What is Myomectomy?
A Myomectomy is the surgical removal of fibroids from the uterus.
What are fibroids?
Fibroids are fibrous, connective tissue tumors that form. Removal of the fibroids in this way preserves the uterus. Uterine fibroids, also known as myomas or leiomyomas, are the most common female reproductive system tumors and account for nearly 60 percent of the hysterectomies performed each year. Most fibroids are asymptomatic or cause very minor symptoms, however, 1 in 4 women will develop symptoms severe enough to affect their quality of life and require treatment.
How Myomectomy is performed?
Myomectomy is the preferred fibroid treatment for women who want to become pregnant. Before a Myomectomy, shrinking fibroids with gonadotropin-releasing hormone analogue (GnRH-a) therapy may reduce blood loss from the surgery. GnRH-a therapy lowers the amount of estrogen your body makes. If you have bleeding from a fibroid, GnRH-a therapy can also improve anemia before surgery by stopping uterine bleeding for several months.
Laparoscopic Myomectomy removes subserosal fibroids utilizing a laparoscope, a tiny camera connected to a long slender telescope used for viewing inside the abdomen in conjunction with long slender instruments used for performing the operation. Only 2 to 4, less than one-half inch, abdominal incisions are required to perform the surgery.
Special Note: We take pride in the fact that the world’s largest Fibroid weighing 6.5 kilos was taken out by Padmashree awardee Dr. Malvika Sabharwal at Apollo Spectra Hospitals, Karol Bagh, New Delhi in December 2010.
Hysteroscopic Myomectomy removes submucosal fibroids via the vaginal canal using a hysteroscope, a thin, telescope-like instrument that is inserted into the uterus through the vagina and cervix.
Laparotomy Myomectomy removes numerous or large fibroids. Requiring a larger abdominal incision, laparotomy allows the thorough inspection of the uterus to ensure complete uterine fibroid removal.