Myomectomy and Hysterectomy: Surgical Treatments for Uterine Fibroids

Myomectomy

Myomectomy is the surgical removal of  fibroids from the uterus. It allows the uterus to be left in place and, for some women, makes pregnancy more likely than before. Myomectomy is the preferred fibroid treatment for women who want to become pregnant.

 Abdominal Myomectomy
Abdominal myomectomy removes fibroids through an incision in the abdomen, ideally a bikini line incision. Abdominal myomectomy allows the surgeon to easily see pelvic organs which be difficult to see when a patient has very large fibroids or multiple fibroids in difficult to reach areas.

Abdominal Hysterectomy

Abdominal hysterectomy removes the uterus and other pelvic organs through an incision in the abdomen. Abdominal hysterectomy allows the surgeon to easily see pelvic organs so it is usually done when cancer of the uterus, ovaries, or cervix is suspected or based upon the patients needs and condition.

Surgical methods for myomectomy include:

• Hysteroscopy, which involves inserting a lighted viewing instrument through the vagina and into the uterus.
• Laparoscopy, which uses a lighted viewing instrument and one or more small cuts (incisions) in the abdomen.
• Laparotomy, which uses a larger incision in the abdomen.

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