Myomectomy is a surgical treatment that involves removing only the fibroids. Although the patient retains her uterus, this technique is very delicate is not practiced by all physicians. Only certain fibroids can be treated by this procedure.
The surgery is performed under general anaesthesia and requires several days of convalescence.
Depending on the type of fibroids, the procedure can be performed in three different ways

Hysteroscopic myomectomy : for fibroids located just beneath the lining of the uterus, forming a protrusion into the uterine cavity. This procedure requires no surgical incision. The fibroids are removed through a flexible endoscope.

Laparoscopic myomectomy : for fibroids located on the outer surface of the uterus. Small incisions are made to insert two catheters into the abdominal cavity, one with a tiny camera and another fitted with surgical instruments to remove the tumours.

Abdominal myomectomy : for interstitial (located in the wall of the uterus) or subserosal (which grow in the abdominal cavity) fibroids. An incision in the abdomen is performed to access to the uterus, followed by another incision in the uterus to remove the tumour. Once the fibroids are removed, the uterus is sutured.

Myomectomy: in what case?

Myomectomy is performed in the case of the presence of subserosal and / or submucosal fibroids, which lead to pelvic pain and increased abdominal girth. For intramural fibroids, the procedure is more complicated.
Myomectomy involves removing just the tumour while preserving the uterus. The patient therefore continues to have menstrual periods and she can become pregnant subsequently.


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