Myomectomy is a surgery to take the papillary tumor, another name is fibroid, in the muscle of the uterus. The method of the myomectomy changes according to the type, the size, the number, and the location of the myomas. Tumors cause often aches and extremely menstrual blood. Also, they can impact the getting pregnant. They can degenerate or get infected. So, the doctor can consider that s/he must take the tumor with a surgical operation.
The women who are overage the giving birth can be recommended a hysterectomy. Tumors are classified according to their location. The locations are below:
Tumors in the intramural means wall of the womb
Tumors in the submucosal means mucosa of the womb
Tumors in the subserosa mean on the outside wall of the womb.
An intramural fibroid is the most common type. Submucosal tumors tend to extremely ache and menstrual blood. Subserosa tumors sometimes seem like long and thick sticks.
What is myoma?
Myoma is a tumor that occurs in the womb or around it, is smooth, and isn't a cancer feature. The fibroid tumor is common, and it can be treated should be known if the doctor decides on the myoma.
Myomas occur partly on the muscle tissues, hardly ever on the cervix. The doctors can feel and see myoma during the pelvic examination. Causative symptoms can be taken with the myoma surgical operation or the invasive procedures. Most myomas cause the symptom at one point. The most common is an ache or irregular vaginal bleeding.
Tiredness and weakness
If the myomas get infected, there is bleeding or secretion from the vagina
Feeling tightness or globus in rare cases
Myoma can inhibit urinating and urinating can be difficult.
The women who have got myoma, have got the higher urinary tract infection. The large myomas cause the embolization of the urinary tract. The injuries can occur in the prolapsus myomas which is an infection, bleeding, or both of them. Prolapsus myomas can embolite the urinary flow. Myoma affects %20 of the women in the childbearing age group.
What is Myoma Surgery?
The uterus can protect when its muscle is repaired and myomas are taken. This process is called myoma surgery or myomectomy. Myomectomy can be operated as an open cut or laparoscopic. Most specialties believe that the largest myoma which is almost 9-10 cm needs to be taken as laparoscopic. The necessary points about myomectomy are below:
If there are myomas of four or less than it, the probability of regrowing the myomas is around %10 in five years after myomectomy.
If there are myomas of more than four, the probability of regrowing the myomas is more than twice.
If there are myomas of more than four or five, tests such as ultrasound and MRI can’t count them exactly.
So, the exact number of the existing myomas and the probability of the regrowing after myomectomy can’t be determined until myomectomy surgery starts.
Adherence or injury tissue occurs after myomectomy and can cause aches and childbearing problems.
Which Department is Interested in Myoma Surgery?
The patient needs to cut out some medicine that s/he takes before myoma surgery which the gynecology and obstetrics department is interested in. the patient should give information about all medicine including vitamins, supplements, and medicines being sold nonprescription. If the patient smokes a cigarette, the patient is advised to stop smoking. Because smoking cigarettes can get slow the healing process and increase the risk of cardiovascular events. The patient needs to stop drinking and eating before the operation until midnight.
How is myoma surgery operated on?
The doctor can want to ultrasound to determine the myomas exactly. S/he wants some blood test if the patient is anemia or not. Extremely tiredness, breathlessness, pale skin, and weak resistance to infection can say as symptoms of anemia. Also, a urinary test says if there is an infection in the urinary system.
The anesthesiologist checks the patient if s/he is available to get general anesthesia or not. If the patient isn’t available, s/he can operate with spinal or epidural anesthesia. A medicine that the patient will be felt sleepy is injected and the inscriptions are dried.
Myoma surgery or myomectomy can be operated on using one of three methods:
Abdominal myomectomy is an operation in which a surgeon takes the myomas via an open cut on the hypogastrium.
Laparoscopic myomectomy is an operation in which a surgeon takes the myomas via a few little incisions. S/he can do this using robot. It is less invasive than abdominal myomectomy and healing is faster.
Hysteroscopic myomectomy is an operation in which a surgeon takes the myomas from the vagina and cervix by using a special binocular.
Myoma surgery is an option for women who want to pregnant in the future or don’t want to be taken the uterus because for another reason. Myomectomy is different from a hysterectomy that takes the whole uterus takes the myomas but leaves the uterus in there. The myomectomy method is advised by the doctor bases on the size of the myomas and their location.
If there are a lot of and so big myoma on the wall of the womb, abdominal myomectomy can be the best.
If there are fewer and smaller myomas, laparoscopic myomectomy can be better.
If there are smaller myomas in the womb, hysteroscopic myomectomy can be better.
The stomach myomectomy scar is on your around 2.5 cm under the stomach. This scar loses in time. The scar can be unfeeling or sensitive for a few months. But it reduces over time. The doctor advises opening the scar for healing again. The scar that is because of the laparoscopic myomectomy can come out when a bikini or short top is worn. These scars which are smaller than the scar of abdominal myomectomy lose in time.
What are the benefits of Myoma Surgery?
It protects the childbearing and makes the womb turn normal. The doctor can advise the myomectomy of the patient which to be pregnant in the future. Myomas are taken but the healthy tissue of the uterus is left.
The repeating probability of the fibroid in the women who get close the menopause is pretty low. Myomectomy becomes a common surgery because women want to protect their uterus.
The process after the Myoma Surgery
Most women stay in hospital for around one or three days after the surgeon cut the womb, takes the myomas on the wall of the womb, and sews the womb muscle layer. The doctor can give medicine to treat the problem. Also, the patient can experience maculation for a few days or weeks.
The duration of the waiting for the normal activity depends on the methods. Open surgery has got the longest healing process. The healing process for each method is below:
Around 4-6 weeks for abdominal myomectomy
Around 2-4 weeks for laparoscopic myomectomy
Around 2-3 days for hysteroscopic myomectomy
The patient doesn’t have to carry a heavy thing or hard-working out until the cuts heal exactly. The doctor tells when the patient can turn the activities. Each surgery can be risky. This surgery’s risks are rare, but they are below:
Damage organs that are close
Hole in the uterus
Injury tissue which causes the childbearing problems and occludes the uterine tube
The new myomas are needed for another method.
The patient has to call the doctor if she has got the symptom below: