Surgical Procedures -

Myomectomy

In some cases, benign uterine tumors - leiomyomas, called myomas or fibroids - may be a reason for infertility or repeated pregnancy loss, but not always. There is no general agreement among infertility specialists about the significance of myoma. Each patient's history and situation must be considered individually.

The size of the tumors and their location need to be carefully investigated by all available means.
If removal of the tumors (myomectomy) is necessary, the procedure can be done by laparoscopy, hysteroscopy or open surgery- laparotomy.

There are two main goals for performing this operation:

• Removal of all tumors and repair of the uterine wall to allow pregnancy and preferably vaginal delivery.

• Avoidance of postoperative adhesions/scarring.

Various surgical techniques and postoperative regiments were designed to accomplish both goals.

Myomectomy is known to frequently produce significant postoperative adhesions. For this reason, the patient may end up without tumors, but with a large amount of adhesions, and therefore still be unable to conceive. The options should be discussed by the patient and her doctor, but the decision about the method should be left to the doctor, who has the patient's confidence and sufficient experience with this type of surgery.

Surgical Procedures