Myomectomy is a surgical procedure aimed at removing uterine fibroids that are growing within the uterus. This surgery primarily provides effective treatment for symptoms caused by fibroids, such as severe menorrhagia, abdominal pain, or ovulatory difficulties.
This procedure is typically suitable for women who wish to preserve fertility, especially those who do not respond well to hormonal therapy or have severe symptoms. Removing fibroids through surgery can effectively alleviate symptoms and improve quality of life.
Myomectomy mainly falls into two categories: open surgery and laparoscopic surgery. Open surgery requires a larger incision to access the uterus and remove the fibroids, while laparoscopic surgery uses several small incisions with a laparoscope and specialized instruments to complete the procedure, resulting in shorter recovery time and less trauma.
The core mechanism of the surgery is to precisely locate and remove all fibroid tissue while preserving the basic structure and function of the uterus. This approach can eliminate symptoms while maximizing the preservation of the patient's fertility.
Myomectomy is mainly indicated in the following situations:
Myomectomy is usually performed under general anesthesia. The surgeon will choose between open or laparoscopic surgery based on the location and number of fibroids. During the procedure, the surgeon carefully removes the fibroid tissue, ensuring the integrity of the uterus is maintained.
Postoperative observation in the hospital is required. Typically, recovery from open surgery takes longer, with a hospital stay of 3-7 days, whereas laparoscopic surgery may allow discharge on the same or next day. The doctor will develop a recovery plan based on the patient's specific condition.
The main benefits of myomectomy include:
Like any surgical procedure, myomectomy carries certain risks and side effects. Common risks include:
There are some precautions and contraindications for myomectomy, including:
Myomectomy does not directly interact with other treatments such as endocrine therapy or chemotherapy. However, post-surgery, doctors may recommend continued hormonal therapy to prevent fibroid recurrence.
Extensive clinical studies show that myomectomy significantly improves symptoms and quality of life. More than 80% of patients experience marked symptom relief after surgery, with a five-year recurrence rate below 20%.
If patients are unsuitable for myomectomy or wish to explore other options, the following alternatives can be considered:
The recovery period varies depending on the patient's physical condition and the surgical method. Generally, open surgery has a longer recovery, taking about 4 to 6 weeks to resume normal activities, while laparoscopic surgery typically allows recovery in 2 to 3 weeks. During recovery, patients should follow their doctor’s instructions, avoid lifting heavy objects and strenuous activities to promote wound healing and overall recovery.
What dietary precautions should be taken after myomectomy?Postoperative diet should be light and easily digestible, avoiding spicy, greasy, and high-fiber foods to prevent gastrointestinal irritation. It is recommended to consume foods rich in protein, vitamins, and minerals, such as lean meats, fish, beans, vegetables, and fruits, to aid recovery. Drinking plenty of water to keep the intestines smooth and prevent constipation is also advised. For specific dietary needs, consult a doctor or nutritionist.
Will myomectomy affect future pregnancies?Generally, myomectomy does not directly impact future pregnancies, but the surgical method and fibroid location may influence the structure of the uterus. Patients planning to conceive after surgery should have regular check-ups to assess uterine recovery and pregnancy risks under medical guidance. Additional precautions may be necessary to ensure pregnancy safety.
What is the success rate of myomectomy?The success rate of myomectomy is relatively high, but varies based on individual differences and fibroid characteristics. The surgery usually effectively removes fibroids and improves symptoms such as dysmenorrhea and abnormal bleeding. However, some patients may experience recurrence within a few years, especially if there is a family history or hormonal imbalance. Regular check-ups and follow-up with the doctor are essential.
What follow-up examinations are required after myomectomy?Patients should undergo regular follow-up examinations as advised by their doctor, typically including gynecological exams, ultrasound scans, and blood tests to monitor uterine recovery and rule out recurrence. The first follow-up is usually 6 weeks post-surgery, with subsequent annual checks. If abnormal symptoms such as abdominal pain or abnormal bleeding occur, immediate medical consultation is recommended.
%201.svg)
Copyright © 2025 MedFrontiers. All Rights Reserved.
