Uterine fibroids are common among women during their years of childbearing. There are several methods to treat this condition. A common surgical procedure to remove these fibroids is known as myomectomy. It does not only aim at removing these fibroids that are causing symptoms but also to reconstruct one’s uterus. The difference between hysterectomy and myomectomy is the removal of the uterus; myomectomy preserves it, saving the chances of getting pregnant in the future. Females who undergo this procedure have been reported to have fewer symptoms and improved health after this surgery.
Purpose
Fibroids that interfere with your day-to-day routine need attention. These troublesome fibroids can be treated via myomectomy. This surgical procedure has the potential to treat pelvic pain, help with irregular bleeding, reduce the heavy menstrual blood flow, and facilitate fully emptying the bladder. This procedure is an alternative to hysterectomy and is a good option for women who want to protect their uterus and plan to have children in the future.
Risks Associated With Myomectomy
Myomectomy, of all the procedures, has a lower complicate rate. However, still brings about unique challenges for women undergoing this surgery. The risks and complications include:
Blood loss
Women with fibroid develop anemia because of heavy and irregular blood flow during their menstrual cycles. This contributes to a higher chance of complications arising from lower blood count. You would probably suggest ways to increase and improve your blood count before surgery. Extra precautions and steps are followed during myomectomy to avoid excessive blood loss.
Childbirth problems
Even though myomectomy preserves the chances of giving birth, it can still increase some risks during the pregnancy. If a deep incision has been made during the surgery, then you may be recommended a cesarean delivery to protect the uterus from rupturing.
Scar tissues
Adhesions may result due to incisions into the uterus. An adhesion is a natural body response that tries to join two body surfaces separated for any reason.
Types of Myomectomy
There are three types of myomectomy procedures. Determining the appropriate type relies on various considerations like the number, size, and location of the fibroid, the patient’s fertility goals, age, overall health, extent of symptoms, and the surgeon’s expertise.
Abdominal myomectomy: Involves creating an incision in the abdominal wall for accessing and removing the fibroids.
Laparoscopic or robotic-assisted myomectomy: This entails minimally invasive procedures with small incisions, utilizing specialized instruments for fibroid removal. Robotic assistance helps to enhance precision and accuracy in some cases.
Hysteroscopic myomectomy: designed to eliminate submucosal fibroids that extend into the uterine cavity. This type includes the passage of a hysteroscope through the vagina and cervix to reach the fibroids.
Different types have different pros and cons. The patient needs to have an open discussion with her healthcare provider to make a well-informed decision regarding their specific situations, preferences, and goals.
