A Myomectomy is a procedure to remove fibroids (also known as myomas) from the uterus.Fibroids are non cancerous lesions in the muscle layer of the uterus. During myomectomy, fibroids are removed, and the uterus is repaired. After this procedure, one will typically have a normally functioning uterus and it is the preferred fibroid treatment for women who want to become pregnant.
Based on the type of surgical approaches, Myomectomy is classified as:
- Open myomectomy
- Minimally invasive laparoscopic myomectomy
- Hysteroscopic myomectomy
Open myomectomy An open myomectomy, also known as abdominal myomectomy, is done through an incision in the abdomen.This type of procedure may be the best option for large fibroids.
Minimally-invasive myomectomy There are several types of minimally-invasive options for a myomectomy. These surgeries generally have quicker recovery times and require shorter stay in the hospital.
- Standard laparoscopic myomectomy: Tiny incisions are made in the abdomen for the placement of Laproscope and some special instruments to assist in removing the fibroids. The fibroids themselves are sometimes removed through the vagina, or through the small openings in the abdomen.
- Hysteroscopic myomectomy: This procedure requires no incisions at all. When fibroids are in just the right place within the uterus, a Laproscope with a specialized attachment can be placed through the vagina into the uterus to remove fibroids.