Question 1

doc suggested open myomectomy after lap & removal of endo adhesions. i have four 5cm fibroids would lap myomectomy not be possible & less invasive?

Accepted Answer

Some Places do it: Laparoscopic myomectomy is possible in the hands of very skilled laparoscopic surgeons in certain centers.  Its not available everywhere (nor should it be).  Many surgeons would do this as an open laparotomy because it can be very bloody.   You might also consider uterine artery embolization.  Its not available everywhere but is even less invasive than laparoscopy.  Best wishes

Question 2

i am 32, i under went myomectomy in 2011, after that i have adhesion in my uterus and i am not able to conceive, please suggest me the treatment?

Accepted Answer

See a REI specialist: You need to see a fertility specialist (reproductive endocrinology and infertility or rei). Adhesions outside the uterus, around the tubes and ovaries, may need in vitro fertilization (ivf) or laparoscopic surgery. If your adhesions are inside your uterus (asherman's syndrome) this needs hysteroscopic surgery. If your uterine cavity is very badly damaged, you may need to use a gestational carrier.

Question 3

show me how a myomectomy is done?

Accepted Answer

Myomectomy: We open the uterus right where the fibroid is, and dissect it out of the myometrium (muscle of the uterus) then close in layers the defect.

Question 4

what drugs should b taken after a myomectomy?

Accepted Answer

What was prescribed : After major surgery it is important to follow your surgeons instructions exactly as directed. You should take the medications he or she prescribed. You should not take anything else without clearing it with your surgeon.

Question 5

how common is it for someone to need a myomectomy?

Accepted Answer

Very Common: Many women have fibroids. Some women don't have problems from fibroids, but other women have painful periods, heavy bleeding, pelvic pressure, pain with sex, or infertility. The only way to remove fibroids is surgery and so myomectomy is very common. Myomectomy can be done in different ways so not every surgery is the same.

Question 6

what is the definition or description of: myomectomy?

Accepted Answer

Removal of fibroids: A myomectomy is the procedure when fibroids are removed and the uterus remains.  Myomectomies can be done in a variety of ways, depending on the location of the fibroids.  Fiboids in the uterine cavity can often be removed hysteroscopically, with no abdominal incision.  Depending on size and location, myomectomies can be done laparoscopicaaly, robotically and my laparotomy.

Question 7

what's a hysteroscopic myomectomy done for?

Accepted Answer

Alternative idea: Fibroids are tissue growth that affect the uterus.  They are extremely common and present in up to 50% of women (i've seen as high as 70% quoted). They commonly cause abnormal bleeding and a hysteroscopic myomectomy is done to remove fibroids that protrude into the cavity of the uterus as an alternative to hysterecomty.  It's done through the cervix with minimal anesthesia. A nice little surgery.

Question 8

what  is  hysteroscopic  myomectomy?  please explain.

Accepted Answer

A GYN Procedure: Where they go in , under sedation usually, through the uterus and take out growths of muscle tissue of the uterus that should not be there and usually are responsible for pain and bleeding (fibroids). It is the alternative method of reaching them to a surgical approach through the abdomen by some means.Hysteroscopic means they are going up through the inside of the uterus.

Question 9

constipation following myomectomy?

Accepted Answer

Pain meds: Pain medications after any kind of surgery can be constipating.  Inaddition, pelvic surgery can stimulate spasm of the muscles around the rectum that have to relax to allow bowel movements.  Stool softeners can be quite helpful until off the pain medications and the muscles have relaxed.

Question 10

how can i remove my myomectomy scar?

Accepted Answer

You can't: Scars are permanent and cannot be removed.
Scars can be revised if they are extremely noticeable, and a plastic surgeon should be able to tell you what type of improvement you might get.

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Doctor answers about:

Adhesions after myomectomy

A member asked:

Doc suggested open myomectomy after lap & removal of endo adhesions. i have four 5cm fibroids would lap myomectomy not be possible & less invasive?

A member asked:

I am 32, i under went myomectomy in 2011, after that i have adhesion in my uterus and i am not able to conceive, please suggest me the treatment?

A member asked:

Show me how a myomectomy is done?

A member asked:

What drugs should b taken after a myomectomy?

A member asked:

How common is it for someone to need a myomectomy?

A member asked:

What is the definition or description of: myomectomy?

A member asked:

What's a hysteroscopic myomectomy done for?

A member asked:

What is hysteroscopic myomectomy? please explain.

A member asked:

Constipation following myomectomy?

A member asked:

How can i remove my myomectomy scar?

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