MRIs<\/a>, or ultrasounds may also be carried out. This helps to rule out the possibility of uterine cancers and other conditions. It also helps to determine the size and location(s) of the growth.<\/p>\n\n\n\nA blood transfusion may be required during the surgery due to excessive blood loss. The procedure is usually performed under general anesthesia for the laparoscopy, abdominal, and sometimes hysterectomy myomectomy or spinal for the minimally invasive ones. With the exception of laparotomy, the other techniques are performed as outpatient procedures and do not require hospitalization.<\/p>\n\n\n\n
Postoperative management involves resting, pain medications, and wound dressing. Preoperative antibiotics may also be prescribed. <\/p>\n\n\n\n
Complications of Myomectomy<\/strong><\/h2>\n\n\n\nMyomectomy has a low complication rate. Despite its relative safety, several operative and postoperative complications may arise. These risks include:<\/p>\n\n\n\n
\n- Excessive blood loss: <\/strong>Due to increased menstrual flow, most women with fibroids have a low platelet and erythrocyte count. This means that blood transfusion may be required during the procedure especially if it is a highly invasive technique like the abdominal myomectomy.<\/li>\n\n\n\n
- Scar tissue:<\/strong> Adhesions can result from uterine incisions made to remove fibroids. These bands of scar tissue may develop after surgery and can lead to inflammation and other complications like decreased mobility around affected tissues. Compared to abdominal myomectomy, laparoscopic myomectomy might cause fewer adhesions. (laparotomy). <\/li>\n\n\n\n
- Pregnancy or childbirth complications:<\/strong> A myomectomy may raise some risks related to delivery after pregnancy. A cesarean section (C-section) may be recommended to avoid rupture of the uterus during labor. This is a very rare complication of pregnancy. However, the depth and location of the leiomyoma are related to this complication. Fibroids themselves are also associated with pregnancy complications.<\/li>\n\n\n\n
- Rare chance of hysterectomy:<\/strong> On rare occasions, surgical and post-surgical complications can lead to the removal of the uterus. This may be necessary if bleeding is uncontrollable or other abnormalities are found in addition to fibroids.<\/li>\n\n\n\n
- Chances of spreading a cancerous tumor:<\/strong> If a tumor is mistaken for a fibroid, there is a high risk of spreading it inadvertently during morcellation.<\/li>\n\n\n\n
- Infection:<\/strong> Post-surgical infection can arise due to several causes. It may be prevented or resolved through the use of antibiotics. More severe infections may result in surgical management.<\/li>\n\n\n\n
- Damage to the uterus and adjacent organs:<\/strong> There is a possibility of damage to the uterine wall or nearby organs. This would require further surgical revision and correction.<\/li>\n<\/ul>\n\n\n\n
Conclusion<\/strong><\/h2>\n\n\n\nDespite the success of myomectomy, new fibroids may grow after a successful procedure. This risk is higher in younger women (women less than 40 years of age) than in menopausal women. In cases where there is regrowth repeatedly, a hysterectomy may be indicated. The Food and Drug Administration (FDA) issued a warning against using a laparoscopic power morcellator for the majority of myomectomy patients in 2014. It is necessary to revise the possible drawback of each technique with the physician prior to the surgery.<\/p>\n