Myomectomy

Myomectomy, the surgeon's objective is to remove symptom-causing fibroids and rebuild the uterus. In contrast to a hysterectomy, which removes your whole uterus, a myomectomy removes only the fibroids while leaving your uterus intact.

Women who get a myomectomy report a reduction in fibroid symptoms, such as heavy menstrual flow and pelvic discomfort.

Myomectomy of the abdomen

Your surgeon will create an open abdominal incision to reach your uterus and remove fibroids during an abdominal myomectomy (laparotomy). If at all feasible, your surgeon will want to create a low, horizontal ("bikini line") incision. Larger uteruses necessitate vertical incisions.

Laparoscopic Myomectomy

Your surgeon accesses and removes fibroids using many tiny abdominal incisions during laparoscopic myomectomy surgery, which is a minimally invasive procedure.

Women who have a laparoscopy had less blood loss, shorter hospital stays and recuperation, and reduced incidence of problems and adhesion development following surgery as compared to women who have a laparotomy. 

The fibroid may be broken into pieces and removed by a tiny incision in the abdominal wall. Other times, the fibroid is removed through a larger incision in your belly so that it is not cut into pieces. In rare cases, the fibroid may be removed through a vaginal incision (colpotomy).