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Myomectomy Surgery
Relevant information about Myomectomy Surgery.
- What does the surgery consist on
It is a surgical procedure where the uterine leiomyomas (fibroids) are removed. It is different from a hysterectomy, because in a myomectomy the woman conserves her reproductive potential. Patients have many options to solve this medical disorder; some of the possibilities are: having a medical therapy, undergoing a hysterectomy or a uterine artery embolization.
- Which problem does the surgery solve
The surgery is recommended for women who might have a fibroid. In some cases there is no need to remove a fibroid. Leiomyomas must be removed when they cause severe pain or pressure, bleeding and also in some cases where they could affect negatively the fertility of the woman. Fibroids can be treated in different ways; this will be directly connected to the case and the severity of the leiomyomas. The best procedure for healing fibroids will be decided by the professional, according to the situation of the patient.
- How is the surgery performed
There are several ways of treating the apparition of fibroids. The right technique or method will be chosen by the professional that is in charge of the case; he will determinate what medical procedure will be adequate for the patient. One of the most classical techniques is called laparotomy. A laparatomy is performed by making an abdominal incision that can be horizontal or vertical. Once the peritoneal cavity has been opened, the surgeon will remove the fibroids. In this case, the recovery process will last from four to six weeks. Another way of performing a myomectomy is by the laparoscopy technique. Using the laparoscopic method, the surgeon will be able to watch inside the patient´s body by using a laparoscope. The images will be viewed in a monitor that will reproduce them directly. The surgeon will perform the operation by making from three to four small incisions; through the incisions the professional will be able to introduce the special instruments as well as the laparoscope. Studies have proven that laparoscopic myomectomy presents less rates of morbidity as well as it implies a shorter period of recovery. However, surgeons do not use the laparoscopy method when they have to remove large fibroids. The last method is called hysteroscopy; a hysteroscopy is used for a fibroid that is located in a submucous position. This technique is recommended for women who have smaller lesions that can have a size of 5 cm maximum. Robotic surgery is another alternative that has been proven in a few cases; robotic surgery may be a technological option for treating fibroids, however there are few hospitals and medical centers that perform this type of operation.
- Surgery length: The surgery can take from two to four hours. The operation will be performed under general anesthesia. Before the operation it is probable that the patient will go to a special area where nurses will take blood pressure, and will control the temperature of the patient´s body. Once this has been done and the nurses are sure that there is not a risk situation, the patient will enter to the operating room where the surgery will be performed. The patient will be able to leave the hospital, depending on her reaction to the anesthesia. If the doctors determinate that the patient is able to leave the clinic, she will be able to go home the same day of the operation, always accompanied with a relative.
- How is the post surgery process
The post surgery process will be normal and does not present, in the majority of the cases any complication. The patient will be able to resume her normal activities, after a week from the operation. It is important for the recovery of the patient to take as much time as she needs, because this is directly connected with the second period of the recovery process, where the body gets accustomed slowly to new changes in the organism. It is thought that after a myomectomy, the patient will be able to get back to work after one week from the operation. Doctors recommend doing slow exercise and to be in movement after the operation (walking and being up), because this improves the circulation and the blood pressure. If the patient feels discomfort or pain located in the area that was operated, it is truly important to notify the doctor about the situation. The professional will be in charge of finding an appropriate medication that will stop the pain.
Among the complications we can mention the risk of having a significant blood loss, which could derivate in the need of having a transfusion. There is also the risk of having adhesions, or scar formation in the area of the uterus. Besides these risks, there is, according to statistics, a low average of women who had problems during the surgery or after it. As it is a surgical procedure an infection is possible. To prevent this, doctors take all the possible measures; it is probable that the doctor will give an antibiotic that should be taken during the post-surgery process. Antibiotics avoid the formation of an infection in the patient´s body.
The surgery will avoid the formation of fibroids, as well as it removes them from the patient´s body. There are few cases where it has been a post formation of fibroids after going under a myomectomy. The patient will be able to enjoy her life in a different way, without being scared about having fibroids that could affect her sexual and reproductive development.
- What does the surgery not do
The surgery will not incorporate any strange body to the patient´s organism. The surgeon will be in charge of removing any malformation that has taken place in uterus.
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