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Myomectomy

Illustration describing myomectomy

Surgery to remove fibroids from the uterus

Myomectomy is the surgical removal of fibroids while preserving the uterus, thus preserving too the possibility of pregnancy in the future. This can be done employing different types of surgery, whose application depends on the location and number of fibroids you have -on the one hand- and your preferences and personal circumstances, on the other. It is performed under general or local anesthesia, depending on the type of surgical procedure to be performed.

Open or Abdominal Myomectomy

It is performed by open surgery, through an abdominal incision--either up and down (vertical) or bikini cut (horizontal). Once the abdominal cavity has been accessed, an incision is made in the uterus through which the fibroids are removed. One or more incisions in the muscle of the uterus may be required, which are sutured (stitched up) after the fibroids have been removed.

  • Depending on your health condition and your case particulars, abdominal myomectomy can be performed under general anesthesia or local anesthesia (epidural or spinal) allowing you to be awake without experiencing any pain.
  • The hospital stay for abdominal myomectomy is 2 to 3 days and postoperative recovery takes 6 to 8 weeks.
  • This procedure is recommended in cases of large intramural fibroids requiring extensive suturing.

Laparoscopic Myomectomy

This is a surgical technique where myomectomy is performed via minimal incisions made in the abdomen (approximately 1 cm wide), having a milder impact on the patient.

Practitioners first introduce a tiny camera through one of these incisions so as to locate the fibroid(s) or the best point of access in the uterus to the fibroid(s). Then they introduce special tools to make the incisions in the uterus, cauterize wounds, remove the fibroid(s), and suture the cuts made.

  • Laparoscopic myomectomy reduces the risk of complications because the skin cuts are very small.
  • It is performed under general anesthesia.
  • It requires 1 to 2 days of hospital stay. Postoperative recovery takes 2 to 3 weeks.
  • This procedure is recommended in cases of medium to large intramural fibroids, subserosal fibroids, or pedunculated fibroids.

Hysteroscopic Myomectomy

It is a similar procedure to laparoscopic myomectomy, but instead of abdominal incisions it is performed via the vagina, through which the uterus is accessed. A hysteroscope –i.e., a camera that sends images to a monitor– is first introduced, followed by special surgical tools to remove the fibroid(s), cauterize and suture the wounds.

  • Depending on your health condition and your case particulars, hysteroscopic myomectomy can be performed under general anesthesia or local anesthesia (epidural or spinal) allowing you to be awake without experiencing any pain.
  • Recovery takes less than a week.
  • It is a particularly effective procedure for fibroids located inside the uterus (intracavitary and submucosal).

Complications, risks, and discomfort associated with myomectomy

  • That you may require a blood transfusion to compensate possible blood loss during surgery.
  • The formation of a scar in the uterus that makes C-section necessary for future deliveries.
  • Does not prevent more fibroids from developing in the future.
  • The risks associated with any surgery.


 

Interesting facts about myomectomy

Pain during recovery Moderate to severe
Hospital stay 60 hours
Recovery at home 7 to 42 days
Type of sedation
Sedative  It is not required    Local anesth.  It is not required  General anesth.  It is required


Start today!

With the best diagnosis at the best price: a gynecological magnetic resonance scan

The more precise the diagnosis of your fibroid condition, the best your possibilities are of ending with the troublesome symptoms caused by them. For this reason we are offering you the most advanced diagnosis at the lowest cost.

  • Clinical history and registration of your personal preferences.
  • Gynecological MR imaging of lower abdomen.
  • Assessment of your fibroid condition by a medical council of experts.
  • Consultation to explain you your study results in detail and the strategy we recommend.

Cost of the diagnostic through magnetic resonance scan (including the assessment and a consultation with an expert to explain to you your results): $2,163 MXN pesos (around $155 USD taxes included).

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