Uterine fibroid removal (myomectomy)
A uterine fibroid, also known as a myoma is a benign tumor of the uterine muscle tissue that is thought to originate from a single muscle cell. This pathology usually affects women of reproductive age.
Uterine fibroids classified according to the location as follows:
- Intramural fibroids growing inside the wall of the uterus;
- Submucosal fibroids growing into the endometrial cavity;
- Subserosal fibroids growing toward the abdominal cavity.
Uterine fibroids are usually diagnosed by transabdominal or transvaginal ultrasound. The latter method is more precise. Single fibroids that cause the side effects such as pressure on the surrounding tissues (gallbladder or rectum), miscarriages, profuse menstrual bleeding, and anemia are usually removed.
Fibroids are usually removed when their size reaches 3 or more cm.
Myomectomy is the removal of fibroids while preserving the uterus and fertility of a woman who plans to become pregnant in the future.
How Is the Surgery Performed?
The surgery is performed by employing a minimally invasive, laparoscopic, approach.
The fibroid is cut into smaller pieces with a special device (morcellator) and is removed through one of the ports.
A small defect in the wall of the uterus can be treated by coagulation, and a larger defect, sutured.
What Should Be Known After Surgery?
- Sometimes patients experience pain radiating to the area under the collarbones. It usually disappears with a few days;
- The sutures are removed after 1 week;
- Normal daily activities can be resumed after a few days. The patient should avoid more strenuous physical activity for 3–4 weeks;
- It is not recommended to become pregnant within the first year after myomectomy, and a scheduled cesarean section is advised for delivery.