This surgical procedure is performed to remove uterine fibroids and leave the healthy areas of the uterus intact. It may be offered as an alterative to a hysterectomy to preserve your ability to get pregnant.

Myomectomy can be performed in one of several ways. The method recommended by your doctor will depend on the location and size of your fibroids.

  • Hysteroscopy. For this procedure, the surgeon inserts a long, thin telescope with a light through the vagina and cervix (the opening of the uterus). The doctor then uses electricity or a mechanical device to cut or destroy the fibroids. The doctor will inject a fluid into the uterus to make it easier to see before trying to remove the fibroids.
  • Laparotomy. The surgeon removes the fibroids through a cut in the abdomen.
  • Laparoscopy. The surgeon uses a long, thin telescope to see inside the pelvic area, and then removes the fibroids using another tool. This procedure usually involves two small cuts in the abdomen.
  • Robotic myomectomy is becoming increasingly common. Sitting at a console near the patient, the surgeon guides a robotic arm to perform laparoscopic surgery. Like laparoscopic myomectomies, robotic surgeries require only small incisions in the uterus and abdomen. As a result, recovery can be shorter with this type of surgery than with more invasive procedures. 

Studies show that myomectomy can relieve fibroid-related symptoms in 80% to 90% percent of patients. The original fibroids do not regrow after surgery, but new fibroids may develop.

Reference: National Institutes of Child Health and Human Development

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