Myomectomy Surgery: An Introduction

An abdominal myomectomy is a procedure that is used to remove abnormal muscular growths, called uterine fibroids, from the uterus, thereby improving fibroid symptoms. Myomectomy is a major surgery, with risks similar to a hysterectomy. Although the results of this surgery can vary, most women experience some improvement in their symptoms after the surgery.

Da Vinci Myomectomy Video

Preparing for Myomectomy Surgery

After your anesthesia is given, to help reduce the chance of infection, your abdomen will be washed with a special solution. You will also be covered with sterile sheets. Next, a catheter, or plastic tube, will be inserted into your bladder to measure the urine you make during the procedure.

Once the Myomectomy Surgery Begins

Depending on the size and location of the fibroids, your surgeon will make a 6- to 9-inch incision, or cut, across your lower abdomen.

 This incision may be either horizontal or vertical on the skin.

 After opening your abdomen, your doctor will carefully inspect your organs, including the uterus, and check the size, location, and number of any fibroids present. If fibroids are found, and your doctor feels that they may be the cause of your problem, they will be removed. The method that is used to remove the fibroids will depend on their size and location.

 Fibroids on the outside of the uterus can be cut and removed through the incision. If a fibroid is inside your uterus, your doctor will open your uterus with another incision, and the fibroids will be removed.

Myomectomy Surgery

During the myomectomy surgery, the surgeon will make an incision through your lower abdomen and uterus and then check the size, location, and number of fibroids. If possible, your surgeon will remove the fibroids and close the uterine incision with dissolvable stitches. In the last part of the myomectomy surgery, your skin will be closed with stitches or skin staples and covered with a sterile bandage.