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Myomectomy is a surgical technique that removes uterine fibroids or leiomyoma’s that are noncancerous growths seen in the uterus.

 Uterine fibroids can occur at any age, but it is common during child bearing. The surgeon performs this surgery to take out symptom-causing fibroids and to reconstruct the uterus. Myomectomy only removes only the fibroids leaving the uterus. Women feel improvement in fibroid symptoms after this procedure. Heavy menstrual bleeding and pelvic pressure also get better.

You can have this surgery to treat fibroids causing symptoms that bother your everyday activities. It creates hindrance while you are planning for the child as fibroids may interfere with your fertility.

What happens during the procedure?

The surgeon will select a procedure depending on the type of myomectomy.

Abdominal myomectomy

This procedure is performed under general anesthesia.

The surgeon will make an incision through the lower abdomen into the uterus in various ways: surgeon will make a horizontal incision over the pubic bone, this incision is relatively less painful and leaves a smaller scar, but it can only treat small fibroids. Or the surgeon makes a vertical incision below the belly button above the pubic bone, this is rarely used, but it is beneficial to treat large fibroids.

After making an incision surgeon will finally remove the fibroids from the uterine wall. In the end, the surgeon will stitch the uterine muscle layers back together.

Laparoscopic myomectomy

The surgeon will make four tiny incisions of about half-inch in the lower abdomen while you’re under general anesthetic effect. The belly will be filled with carbon dioxide gas to help the surgeon see inside your abdomen.

The surgeon will use a laparoscope with a camera to insert it into one of the incisions. Small instruments to be used are placed into the other incisions.

The surgeon will either cut the fibroids into small pieces to remove them or switch to an abdominal myomectomy to make a larger incision if the fibroid is too large.

The surgeons, by removing the instrument, release the gas and close the incisions. It demands the stay of one night in the hospital.

Hysteroscopic myomectomy

Either a local anesthetic or general anesthesia is used during this procedure.

The surgeon will use a thin, lighted scope and inserted it into the uterus; they will keep a liquid over there to widen the uterus so that he can see the fibroids. Through a wire loop, the surgeon will shave off the fibroids, and then the liquid is removed with the pieces of fibroid. Most of the women return home the same day of the surgery.

Risks of myomectomy:

This surgery offers excellent benefits; however, there might be some risk of infection, bleeding, nearby organ damage, perforated uterus, fever, and sometimes severe pain. Therefore to avoid this, you should consult the best gynecologist in Karachi to minimize the risk of complications.

What is recovery like?

There might be some pain after your surgery the surgeon will recommend you some medication to ease the discomfort. There might be spotting for a few days to weeks.

If you have open surgery, then the recovery time is extended. The recovery time for abdominal myomectomy is about four to six weeks. For laparoscopic myomectomy, it is about two to four weeks, and for hysteroscopic myomectomy, the downtime is about two to three days.

It would help if you didn’t lift anything heavy or exercise strenuously until the incisions are fully healed. 

This surgery s found effective in relieving symptoms like pelvic pain and heavy menstrual bleeding so consult us for the best fibroid removal in Karachi.

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