Myomectomy (open, laparoscopic or hysteroscopic)
Myomectomy represents a limited resection of the uterine fibroids preserving the organ with the intention of further childbearing. Beyond that reasonable approach, the benefits of simple myomectomy against a full hysterectomy should be balanced against the risk of future recurrence and the impossibility of correcting other associated pathologic condition. Also the route of procedure becomes a heavier argument for judgment, considering it can be done through open incision, laparoscopy or hysteroscopy (from inside the uterus).
If the patient was diagnosed for example with multiple fibroids of small sizes and desires uterine preservation, the laparoscopic myomectomy is technically much more challenging than the whole hysterectomy and makes little sense. The uterus looks like a Swiss cheese piece after myomectomy and requires extensive suturing to prevent adhesions formations. On another perspective if the fibroids are located mostly towards the inner surface of the uterus, a hysteroscopic approach becomes preferable even if the patient is not interested in future childbearing.
We emphasize again on an adequate communication with your provider in order to reach the most beneficial short and long-term result. With this purpose in mind you need to understand the implications of each variable and make an informed decision. We encourage you to address to our clinic for more information or schedule an appointment for a customized experience in women care.
Dr. Catalin Marinescu is an experienced obstetrician, gynecologist and pelvic surgeon who is well-known for using the very latest, safest and minimally invasive techniques. Other laparoscopic procedures he performs including hysterectomy, abalation of endometriosis and hysteroscopy. Learn more by calling 949-642-3606.