Hysteroscopic Myomectomy
A myomectomy is a procedure that removes fibroids without removing healthy uterine tissue. It is best for women who want to have children following fibroids therapy or who want to keep their uterus for other reasons. After a myomectomy, it is possible to become pregnant. For eliminating fibroids while preserving the uterus, this technique is considered the standard of care. Myomectomy has typically been performed with a major abdominal incision, although technological improvements have given less invasive alternatives such as hysteroscopic and laparoscopic myomectomies. Although this treatment is more invasive and time-consuming for the surgeon, it allows people to remain fertile. A hysteroscopic myomectomy is a procedure that removes fibroids through the vagina.
Indications of Hysteroscopic Myomectomy/Polypectomy
A myomectomy is a surgical procedure that should only be performed by a skilled gynecologist. Uterine fibroids and endometrial polyps are noncancerous growths that can form in or on your uterus at any age, usually during childbearing years.
Uterine fibroids can result in:
Anemia caused by heavy menstrual flow
Pelvic pain and pressure
Fertility problems
Fibroid removal alleviates those symptoms, improves your health, and boosts your chances of becoming pregnant. An open myomectomy is performed by making a horizontal or vertical incision in your abdomen and immediately accessing your uterus and other pelvic organs.
A telescope and small equipment introduced through half-inch incisions are used in laparoscopic myomectomy. Because the doctor accesses your uterus through your vagina, hysteroscopic or vaginal myomectomy requires no incisions.
Hysteroscopic Myomectomy procedure
Previously, women suffering from fibroids had just one treatment option: an open myomectomy. This technique carried all of the hazards associated with major surgery, including infection of your major abdominal and pelvic organs. It was typical to have a prolonged hospital stay and a healing period. There are now options.
The hysteroscopic myomectomy or vaginal myomectomy is the least invasive technique that also maintains your uterus. If the uterine fibroids are tiny and accessible through the uterine cavity, your gynecologist can do this operation.
The operation of hysteroscopic myomectomy is done to remove fibroids, which are abnormal uterine tissue. It consists of two steps:
Using a hysteroscope, a sort of telescope specifically designed to view the inside of the uterus, the uterus is first viewed and the position of the uterine fibroids is detected.
The uterine fibroids are then removed via channels in the scope. More than one treatment may be required to remove all of the fibroid tissue.
This technique, which does not necessitate a hospital stay, does not necessitate any incisions. The average operative time is between 30 and 60 minutes. Patients are either sedated with local anesthetic plus intravenous sedation or sedated with general anesthesia. Patients may be given a prescription for misoprostol, a medication that, when inserted into the vagina, causes cervical softening, allowing your doctor to dilate the cervix. After surgery and anesthetic clearance, most patients return to work the next day. They normally need anti-inflammatory pain relievers for a few days.
Hysteroscopic Myomectomy Aftercare
After a few hours of relaxation at the hospital, most patients are allowed to go home. However, in certain rare circumstances, an overnight stay in the hospital may be required. You will be given a prescription for pain medication as well as for instructions on how to limit your activities. You may notice some minor vaginal bleeding or stains for a few days to up to six weeks after the surgery. Within a few days, you should be able to resume your normal work and exercise routine.
While a vaginal myomectomy increases your fertility potential, it is recommended that you wait three months after the procedure before attempting a post-hysteroscopic myomectomy pregnancy. This allows your body, particularly your uterus, to fully heal, giving you the best chance of a successful pregnancy.
Advantages of Hysteroscopic Myomectomy
This procedure offers numerous advantages over more invasive procedures, including a low complication rate, no uterus or abdominal incisions, and less blood loss and scar tissue issues.