(Fibroid Tumor Removal; Uterine Fibroid Removal)
by Editorial Staff and Contributors
This surgery involves removing fibroids from the wall of the uterus (womb). Fibroids are noncancerous tumors in the muscle of the uterus.
Reasons for Procedure
Myomectomy is done to relieve problems caused by fibroids without doing a hysterectomy (removal of the uterus). These problems can include:
The symptoms caused by fibroids are often successfully controlled with this procedure. This may include a return to a normal menstrual cycle and the ability to become pregnant.
Possible Complications TOP
Complications are rare, but no procedure is completely free of risk. If you are planning to have a myomectomy, your doctor will review a list of possible complications, which may include:
Factors that may increase the risk of complications include:
Be sure to discuss these risks with your doctor before the procedure.
What to Expect TOP
Prior to Procedure
Your doctor may do the following:
You should discuss with your doctor:
Leading up to your procedure:
General anesthesia is used most often. It will block any pain and keep you asleep through the surgery. It is given through an IV in your hand or arm.
Description of the Procedure
The doctor will make a small cut in the navel. He will insert a laparoscope into the abdomen through the cut. A laparoscope is a tube with a tiny camera on the end. The doctor will use this to examine the abdomen. Two or three additional small cuts will be made in the abdomen. Other tools will be inserted through these cuts. The doctor will find each fibroid and remove it. In some cases, you may be given the drug Pitressin to reduce blood loss. After the fibroids are removed, the doctor will use stitches to close the incision area.
Be aware that in some cases, the doctor may need to switch to an open surgery. During an open surgery, she will make a larger cut in the abdomen to do the surgery.
Immediately After Procedure
After the procedure, you will be:
How Long Will It Take?
Will It Hurt?
Your doctor will give you pain medicine to help control the pain.
Average Hospital Stay
You will either stay overnight or leave the hospital the same day as your surgery.
Full recover will take about 2-4 weeks. When you return home, do the following to help ensure a smooth recovery:
Call Your Doctor TOP
After you leave the hospital, contact your doctor if any of the following occurs:
In case of an emergency, call for medical help right away.
National Uterine Fibroids Foundation
Women's Health Matters
American Congress of Obstetricians and Gynecologists. Alternatives to hysterectomy in management of leiomyomas. Practice Bulletin. 2010;96.
Cohen SM, ed. Operative Laparoscopy and Hysteroscopy. New York, NY: Churchill Livingstone; 1996.
Myomectomy. Duke University Medical Center Reproductive Endocrinology and Infertility website. Available at: http://www.dukehea... . Accessed June 1, 2008.
Uterine fibroid treatment options. Society of Cardiovascular and Interventional Radiology website. Available at: http://www.sirweb.org/patPub/uterineTreatments.shtml#my . Accessed June 1, 2008.
6/2/2011 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed/ : Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
Last reviewed November 2012 by Andrea Chisholm, MD
Last Updated: 11/26/2012