Wednesday 30 October 2019

MYOMECTOMY

A myomectomy is a surgery done to remove uterine fibroids while retaining the uterus, done in a women during child bearing age.

Myomectomy


SYMPTOMS - uterine fibroids can cause.
  •     Heavy periods
  •     Painful periods
  •     Infertility
  •     Pelvic pressure
  •     Increase in abdominal girth
AIM - the aim of a myomectomy is to remove the fibroids, and hence relive the symptoms and improve the chances of fertility.

TECHNIQUES OF MYOMECTOMY
1. Laparoscopic myomectomy - The surgery is performed through a few small incisions made on the abdomen. The fibroid is cut into pieces (morcellation) and removed through a small incision. Sometimes the fibroid is put into a bag (endo bag) and in-bag morcellation is done.

2.HYSTEROSCOPIC MYOMECTOMY - A fibroid that protrudes into the uterine cavity is called a submucosal fibroid. This is removed (resected) through a hysteroscope inserted through the vagina and cervix.

3.ABDOMINAL MYOMECTOMY - A large open cut is made in the abdomen.

WHAT TO EXPECT

    1.You will need to come in the morning of the surgery on an empty stomach.

   2. You will be prepared for general anaesthesia.

    3.Depending on the procedure you can go home late evening (hysteroscopic myomectomy) or stay overnight (laparoscopic myomectomy)

   4. As we perform only minimally invasive surgery here at Rashmi Hospital you will have.
  •     Less pain
  •     Shorter hospital stay
  •     Quicker recovery
  •     A much smaller scar; as compared to an open procedure.

FERTILITY AND LAPAROSCOPIC MYOMECTOMY
Women who have undergone a laparoscopic myomectomy have a good chance of improved fertility. Results are better in younger women with only 1 fibroid.

We advise waiting 6 months before planning a pregnancy, this gives time for the uterus to heal.

PREGNANCY RISKS AFTER A MYOMECTOMY
As the uterus has been operated upon, the scar on the uterus makes that area weak, which can rupture during labor. A cesarean section may be advised around 38 weeks of pregnancy.

WILL THE FIBROIDS COME BACK
Yes, they can come back especially in
  •     Older women
  •     Women who do not plan a pregnancy fast
  •     Women who have had multiple fibroids

Contact Us

Visit Us        : rashminursinghome.com
Reviewed By : Dr Deepak Rao
Mail Us        : rashmihospital123@gmail.com
Book Your Appointment Here : rashminursinghome.com/book-appointment.html

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