Surgical Myomectomy: Understanding the Procedure and Benefits

Jul 22, 2024

Surgical myomectomy is a recognized surgical procedure aimed at the removal of uterine fibroids. These benign tumors can cause a variety of health issues, including severe bleeding, pain, and complications related to fertility. The expert team at Dr. Seckin's Clinic specializes in this procedure, ensuring patients receive comprehensive care tailored to their unique needs.

What is Surgical Myomectomy?

Surgical myomectomy is a surgical technique used to remove fibroids from the uterus while preserving the organ itself. Unlike a hysterectomy, which entails the complete removal of the uterus, myomectomy allows women to retain their reproductive capabilities. This makes it an appealing option for those looking to maintain their fertility or who want to avoid the implications of losing their uterus.

Why Consider a Surgical Myomectomy?

Women may opt for surgical myomectomy for several reasons, including:

  • Severe Symptoms: Heavy menstrual bleeding, pelvic pain, and discomfort due to large fibroids.
  • Fertility Concerns: Women wishing to conceive in the future may choose myomectomy to enhance their chances of a successful pregnancy.
  • Failed Medications: If other treatments, such as hormonal therapy or lifestyle changes, do not resolve the symptoms.
  • Desire to Preserve Uterine Structure: Myomectomy allows the uterus to remain intact, which is crucial for women desiring future pregnancies.

Types of Surgical Myomectomy

There are different approaches to performing a surgical myomectomy, each with distinct benefits:

1. Abdominal Myomectomy

This involves a larger incision in the abdominal wall and is typically used for larger or multiple fibroids. It provides direct access to the uterus.

2. Laparoscopic Myomectomy

This minimally invasive technique employs small incisions and the use of a laparoscope for guidance. It generally leads to a quicker recovery and reduced post-operative pain.

3. Hysteroscopic Myomectomy

Performed through the vagina and cervix, this method is ideal for fibroids located within the uterine cavity. It avoids any external incisions and lessens recovery time.

Consulting with Experts at Dr. Seckin's Clinic

Before proceeding with a myomectomy, it is vital to consult with an experienced obstetrician and gynecologist. At Dr. Seckin's Clinic, our specialists conduct thorough evaluations to determine the most suitable approach based on individual health conditions and fibroid characteristics.

The Surgical Procedure: What to Expect

The surgical myomectomy procedure typically involves the following steps:

  1. Preparation: Patients undergo pre-operative assessments, including imaging tests such as ultrasound or MRI, to identify the fibroids' location and size.
  2. Anesthesia: The procedure is performed under general or regional anesthesia to ensure patient comfort.
  3. Surgical Removal: The surgeon removes the fibroids through the designated method (abdominal, laparoscopic, or hysteroscopic).
  4. Closing Incisions: The surgical sites are closed up using sutures or staples.

Recovery After Surgical Myomectomy

Recovery times vary depending on the surgical technique used:

Abdominal Myomectomy Recovery

Patients may need to stay in the hospital for a few days and should expect about 4-6 weeks of recovery, during which they should avoid heavy lifting and strenuous activities.

Laparoscopic Myomectomy Recovery

This approach typically allows for a quicker recovery, with most patients returning to normal activities within 2-4 weeks.

Hysteroscopic Myomectomy Recovery

Patients usually experience the quickest recovery, often feeling well enough to resume normal activities within a few days.

Potential Risks and Complications

Like any surgical procedure, surgical myomectomy carries certain risks, although serious complications are rare. Potential risks include:

  • Infection: As with any surgical procedure, there's a risk of infection.
  • Bleeding: Excessive bleeding may occur during or after surgery, potentially requiring a blood transfusion.
  • Uterine Scar Tissue: The formation of scar tissue in the uterus may affect future pregnancies.
  • Fibroid Recurrence: Fibroids can develop again over time, leading to the recurrence of symptoms.

Long-Term Outcomes and Benefits

The long-term benefits of surgical myomectomy include:

  • Symptom Relief: Most patients experience significant improvement or complete resolution of symptoms post-surgery.
  • Improved Fertility: Many women have successfully conceived after myomectomy, particularly when fibroids obstruct the uterus.
  • Maintained Uterine Integrity: The procedure preserves the uterus, allowing for future pregnancies.

Conclusion: Choose Expert Care for Surgical Myomectomy

Choosing to undergo surgical myomectomy is a significant decision that should involve comprehensive care and expert guidance. At Dr. Seckin's Clinic, we prioritize patient well-being and offer personalized treatment plans supported by our extensive experience in uterine surgeries. Reach out to learn more about how surgical myomectomy can enhance your quality of life.