Myomectomy surgery is a procedure to remove uterine fibroids while keeping the uterus intact. Many women face fibroids, which can cause pain, heavy bleeding, or fertility issues. In this blog, we will give you every detail about this surgery-its purpose, how it is done, possible risks, and the recovery process. If you are considering myomectomy, knowing all aspects can help you make the right decision.
At RISAA IVF, Dr. Rita Bakshi and her team specialize in treating fibroids and fertility issues with advanced care. With over 35 years of experience, Dr. Rita Bakshi has helped thousands of women overcome reproductive challenges. If fibroids are affecting your health, our expert team can guide you through the best treatment options. Whether it’s surgery or other medical solutions, we are here to support you. Let’s learn more about myomectomy surgery in detail.
What is Myomectomy Surgery?
Myomectomy surgery helps to remove fibroids from the uterus. This is also known as uterine fibroids treatment. These fibroids are basically noncancerous growths. The surgery helps relieve heavy bleeding and pain and also improves fertility for some women. Myomectomy keeps the uterus intact. This is a good option for those who want to conceive. Different types of myomectomy exist based on fibroid size and location. A doctor decides the best method for each patient.
Types of Myomectomy Surgery
Here are the types of myomectomy:
- Abdominal Myomectomy: A surgeon makes a cut in the lower belly to remove fibroids. This is best for large or multiple fibroids.
- Laparoscopic Myomectomy: Small cuts are made in the abdomen, and a thin tube with a camera (laparoscope) is used to remove fibroids. It has a faster recovery time.
- Hysteroscopic Myomectomy: A doctor inserts a thin tube through the vagina and cervix to remove fibroids inside the uterus. No cuts are needed.
- Robotic Myomectomy: Similar to laparoscopic surgery, but a robotic system helps the doctor perform precise movements. This reduces scarring and speeds up recovery.
- Vaginal Myomectomy: Fibroids close to the cervix are removed through the vaginal canal. This method avoids external cuts and has a shorter healing time.
Each type depends on the size, number, and location of fibroids. A doctor will suggest the best option for you. You can also consult the best gynaecologist in Delhi, Dr. Rita Bakshi at RISAA IVF for better guidance.
Why is Myomectomy Done?
Myomectomy is performed to remove uterine fibroids. These fibroids cause significant symptoms or can also affect fertility. Women may choose this surgery to reduce heavy menstrual bleeding, pelvic pain, or pressure on the bladder and bowel. Importantly, myomectomy preserves the uterus. It is a preferred option for those who wish to maintain their ability to conceive in the future.
Risks of Myomectomy Surgery
Like any surgery, myomectomy has some risks. The chances of complications depend on the type of procedure, the size and number of fibroids. Below are some possible risks:
- Bleeding: Heavy bleeding may occur, especially in open surgery.
- Infection: There is a risk of infection at the incision site or inside the uterus.
- Scar Tissue Formation: Scarring inside the uterus may affect future pregnancies.
- Damage to Nearby Organs: In rare cases, the bladder or intestines may be affected.
- Uterine Rupture in Future Pregnancy: The uterus may weaken, increasing risks during pregnancy.
- Need for Hysterectomy: In severe cases, removal of the uterus may be required.
- Recurrence of Fibroids: New fibroids may grow over time.
Myomectomy Procedure Steps
Myomectomy is a surgical procedure for removing uterine fibroids while preserving the uterus. The specific steps involved can vary based on the size, number, and location of fibroids. However, a general sequence of steps is typically followed during the procedure.
The general steps of a myomectomy procedure are:
- Anesthesia Administration: The patient is given appropriate anesthesia to ensure comfort throughout the surgery.
- Incision: A surgical cut is made to access the uterus. The location and size of this incision depend on the type of myomectomy being performed.
- Fibroid Identification: The surgeon locates the fibroids within the uterine tissue.
- Fibroid Removal (Enucleation): The fibroids are carefully separated from the surrounding uterine muscle and removed.
- Repair of Uterine Muscle: After fibroid removal, the uterine muscle is stitched back together to ensure proper healing.
- Closure: The initial incision is closed using sutures or staples, completing the procedure.
Note: These steps are not the same for everyone because the surgery is done according to each patient’s individual condition and health. It’s important to consult your doctor before deciding anything.
What To Do Before Myomectomy Surgery?
Preparing for a myomectomy involves several important steps. It helps to ensure a safe and successful surgery. Proper preparation can help minimize risks and promote a smoother recovery.
