Types of Myomectomies
The process is straightforward and flexible in how it is carried out.
Abdominal (Open) Myomectomy or Laparotomy: During an abdominal myomectomy, the fibroids are removed through an open incision made in the abdomen by the surgeon. For aesthetic reasons, this incision is kept as low as feasible.
Large fibroids, often larger than 6 to 7 cm, are the only ones who should have this procedure. By using this method, fibroids as large as 15 to 16 cm may be removed.
This surgical technique necessitates a hospital stay of roughly five to seven days and a six to eight-week recuperation period.
Laparoscopic or robotic myomectomy: A laparoscopic or robotic myomectomy is a minimally invasive surgery in which the fibroids are removed using a camera and long, pencil-like instruments through small incisions
Laparoscopic myomectomy: It is comparable to a laparoscopic myomectomy; however, the surgeon uses a different console to direct the movement of the instruments. Laparoscopic methods can also be used to do the operation.
A laparoscope, a little tube with a camera attached to one end, is then inserted into the abdomen. With the use of equipment placed through smaller abdominal wall incisions, the surgeon executes the procedure.
Less bleeding and a faster recovery time are both benefits of this technique.
- Robotic: Small incisions identical to those used in a laparoscopic myomectomy are used to enter the instruments, which are subsequently moved by the surgeon using a separate console. Laparoscopic and robotic myomectomies with a single port (one incision) are now being carried out by some doctors.
Hysteroscopy or Hysteroscopic Myomectomy: It entails removing fibroids via the vagina. It is done for one or tiny numerous sub-mucosal fibroids that are protruding into the uterine canal. The fibroids typically measure 2 to 3 cm in size.
The hysteroscope lens allows the surgeon to see if there are fibroids or polyps. These are subsequently eliminated using a heated wire loop, and bleeding is then controlled. The little fragments are removed and sent for biopsy.
The procedure can be completed while the patient is under regional anaesthesia, and patients are typically released that evening or the following day. The healing process takes two to three days.
The following are some of the considerations that go into choosing the type of myomectomy to have:
- Fibre size.
- Amount of fibroids.
- Where the fibroids are placed in your uterus.