Myomectomy is the surgical elimination of fibroids from the female internal reproductive organ. It permits the female internal reproductive organ to be left in the same place and, for a few females, makes gestation a lot of probably than before. Myomectomy is the most popular fibroid treatment for ladies
Before myomectomy, decreases the fibroids with gonadotropin-releasing secretion analog (GnRH-a) medical aid might scale back blood loss from the surgery. GnRH-a medical aid lowers the number of estrogens your body makes. If you are bleeding from a fibroid, GnRH-a medical aid can even improve anemia before surgery by stopping female internal reproductive organ harm for many months.
Below are the surgical methods:
- Hysteroscopy- this surgical method involves injecting a instrument to the vagina and to the uterus
- Laparoscopy- this surgical method involves using an instrument with one or more small cuts in the abdomen
- Laparotomy- this method uses a bigger incision in the abdomen
These surgical method uses depends on the location, size and number of fibroids.
- Hysteroscopy is used for removing fibroids, which is present on the inner wall of the uterus. These fibroids can be removed if it is not deep routed into the uterine wall
- Laparoscopy usually used for removing two or three fibroids, up to about 2.1 in. (5.2 cm), which are grown outside the uterus
- Laparotomy used to remove la fibroids that have grown deep routed into the uterine wall or large fibroids and many fibroids
The time in hospital after surgery depends on each surgery
- Hysteroscopy is a casualty procedure
- Laparoscopy is a casualty procedure or may need a stay of 1 day
- Laparotomy has to stay for an average of 1 day to 5 days
Retrieval time depends on the technique used for the myomectomy:
- Hysteroscopy requires from a 3 days to 3 weeks to recover.
- Laparoscopy needs 2 to 3weeks.
- Laparotomy needs 3 to 6 weeks.
Why Myomectomy is done?
Myomectomy reserves the uterus while treating fibroids. It may be a sensible treatment option if:
- Anaemia cannot be treated with medicine
- Pressure or pain cannot be relieved through any medicine
- Fibroid which changes the wall of the uterus