Mini-Wound Myomectomy

Specialist:
Peng-Hui Wang
Huann-Cheng Horng
Szu-Ting Yang
Chia-Hao Liu
Wei-Ting Chao

Overview

Mini-wound myomectomy is a surgical procedure to remove fibroids (non-cancerous growths) from the uterus. Unlike traditional open surgery, a mini-wound myomectomy is performed using a minimally invasive approach with a small incision in the lower abdomen. The procedure is performed under general anesthesia and typically takes one to two hours to complete.

The fibroids are removed one by one through a small incision. Once the fibroids have been removed, the incision is closed with sutures layer by layer. The main advantage of mini-wound myomectomy over traditional open surgery is that it results in less pain, a faster recovery time, and a lower risk of complications such as infection, bleeding, and scarring. Additionally, since only a small incision is made, there is less disruption to the surrounding tissue and organs, which helps to preserve fertility.

However, mini-wound myomectomy may not be suitable for all patients, particularly those with large or numerous fibroids. In these cases, traditional open surgery may be necessary. Overall, mini-wound myomectomy is a safe and effective way to remove fibroids from the uterus and can help to preserve fertility and improve the quality of life for many women.

Feature Summary

Myomectomy preserves the uterus while treating fibroids. It may be a reasonable treatment option if you have:

• Anemia that is not relieved by treatment with medicine.
• Pain or pressure that is not relieved by treatment with medicine.
• A fibroid that has changed the wall of the uterus. This can sometimes cause infertility. Before an in vitro fertilization, a myomectomy is often done to improve the chances of pregnancy.

Notification

The potential risks and complications of mini-wound myomectomy include:

1. Pelvic Infection: This refers to the infection of the uterus, fallopian tubes, or ovaries.
2. Scarring: The removal of intramural fibroids (fibroids located in the uterine muscle) can cause scar tissue to form.
3. Infertility: In rare instances, scarring from the uterine incision may result in infertility.
4. Injuries to the Bladder or Bowel: In rare cases, the procedure may result in injuries to the bladder or bowel, such as a bowel obstruction.
5. Uterine Rupture: In rare cases, uterine scars may break open during late pregnancy or delivery.
6. Hysterectomy: In rare cases, it may be necessary to perform a hysterectomy during a myomectomy if removing the fibroid causes heavy bleeding that cannot be stopped without removing the uterus.

It is important to note that while these risks and complications can occur, they are relatively rare, and the benefits of mini-wound myomectomy often outweigh the risks. Patients should discuss the potential risks and benefits of the procedure with their doctor to determine if it is the best option for their individual needs.

Surgical procedure to remove the intramural myoma, the myometrium is sutured and closed layer by layer through a small skin incision.

The FIGO leiomyoma subclassification system classifies the type of uterine myoma at different locations.