Myomectomy

About Myomectomy

Myomectomy is the surgical removal of uterine fibroids, also called leiomyomas, while leaving the uterus in place. Fibroids are very common benign tumors of the uterine muscle and can cause heavy menstrual bleeding, pelvic pain or pressure, and in some cases problems with fertility or pregnancy. Myomectomy is typically chosen by people who wish to preserve fertility or keep their uterus, in contrast to hysterectomy. The approach depends on the size, number and location of the fibroids. Hysteroscopic myomectomy removes fibroids that protrude into the uterine cavity using an instrument passed through the cervix, without incisions. Laparoscopic and robotic myomectomy are used for fibroids in or on the outer wall of the uterus, while abdominal myomectomy through an incision is used for large or numerous fibroids. The uterine wall is repaired in layers after removal. Because fibroids can recur, some patients later need further treatment. Concern about spreading unsuspected cancerous tissue has led to restrictions on uncontained power morcellation during laparoscopic procedures.