Article: Myomectomy

Myomectomy refers to the surgical removal of uterine fibroids. In contrast to a hysterectomy the uterus remains preserved and the woman preserves her reproductive potential.

A myomectomy can be performed in a number of ways, depending on the location and number of lesions and the experience of the surgeon. Typically a myomectomy is performed via a laparotomy, the uterus incised, and the lesion(s) removed. A fibroid that is located in a submucous position may be accessible to hysteroscopic removal. In some instances also laparoscopy can be utilized to extirpate fibroids.

Complications of the surgery include the possibility of significant blood loss leading to a blood transfusion, the risk of adhesion or scar formation around the uterus, and the possible need later to deliver via cesarean section. Development of new fibroids will be seen in about 25 % of patients undergoing a myomectomy.

The presence of a fibroid does not mean that it needs to be removed, also alternative approaches can be considered for their management.

See also

uterine fibroids