Myomectomy—Open Surgery

(Fibroid Tumor Removal; Uterine Fibroid Removal)

Definition

This surgery involves removing fibroids from the wall of the uterus (womb). Fibroids are noncancerous tumors in the muscle of the uterus.
Uterine Fibroid
Uterine Fibroids
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Reasons for Procedure

Myomectomy is done to relieve problems caused by fibroids without doing a hysterectomy (removal of the uterus). These problems can include:
  • Pelvic pain
  • Back pain
  • Pressure on the bladder
  • Abnormal vaginal bleeding
  • Difficulty becoming pregnant
  • Discomfort during sexual intercourse
The symptoms caused by fibroids are often successfully controlled with this procedure. This may include a return to a normal menstrual cycle and the ability to become pregnant.

Possible Complications

Complications are rare, but no procedure is completely free of risk. If you are planning to have a myomectomy, your doctor will review a list of possible complications, which may include:
  • Bleeding
  • Surgical wound infection
  • Recurrence of fibroids
  • Damage to other organs
  • Wall of the uterus may be weakened if a large fibroid is removed
  • Reactions to anesthesia
  • Need for special precautions in pregnancy, such as the need to deliver by cesarean section
  • Pelvic adhesions that can cause pain and/or bowel blockage
  • Problems found during surgery that make removal of the uterus necessary
  • Severe scarring, resulting in infertility
Factors that may increase the risk of complications include:Be sure to discuss these risks with your doctor before the procedure.

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