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A new website for gynaecologists interested in the surgical management of fibroids is now on line. www.fibroidsurgery.org
myomectomy is the traditional operation for removing
fibroids and is done through a laparotomy incision. If there are numerous,
large fibroids, it is the only way to remove them as the other techniques
are not suitable in such cases. Providing the fibroids are not very large,
however, a "bikini" type incision can often be used (see diagram).
myomectomy is a major operation. As it is generally done in the more
difficult cases, complications are more common than with the other
routes of surgery, or indeed with hysterectomy. Hospitalisation and
recovery also take longer. Nonetheless, it is a good operation when
the other procedures are contra-indicated as it is the most thorough
type of myomectomy and yet still allows the uterus to be conserved
in most patients.
No limit to fibroid size, number or position
Most likely procedure to remove all the fibroids
Major abdominal incision
Complications relatively more frequent
Hospital stay 5 to 7 days
Recovery takes several weeks
Adhesions (scar tissue) more likely
Potential complications of surgery
surgery carries risk, and this applies even relatively
minor procedures. Complications can be classified as
"General" (applies to all procedures) and as "Specific"
(applies to the procedure in question).
surgical complications in gynaecological surgery include:
-Injury to surrounding structures (e.g. bladder, ureter,
-Infection (e.g. at the operative site, pneumonia)
(e.g. deep vein thrombosis, pulmonary embolus).