Gynecologic Surgery, Procedure

Myomectomy

Myomectomy is a surgical procedure used to remove tumors called fibroids from the uterus, while leaving the uterus in place. This is usually done in order to preserve the uterus in order to attempt pregnancy. Myomectomy can be performed in a number of ways, depending on the number and size of the fibroids and their location. These are:

  • Hysteroscopic Myomectomy – surgery is performed through a scope placed transvaginally into the uterine cavity. This is only used for fibroids located in the uterine cavity.
  • Abdominal Myomectomy – a large incision is made on the abdomen, usually about 9-12cm long, through which the fibroids are removed and the uterus repaired.
  • Laparoscopic or Robotic Myomectomy – surgery is performed through a few small (5-15mm) incisions on the abdomen. A slightly larger incision has to be made to remove the fibroids from the abdomen at the completion of the surgery.
Fibroids- Shaghayegh M. DeNoble, MD, FACOG, Advanced Gynecology and Laparoscopy of North Jersey