Myomectomy

Myomectomy

Myomectomy refers to the surgical removal of uterine fibroids, also known as myomas. In contrast to a hysterectomy the uterus remains preserved and the woman retains her reproductive potential.

The presence of a fibroid does not mean that it needs to be removed. Removal is called for when the fibroid causes pain, abnormal bleeding, or pressure.

A myomectomy can be performed in a number of ways, depending on the location and number of lesions and the experience of the surgeon. Typically a myomectomy is performed via a laparotomy, the uterus incised, and the lesion(s) removed. A fibroid that is located in a submucous position may be accessible to hysteroscopic removal. In some instances also laparoscopy can be utilized to extirpate fibroids.

Complications of the surgery include the possibility of significant blood loss leading to a blood transfusion, the risk of adhesion or scar formation around the uterus, and the possible need later to deliver via cesarean section. Development of new fibroids will be seen in 42-55% of patients undergoing a myomectomy [http://humrep.oxfordjournals.org/cgi/content/abstract/10/7/1795] .

References

* Fedele, L. et al. [http://humrep.oxfordjournals.org/cgi/content/abstract/10/7/1795 Recurrence of Fibroids after Myomectomy] Human Reproduction, Vol. 10, No. 7, pp. 1795-1796, 1995


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  • Myomectomy — Surgery to remove a fibroid from the uterus. A fibroid, or leiomyoma, is a benign tumor that arises from the myometrium, the muscular wall of the uterus. The first myomectomy was performed by the American surgeon Washington Atlee in 1844. * * *… …   Medical dictionary

  • myomectomy — noun (plural mies) Date: 1886 surgical removal of a myoma or fibroid …   New Collegiate Dictionary

  • myomectomy — /muy euh mek teuh mee/, n., pl. myomectomies. the surgical removal of a myoma, esp. the excision of a fibroid tumor from the uterus. [1885 90; MYOM(A) + ECTOMY] * * * …   Universalium

  • myomectomy — noun The removal of the uterine myomas. Syn: fibroidectomy …   Wiktionary

  • myomectomy — n. surgical removal of benign muscle tumors (Surgery) …   English contemporary dictionary

  • myomectomy — my·o·mec·to·my …   English syllables

  • myomectomy — n. surgical removal of a fibroid (myoma) from the uterus …   The new mediacal dictionary

  • myomectomy — ˌmīəˈmektəmē noun ( es) Etymology: International Scientific Vocabulary myom + ectomy : excision of a myoma …   Useful english dictionary

  • Uterine myomectomy — Intervention A laparoscopic myomectomy: The uterus has been incised and the myoma is held and about to be shelled out ICD 9 CM …   Wikipedia

  • abdominal myomectomy — uterine myomectomy using an abdominal approach. Called also laparomyomectomy …   Medical dictionary

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