Myomectomy (pronounced my-o-MEK-tuh-me) is a surgical operation used to remove uterine fibroids, also known as leiomyomas (lie-o-my-O-muhs). These noncancerous growths generally occur in the uterus. Myomectomy is a possibility for females who have fibroids and want to get pregnant in the future or keep their uterus for another reason. Consult the best Gynecology Hospital in Kukatpally, Hyderabad, or nearby, if your fibroids are producing symptoms such as:
• Pelvic Pain
• Heavy Periods
• Irregular Bleeding
• Frequent Urination
Get Ready for Myomectomy Surgery
Your doctor may prescribe medication before surgery to lessen your fibroids’ size and make them easier to remove.
Gonadotropin-releasing hormone agonists, such as leuprolide (always known as Lupron), are drugs that block the production of estrogen and progesterone. As a result, they will induce temporary menopause in you. However, your menstrual cycle will return once you stop using these medications, and conception should be possible.
Make sure to ask your doctor questions regarding preparation and what to expect during your operation.
You may need testing to make sure that you are healthy enough to have surgery. Your doctor will choose which tests you need based on your risk factors. These are some test suggestions:
- Blood Tests
- Pelvic Ultrasound
- Mri Scan
Certain drugs may need to be stopped before your myomectomy surgery. Inform your doctor about your medicines, including vitamins, supplements, and over-the-counter medications. Inquire with your doctor about the drugs you must discontinue before surgery and how long you must do so.
Stop smoking for six months before your procedure. Smoking can impede healing and raise your risk of cardiovascular problems during surgery. Consult your doctor about quitting smoking.
Before your surgery, you must stop eating and drinking by midnight.
Connect with the Best Hospital in Hyderabad for highly trained and knowledgeable doctors for the perfect surgeries.
Depending on the type of myomectomy, the process will differ.
1. Abdominal Myomectomy surgery
You will be given general anesthesia for this myomectomy treatment.
Your surgeon will initially incision into your uterus through your lower abdomen. This can be completed in two ways:
A 3- to 4-inch-long horizontal incision immediately over your pubic bone. This incision is less painful and produces a smaller scar, but it may not be large enough to remove large fibroids.
A vertical incision from the bottom of your belly button to the top of your pubic bone. This incision is rarely utilized nowadays; however, it may be more effective for larger fibroids and reduces bleeding.
After the incision, your surgeon will remove the fibroids from your uterine wall. They will next sew your uterine muscle layers back together.
Most women who undergo this operation spend one to three days in the hospital.
2. Laparoscopic Myomectomy surgery
Your surgeon will make 4 small incisions while you are under general anesthesia. Each of these will be roughly 12 inches long in your lower abdomen. In addition, to assist the surgeon see within your abdomen, your stomach will be filled with carbon dioxide gas.
A laparoscope will then be inserted via one of the incisions by the surgeon. A laparoscope is a slender, illuminated tube with a camera attached to one end. Next, small instruments will be inserted into the remaining incisions.
If the operation is being performed robotically, your physician will use a robotic arm to manipulate the instruments remotely.
To remove your fibroids, your surgeon may chop them into small pieces. If they are huge, your surgeon may do an abdominal myomectomy, which involves making a larger incision in your abdomen.
The surgeon will remove the instruments, expel the gas, and close your incisions. Most women who undergo this operation spend one night in the hospital.
3. Hysteroscopic Myomectomy surgery
You will be given a local anesthetic or placed under general anesthesia during this treatment.
The surgeon will put a small, illuminated scope into your uterus through your vagina and cervix. Then, they will inject a liquid into your uterus to enlarge it so they can see your fibroids more clearly.
Your surgeon will shave off portions of your fibroid using a wire loop. The liquid will then wash away the fibroid fragments that have been removed.
You will leave the hospital on the of operation. Consult the best gynecologist in Hyderabad for the best Myomectomy surgery.
Myomectomy Recovery Time
You will have some discomfort following your procedure. Your doctor can prescribe medicine to alleviate your pain. You will also have spotting for a few days to weeks.
The length of time you must wait before returning to your typical activities is determined by your type of surgery. For example, the recuperation time from open surgery is the longest.
The following are the recovery periods for each myomectomy procedure:
- Four to six weeks for an abdominal myomectomy surgery
- Two to four weeks for laparoscopic myomectomy surgery
- Two to three days for hysteroscopic myomectomy surgery
Lift heavy objects or engage in intense exercise until your incisions have healed completely. Your doctor will notify you when you can resume these activities.
When it is safe for you to have sex, see your doctor. You could be obliged to wait up to six weeks.
If you want to get pregnant, talk to your doctor about when you may start trying safely. Depending on the kind of surgery, you may need to wait for three to six months to heal fully.
Myomectomy Complications and Risks
Any surgery has risks, and myomectomy is no exception. The dangers of this operation are uncommon; however, they may include the following:
- Extreme Bleeding
- Damages to the nearby Organs
- A Hole (Perforation) In Your Uterus
- Scar Tissue which Blocks Your Fallopian Tube or Leads To Fertility Complications
- New Fibroids That Require Another Removal Method
If you encounter any of the following symptoms following your surgery, contact your doctor immediately:
- Heavy Bleeding
- Severe Pain
- Trouble Breathing
How will the scar look?
Your scar from an abdominal myomectomy will most likely be around an inch below your pubic hairline, below your underpants. This scar will also vanish with time.
Your scar may be uncomfortable or numb for several months, but this should subside. However, consult your doctor if your scar continues to itch or becomes more painful. In some circumstances, your doctor may advise reopening the scar to allow it to heal.
When wearing a low-cut dress, scars from a laparoscopic myomectomy may be visible. However, the scars from a myomectomy for uterine fibroids are substantially smaller than those from an abdominal myomectomy, and those will dissolve over time.
Effect Of Myomectomy on Future Pregnancies
The type and number of fibroids you have influence your chances of becoming pregnant. Women who have had more than 6 fibroids removed are less likely to become pregnant than women who have had fewer fibroids removed.
Because this treatment can weaken your uterus, it is dangerous to tear it during pregnancy or labor. To avoid this issue, your doctor will most likely advise you to have a cesarean delivery. They may advise you to schedule this close to your due date.
Your cesarean delivery may be possible through the incision location of your myomectomy. This can help you to have fewer scars.
Myomectomy can be done to remove uterine fibroids that are causing problems and relieve your symptoms. The sort of myomectomy operation you have is determined by the size and location of your fibroids.
Consult the best gynecology hospital in Hyderabad or nearby to determine whether this operation is appropriate for you. Before you proceed with the surgery, be sure you understand all potential benefits and hazards.