Lap. Myomectomy

Fibroids are benign tumor found on the muscle uterus. Myomectomy is the surgery to remove the fibroids. Depending upon the size and growth of fibroid in your uterus the surgeon may suggest any of the following three surgeries.

Abdominal myomectomy

In this surgery, the surgeon accesses your pelvic cavity through two incisions. First incision is about 4 inch long along your bikini line.

  As this incision is along your skin line, the pain will be lesser and the scar will be thinner. This opens the abdomen and allows your surgeon to access the pelvic area. But if the fibroid is longer horizontal incisions may not be appropriate as it restricts surgeon’s access to pelvic region. For larger fibroids a vertical incision which starts from the middle of your abdomen and terminates near the naval will be the appropriate one. Vertical incision gives better access to surgeon over your pelvic area. But in practice vertical incision are used only if your uterus is larger in size than the average one.

Laparoscopic myomectomy

In laparoscopic myomectomy the surgeon accesses the pelvic area and cuts the fibroid through a number of small incisions of size s about 1 to 2 cms near the belly bottom. Through one of this incisions a laparoscope is inserted which is used to take the videos of the internal area and pass it on to the monitor placed before the surgeon. Through other small incisions the instruments used to perform the surgery are inserted. Viewing the pelvic area through the monitor surgeon performs the surgery remotely controlling the instruments for surgery. Since laparoscopy is done making use of smaller incisions this is not causing much pain and blood loss.  This is a process which can be completed by one day’s stay in the hospital.

 Hysteroscopic myomectomy

If the uterine passage is blocked due to the growth of fibroids, your surgeon may prefer this procedure. Resctoscope is an instrument used to cut fibroids using electricity or laser beam. This instrument is inserted through your vagina into your uterus. Sterile salt solution in inserted to your vagina to expand its passage.   After removing the cut fibroids the uterus openings are put together by stitching.