Different Types of Myomectomy Surgery

myomectomy surgery

What is Laparoscopic Myomectomy?

Laparoscopic myomectomy is used to surgically remove the uterine fibroids from a woman’s uterus. These uterine fibroids are known to affect the conceiving abilities in a woman and thus it becomes important to remove these uterine fibroids so as to decrease the chances of uterine complications and infertility.

Types of Myomectomy procedures?

There are three types of myomectomy surgical procedures and the doctor will choose the most suitable option depending on the location, number and size of the uterine fibroids for your particular case.

These are the three types of myomectomy surgical procedures in use today:

Laparoscopic Myomectomy

The laparoscopic, or robotic myomectomy, is a minimally invasive type of surgery used to remove the uterine fibroids.

In this type of myomectomy procedure the surgeon will make several minute incisions around the region of your belly-button. One of these incisions is used to insert the laparoscope – a thin tube fitted with a tiny video camera – into the abdomen. The surgeon will use other tiny surgical instruments attached to similar laparoscopic tubes to perform the removal of the uterine fibroids. The robotic feature of the surgical instruments allows the surgeon to control their movements very precisely and exactly from a remote console that gives a perfect view of the operation being performed inside your abdomen.

The doctor cuts the larger fibroids into smaller pieces and removes these through the incisions in the abdominal wall.

Laparotomy

This is also known as abdominal myomectomy in which the surgeon uses conventional surgical methods (open surgery) to remove the fibroids from the uterus.

This is done through either of these two types of incisions:

  • Horizontal Bikini-Line incision – This incision is done around an inch above your pubic bone and is done in a straight line for about 3-4 inches. This type of incision is usually recommended when the fibroid is smaller in size.
  • Vertical incision – This incision is made from the middle of your abdomen till above the pubic bone. This allows the surgeon greater access to your uterus and the fibroids.

Hysteroscopic Myomectomy

This is the procedure that the surgeon will most probably choose in case the fibroids jut out significantly into the uterine cavity. This procedure is performed using instruments that are used to access the uterus through the vagina and cervix.

The surgeon uses a special instrument called a ‘resectoscope’ –that has a light and uses laser beam to cut tissue – to gain access to your uterus. A sterile solution is inserted to fill the uterus that allows the surgeon to examine the uterus walls. The surgeon then uses the resectoscope to cut the fibroid from the uterus wall and the remaining pieces are washed out when the sterile salt solution is drained out.

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What are the advantages of a Laparoscopic Myomectomy?

The main advantage of a laparoscopic myomectomy is that the scars are very few and tend to heal faster. There is very less, if any, loss of blood. The pain is reduced to very bearable levels and the myomectomy procedure helps you get relief from excessive menstrual bleeding and pelvic pain caused by the uterine fibroids. Along with these physical benefits the myomectomy procedure also helps improve fertility and increase the chances of conception.

Risks or complications with Laparoscopic Myomectomy?

There might be certain complications that may arise, but rest assured the doctor and surgeon will discuss these possibilities before the operation and prepare you to counter these risks in the most effective and efficient manner.

These are some of the risks that could be seen with laparoscopic myomectomy:

  • Excessive bleeding – The surgeon will block your uterine arteries and inject medications that help in stopping blood leakage from arteries.
  • Scar tissue – Laparoscopic myomectomy reduces the scarring tissue occurrence to the minimum.

The laparoscopic myomectomy surgical procedure is very useful to remove the uterine fibroids that cause heave and excessive menstrual bleeding and pelvic pain. This procedure also helps increase your chances of conceiving and lessens the risk of a complicated delivery after pregnancy.

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