Abdominal Myomectomy

Definition - What does Abdominal Myomectomy mean?

An abdominal myomectomy is a surgical procedure that involves removing growths, called fibroids, from the uterus. This procedure is typically completed on women experiencing infertility as a result of the fibroid’s presence. An abdominal myomectomy is a major surgery that typically requires a hospital stay and several weeks recovery. However, removal of the fibroids may lead to increased pregnancy potential.

FertilitySmarts explains Abdominal Myomectomy

The abdominal myomectomy, also called an “open” myomectomy, involves making an incision several inches long at the base of the abdomen called a “bikini cut." The incision exposes the uterus, allowing the surgeon to remove the fibroids from the uterine wall. Once completed, the uterus is sewn together, and several layers of stitches will close the external incision. While there are variations of myomectomies, the size, shape and location of the fibroids determine which approach is most appropriate.

Women who undergo an abdominal myomectomy face several risks. The procedure itself typically requires a two to three day hospital stay along with several weeks of monitored recovery time. The surgery comes with the chance of infection. Following the surgery, a physician carefully monitors the status of the wound.

For women who struggled with infertility, removal of the fibroid provides an increased chance of conception. However, women should wait three months following the surgery to attempt to become pregnant, allowing the uterus appropriate time to heal. Additionally, women who have had an abdominal myomectomy face an increased chance of caesarian section (c-section) at the time of delivery. This may be necessary avoid ripping the uterine wall that was opened and closed during the abdominal myomectomy.

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