Myomectomy refers to the surgical removal of fibroids. It is used to treat bleeding, infertility, pain, and pressure caused by fibroids. Your NYU Langone surgeon uses one of four procedures to remove the fibroids, depending on their size, number, and location. Because myomectomy preserves the uterus, it may be preferable for women who wish to become pregnant. New fibroids may grow after surgery, however, especially if a woman has multiple fibroids.
In a hysteroscopy, an outpatient procedure, the surgeon inserts a thin, lighted scope through the vagina into the uterus. He or she can diagnose and remove fibroids on the inner wall of the uterus. The procedure can be done using local or general anesthesia; you and your surgeon can decide which is more appropriate for you. The recovery time takes anywhere from one to three days, depending on the number, size, and location of the fibroids.
During a laparoscopy, a lighted scope and other instruments are inserted through small incisions in the abdomen. Performed using general anesthesia, laparoscopy is usually done on an outpatient basis. It requires up to two weeks of recovery, depending on the number, size, and location of the fibroids removed.
During a robotic laparoscopic myomectomy, your NYU Langone surgeon has a high-resolution, three-dimensional view of fibroids and the surrounding tissue, as well as a greater range of motion than with traditional laparoscopy. Because the robot allows for precise movements of surgical instruments, scarring and blood loss can be decreased.
General anesthesia is used during this procedure. You can typically leave the hospital the same day following robotic myomectomy. Recovery can take up to two weeks.
A laparotomy is performed using general anesthesia. The doctor makes an abdominal incision that is several inches long to remove large fibroids, multiple fibroids, or fibroids that have grown deep into the wall of the uterus. This procedure requires a stay of one to three days in the hospital and four to six weeks at home for recovery.