomas are treated only when they cause problems or are symptomatic. Symptoms can be treated with painkillers or hormones. When medical methods fail to work or a fibroid is the cause of infertility, surgical myomectomy is the treatment of choice. Hysteroscopic myomectomy is used to treat submucosal myomas. For intramural and subserosal fibroid tumors, laparoscopic myomectomy is performed. It can also be performed for large fibroids. To know more, visit our gynaecology hospital in Sarjapur road, Bangalore.
Risk Factors associated with Myomectomy
Myomectomy carries some risks, but they are extremely uncommon and it is relatively a safe surgical procedure.
So what are the risks associated with myomectomy?
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Excessive blood loss
Due to severe menstrual bleeding, many women with uterine leiomyomas already have low blood counts or are anemic. Surgeons take great precautions to prevent excessive bleeding during a myomectomy. This may involve injecting drugs near fibroids to force blood vessels to constrict and thus reduce blood loss during surgery.
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Pregnancy or childbirth complications
Pregnancy problems are often linked to fibroids themselves. After having a myomectomy, the doctor may recommend a cesarean section (C-section) to avoid uterine rupture (a very rare pregnancy problem) and the associated risk during delivery. To know more about the complications, consult with our gynaecologist in Sarjapur road, Bangalore.
Laparoscopic VS Open myomectomy
Laparoscopic myomectomy is preferred over open myomectomy because the post-operative pain is less severe, recovery is much faster and hence the hospital stay is shorter.
Senior Consultant - Obstetrics And Gynecology
Manipal Hospitals, Sarjapur road, Bangalore
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