Conservative myomectomy

Conservative myomectomy is understood as the removal of the uterine myoma (tumor) in such a way that after the operation the childbearing function is preserved. By itself, uterine fibroids are a fairly common disease. Thus, on average, 6-7% of all women fall ill with this pathology.

What are the types of conservative myomectomy?

The purpose of such an operation is to remove the tumor node. This is done in several ways:

Hysteroscopy is effective if the nodes are located under the mucous membrane of the uterus. To do this, dissect the endometrial layer. This method is also used for diagnostic purposes.

Laparoscopic conservative myomectomy is perhaps the most common way of dealing with this pathology. The procedure for the operation is very similar to the hysteroscopy mentioned above. However, with laparotomy, access is through the abdominal cavity, and not through the vagina. With laparoscopy on the abdominal wall, 3 small incisions are made to insert video equipment and surgical instruments into it.

Laparotomy is the older method of removing fibroids. When this operation is performed, access to the uterus is achieved by dissecting the anterior abdominal wall. Due to the fact that this method is rather painful, and the postoperative period with this kind of conservative myomectomy is very long, this method is used extremely rarely - only with large neoplasms.

What are the consequences of myomectomy?

As a rule, conservative myomectomy proceeds without any consequences. That is why, pregnancy after conservative myomectomy is possible, already a year after the operation.