MYOMECTOMY is a surgical procedure used to remove fibroids, noncancerous tumors that grow in or on the muscle lining of the uterus. Since it does not involve the full removal of the uterus, in many cases this particular procedure helps preserve or improve the woman's fertility. VIVA EVE offers the most advanced fibroid treatments options available in the USA. Come see our new cutting edge, state-of-the-art fibroid treatment center and meet our doctors to get the pain relief you need in the safe, reassuring hands of the best fibroid specialists.
Unlike a hysterectomy, which removes the entire uterus, a myomectomy removes only the fibroids and leaves the uterus intact. Thats is why myomectomy is usually recommended when the patient wants to become pregnant in the near future. However, it is more invasive and has a longer recovery time than less invasive procedures, like Uterine Fibroid Embolization.
When you search for a “fibroid specialist near me” in Queens, one of your first results will be VIVA EVE, the New York City fibroid center. Our team of the best fibroid surgeons in New York City is here to help you choose the best course of treatment in your unique situation.
If you are considering myomectomy surgery, then you likely have been suffering from one or more of the following symptoms:
- Heavy, prolonged or painful menstrual periods with or without clotting
- Pelvic pressure and pain, distended and bloated abdomen
- Moderate to severe menstrual cramps
- Pain during sex and loss of libido
- Weak bladder control, frequency in urination due to bladder pressure
- Inexplicable weight gain
- An enlarged uterus
- Anemia (low blood count) that can lead to a lack of energy and fatigue
- Lower back pain and pain in the back of the legs
Fibroid tumors are common among young women of child-bearing age, which is why concerns about fertility are so pertinent. A gynecologist specializing in fibroids determines which surgical method is best for your specific needs based on:
- Location of your fibroids
- Size of your fibroids
- Number of fibroids present in your uterus
Option #1: Abdominal Myomectomy
An abdominal myomectomy is also referred to as an open myomectomy. This is the most invasive technique of the three techniques used for this procedure, An abdominal myomectomy is considered to be a major surgical procedure.
The best fibroid surgeon performs an abdominal myomectomy by making an incision directly into your lower abdomen. Known as a “bikini cut,” the incision itself is similar to what would be done during a C-section. If you receive this style of myomectomy surgery, your fibroid specialist in NYC may recommend you have a C-section for any future pregnancies. Following the incision, fibroids are removed from your uterus and several layers of stiches are used to reconnect your uterine muscle.
You’re unconscious for this procedure and may require a blood transfusion. Recovery generally involves a one- or two-night stay in the hospital and four to six weeks of at-home myomectomy recovery before you’re fully healed. As with most surgical procedures, there is a risk of infection.
Option #2: Hysteroscopic Myomectomy
To treat fibroids that bulge significantly into your uterine cavity (submucosal fibroids), your surgeon may suggest a hysteroscopic myomectomy. Your surgeon accesses and removes fibroids using instruments inserted through your vagina and cervix into your uterus. This surgical procedure is less invasive than the abdominal method and is usually conducted on an outpatient basis.
The symptoms with submucosal fibroids include very heavy, excessive menstrual bleeding and prolonged menstruation. These symptoms can also cause the passing of clots, and frequent soiling which can take its toll on your everyday lifestyle. Untreated, prolonged or excessive bleeding can cause more complicated problems such as anemia and fatigue.
This procedure is performed under general anesthesia. This particular method of uterine fibroids treatment uses a slender telescopic instrument called a hysteroscope inserted through your cervix. Once it’s in place, your uterus is filled with fluid to allow your fibroid doctor to better view your fibroids. Then delicate instruments are passed through the hysteroscope to gently shave away and remove the fibroids.
Light cramping and bleeding are normal following this procedure. You’re observed for a couple hours in a recovery room before being cleared for discharge. Your myomectomy recovery is generally limited to a four-day rest period.
Option #3: Laparoscopic or Robotic Myomectomy
In laparoscopic or robotic myomectomy, which are considered to be minimally invasive procedures, your surgeon accesses and removes fibroids through several small abdominal incisions. Laparoscopic and robotic surgery use smaller incisions than a myomectomy, or laparotomy, does. This means you may have less pain, lose less blood and return to normal activities more quickly than with a laparotomy.
- Laparoscopic myomectomy. Your surgeon makes a small incision in or near your bellybutton. Then he or she inserts a laparoscope ― a narrow tube fitted with a camera ― into your abdomen. Your surgeon performs the surgery with instruments inserted through other small incisions in your abdominal wall.
- Robotic myomectomy. Instruments are inserted through small incisions similar to those in a laparoscopic myomectomy, and the surgeon controls movement of instruments from a separate console.