Myomectomy

Myomectomy is nothing but surgical removal of fibroid from the uterus.

Myomectomy is mainly done in infertility pt to improve the chances pregnancy rate.

A Fibroid can be removed through laparoscopy, hysteroscopy.Rarely by open method ( laparotomy).

Method of surgery depends upon site, size& no of the fibroid.

Fibroid arising from the inner wall of the uterus ( submucosal fibroid are removed thro hysteroscopy.fibroid arising from the outer wall ( subserosal) & intramural fibroid are removed thro laparoscopy.

Hospital stay & recovery are short with hysteroscopy and laparoscopy .prolonged stay( 4days) & it takes 4 to 6 weeks to recover in case of open method.

Chances of recurrence depends on the age of the pt, size & number of the fibroid. So infertility pt should start treatment 3 to 6months after surgery.