Myomectomy is a surgical procedure to remove uterine fibroids — also called leiomyomas. These are common noncancerous growths that appear in the uterus, usually during childbearing years, but they can occur at any age.
Goal of the surgeonl during myomectomy is to take out symptom-causing fibroids and reconstruct the uterus. Unlike hysterectomy, which removes your entire uterus, myomectomy removes only the fibroids and leaves your uterus intact.
Usually four incisions are made in the lower abdomen: one-centimeter at the navel (belly button) and three half centimeter ones on the sidesThe abdominal cavity is then filled with carbon dioxide gas. A thin, lighted telescope, called a laparoscope, is placed through an incision, allowing doctors to see the ovaries, fallopian tubes and uterus. Long instruments, inserted through the other incisions, are used to remove the fibroids. The uterine muscle is sewn back together. At the end of the procedure, the gas is released and the skin incisions are closed.
Most women spend one night in the hospital and two to four weeks recovering at home. After the procedure, you will have small scars on your skin where the incisions were made.
Laparoscopic surgery needs to be done only by the expert surgeons as the surgery is guided by a small telescope. There are several other factors like numbers of fibroids, their location and size of the Uterine.
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