Here are key steps to take before your myomectomy:
- Consult Your Doctor: Discuss your medical history, current medications, and any supplements you’re taking. Your doctor may advise stopping certain medications that could increase surgical risks.
- Undergo Preoperative Tests: Complete any recommended imaging tests, like ultrasounds or MRIs, to assess the size and location of fibroids. Blood tests may also be required to check for anemia or other conditions.
- Follow Fasting Instructions: Adhere strictly to guidelines on when to stop eating and drinking before surgery to reduce anesthesia complications.
- Maintain Hygiene: Shower before surgery without applying lotions, perfumes, deodorants, or nail polish. This helps reduce infection risks.
- Arrange Post-Surgery Support: Plan for someone to drive you home and assist with daily tasks during your initial recovery period.
- Prepare Your Home: Stock up on easy-to-prepare meals and set up a comfortable resting area to facilitate a smooth recovery.
What Happens After Myomectomy Surgery?
After a myomectomy, the recovery process varies depending on the surgical approach. Patients may experience some pain and fatigue, requiring rest and pain management. The duration of recovery and specific post-operative instructions differ based on the type of procedure performed.
Here are general recovery guidelines in the form of a table based on the types:
Type of Myomectomy | Hospital Stay | Recovery Time | Activity Restrictions |
Abdominal Myomectomy | 1 to 2 nights | 4 to 6 weeks | Avoid heavy lifting and strenuous activities |
Laparoscopic Myomectomy | Same-day discharge or 1 night | 2 to 4 weeks | Limited heavy lifting and physical exertion |
Hysteroscopic Myomectomy | No overnight stay | A few days | Minimal restrictions, follow doctor’s advice |
Robotic Myomectomy | Usually same-day discharge | 2 to 4 weeks | Mild restrictions, faster healing than open surgery |
Vaginal Myomectomy | Outpatient or short stay | 1 to 2 weeks | Avoid inserting anything in the vagina for a few weeks |
Body Changes After Myomectomy
Women may notice various changes as their bodies heal and adjust after the surgery. These changes can vary based on individual health factors and the specific surgical approach used.
Common body changes after myomectomy include:
- Relief from pelvic pressure and pain
- Reduction in heavy menstrual bleeding
- Temporary abdominal swelling
- Mild to moderate pelvic cramping
- Light vaginal spotting or discharge
- Changes in bowel movements
- Improved body image and sexual function
What Foods To Eat After Myomectomy Surgery?
After myomectomy surgery, a balanced diet supports healing and recovery. Incorporate the following foods to aid the process:
What To Eat After Myomectomy Surgery
- Lean Proteins: These foods help to repair the tissues. Examples include poultry, fish, beans, and tofu.
- Fiber-Rich Foods: These help to prevent constipation. Include whole grains, fruits, and vegetables.
- Vitamin C-Rich Fruits: They support collagen formation. Citrus fruits like oranges and lemons are beneficial.
- Healthy Fats: They help to promote cell growth. Sources include avocados, nuts, and seeds.
- Adequate Fluids: Maintaining hydration is very important after any surgery. Drink water, herbal teas, and clear broths for a smoother recovery.
Consult your healthcare provider for personalized dietary advice post-surgery.
Closing Line
Myomectomy surgery is an important procedure for removing fibroids. In this blog, we have explained its purpose, procedure, and recovery. We have also shared a list of foods that can help in healing after surgery. However, it is always best to consult your doctor before following any advice, as every case is different.
At RISAA IVF, Dr. Rita Bakshi and her team provide expert care for fibroid treatment and fertility concerns. With years of experience, they offer the right guidance and treatment options. If you need help with myomectomy or recovery, their team is here to support you. You can also call us at 95555 44421/22/23 or mail us at [email protected].
Frequently Asked Questions
- Is myomectomy a major surgery?
It depends on the type. Open myomectomy is major, while laparoscopic and robotic myomectomy are less invasive.
- How long does it take to recover from myomectomy?
Recovery takes about 2-6 weeks, depending on the surgical method used.
- Can I get pregnant after myomectomy?
Yes, many women can conceive after the surgery, but recovery time varies.
- Does myomectomy stop periods?
No, myomectomy does not stop periods, but it may make them lighter and less painful.
- Will fibroids come back after myomectomy?
Fibroids may grow back in some cases, especially if hormones trigger their growth.
- Is myomectomy painful?
Pain is normal after surgery but can be managed with medication.
- When can I resume normal activities after myomectomy?
Light activities can start in a few days, but full recovery may take weeks.
- What should I eat after myomectomy surgery?
Eat protein-rich foods, fiber, fruits, and plenty of fluids for faster healing.
