Diagnosis & Treatment |
Programs & Services -Diagnosis & TreatmentMyomectomyUterine leiomyomata (fibroids) are benign growths of the uterus, which are almost always benign. The prevalence is approximately 30 to 40% of women. Most uterine fibroids are asymptomatic and patients do not even know they have them. In some patients they can cause abdominal pain, irregular bleeding, and sub-fertility. Uterine myomas can be small or large. They can grow inside the uterine cavity (where pregnancies develop), in the uterine muscle wall itself, and can attach to the uterine surface. Symptoms:
If your fibroid is protruding into the uterine cavity your physician may counsel you to have it removed. Diagnosis: Treatment: Abdominal Myomectomy Abdominal myomectomy is a surgical procedure which removes fibroids through an incision on your abdomen. The incision is usually placed horizontally (bikini). This procedure is done in the hospital and most patients stay for 2 to 3 days before they go home. At the time of the abdominal myomectomy, all detectable uterine fibroids are removed and the uterus is reconstructed. Often, at the same time, blue dye is placed in the cervix so that we can make sure your fallopian tubes are open prior to performing your myomectomy. Risks of Abdominal Myomectomy: If after your surgery you experience fevers, wound infection or abdominal pain, alert your nurse or physician. Recovery Time: Your physician may offer you Lupron® or Cetrotide® prior to surgery. It is used to temporarily shrink fibroids prior to surgery. This will make your surgery easier and help build your blood count up prior to surgery. Hysteroscopic Myomectomy Fibroids that protrude more than 50% into the cavity can be removed using the hysteroscope with a resecting loop. A resecting loop is a tiny wire loop can be placed through the hysteroscope and allow your physician to remove your fibroid deep into the wall of the uterus. A hysteroscopic myomectomy is an outpatient procedure and is used for the removal of small protruding fibroids that enter the uterine cavity. Recovery Time: Notify your nurse or physician if you experience fevers or abdominal pain after your hysteroscopic myomectomy. |
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