:Myomectomy
What Is a Myomectomy?
A myomectomy is a surgical procedure to remove uterine fibroids (benign smooth‑muscle tumors) while leaving the healthy uterus intact. It is often chosen by women who wish to preserve fertility or avoid hysterectomy. Why It’s Done • Symptomatic fibroids causing heavy menstrual bleeding • Pelvic pain or pressure • Reproductive issues (infertility or recurrent miscarriage) • Rapid fibroid growth or suspicion of degeneration
Types of Myomectomy
1. Hysteroscopic Myomectomy • For fibroids bulging into the uterine cavity (submucosal) • Instrument passed through the cervix—no abdominal incisions
2. Laparoscopic or Robotic‑Assisted Myomectomy • Small keyhole incisions in the abdomen • Camera‑guided removal of fibroids
3. Abdominal (Open) Myomectomy • Single larger incision (laparotomy) • Reserved for very large or numerous fibroids Possible Risks & Complications • Bleeding or infection • Uterine scar—risk of rupture in
