Myomectomy is a surgical procedure that involves the removal of uterine fibroids (also known as myomas), which are non-cancerous growths that develop in the uterus. It is often performed to relieve symptoms such as heavy menstrual bleeding, pelvic pain, frequent urination, and infertility caused by the presence of fibroids. Myomectomy is typically recommended for women who wish to preserve their uterus and maintain the ability to have children, as it targets only the fibroids while leaving the uterus intact. There are different types of myomectomy, depending on the size, number, and location of the fibroids, including abdominal (open) myomectomy, laparoscopic (minimally invasive) myomectomy, and hysteroscopic myomectomy, which is performed through the cervix. While myomectomy can provide significant relief from fibroid-related symptoms and improve fertility outcomes, it carries potential risks and complications. These may include infection, excessive bleeding, and the formation of scar tissue in the uterus, which could impact future pregnancies. In some cases, a blood transfusion may be required if there is substantial blood loss during surgery. Additionally, fibroids can recur even after removal, necessitating further treatment. Other potential complications include injury to surrounding organs, such as the bladder or intestines, and, though rare, there may be a need for a hysterectomy (removal of the uterus) if complications arise during surgery. Post-operative recovery depends on the type of myomectomy performed, with minimally invasive approaches typically resulting in shorter recovery times. Regular follow-up is essential to monitor for fibroid recurrence and manage any post-surgical issues.
