{"id":5445,"date":"2014-12-19T18:27:00","date_gmt":"2014-12-19T15:27:00","guid":{"rendered":"https:\/\/serkanoral.com\/miyom-cikarma-ameliyati\/"},"modified":"2025-09-01T11:04:45","modified_gmt":"2025-09-01T08:04:45","slug":"myomectomy-fibroid-removal-surgery","status":"publish","type":"post","link":"https:\/\/serkanoral.com\/en\/myomectomy-fibroid-removal-surgery\/","title":{"rendered":"Myomectomy (Fibroid Removal Surgery)"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_83 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">\u0130\u00e7indekiler<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/serkanoral.com\/en\/myomectomy-fibroid-removal-surgery\/#myomectomy-fibroid-removal-surgery\" >Myomectomy (Fibroid Removal Surgery)<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/serkanoral.com\/en\/myomectomy-fibroid-removal-surgery\/#what-are-the-risks-of-myomectomy\" >What are the Risks of Myomectomy?<\/a><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/serkanoral.com\/en\/myomectomy-fibroid-removal-surgery\/#excessive-bleeding\" >Excessive bleeding<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/serkanoral.com\/en\/myomectomy-fibroid-removal-surgery\/#scar-tissue\" >Scar tissue<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/serkanoral.com\/en\/myomectomy-fibroid-removal-surgery\/#development-of-new-fibroids\" >Development of new fibroids<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/serkanoral.com\/en\/myomectomy-fibroid-removal-surgery\/#birth-complications\" >Birth complications<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/serkanoral.com\/en\/myomectomy-fibroid-removal-surgery\/#inability-to-reconstruct-the-uterus\" >Inability to reconstruct the uterus<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/serkanoral.com\/en\/myomectomy-fibroid-removal-surgery\/#what-measures-can-be-taken-to-reduce-the-risks-of-myomectomy\" >What Measures Can Be Taken to Reduce the Risks of Myomectomy?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/serkanoral.com\/en\/myomectomy-fibroid-removal-surgery\/#how-to-prepare-for-myomectomy-surgery\" >How to Prepare for Myomectomy Surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/serkanoral.com\/en\/myomectomy-fibroid-removal-surgery\/#surgical-approaches-in-myomectomy\" >Surgical Approaches in Myomectomy<\/a><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/serkanoral.com\/en\/myomectomy-fibroid-removal-surgery\/#how-is-abdominal-myomectomy-laparotomy-performed\" >How Is Abdominal Myomectomy (Laparotomy) Performed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/serkanoral.com\/en\/myomectomy-fibroid-removal-surgery\/#how-is-laparoscopic-myomectomy-performed\" >How Is Laparoscopic Myomectomy Performed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/serkanoral.com\/en\/myomectomy-fibroid-removal-surgery\/#how-is-hysteroscopic-myomectomy-performed\" >How Is Hysteroscopic Myomectomy Performed?<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n\n<p>During the reproductive period in women, the myomectomy surgery, in which benign tumors in the uterus called fibroids are removed, allows the fibroids to be taken out while preserving the uterus. Fibroids may develop without showing any symptoms in most women. However, some fibroids can cause pain, severe and irregular menstrual bleeding, infertility, or put pressure on surrounding tissues leading to constipation and urinary problems. This can negatively affect a woman\u2019s daily life. In such cases, surgery may be necessary to remove the fibroids.<\/p>\n\n\n\n<p>There are different methods for fibroid removal. These are evaluated according to the woman\u2019s desire to have children, her age, and the location, size, and number of fibroids. Myomectomy surgery is especially recommended for women who wish to have children, do not want their uterus removed, and whose fibroids are causing infertility.<\/p>\n\n\n\n<p>Although the relationship between fibroids and infertility or pregnancy is not definite, some women with fibroids can still conceive and maintain their pregnancies without any problem. However, some women cannot conceive, or if they do, they may experience miscarriage. Women who have fibroids and have faced such problems regarding pregnancy should definitely be evaluated and treated for fibroids. It is known that submucosal fibroids located inside the uterus cause infertility and must be removed. On the other hand, the effect of intramural fibroids (within the uterine wall) or subserosal fibroids (growing outside the uterus) on infertility is not definite.<\/p>\n\n\n\n<p>Patients who undergo myomectomy surgery can usually become pregnant afterwards. However, the fertility rates determined after surgery may vary. Studies show that women who try to conceive after the surgery are generally successful.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"what-are-the-risks-of-myomectomy\"><\/span>What are the Risks of Myomectomy?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>This surgery carries a very low risk. However, the surgeon\u2019s experience is important in minimizing these risks.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"excessive-bleeding\"><\/span><strong>Excessive bleeding<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<p>The uterus is surrounded by a network of blood vessels. Fibroids stimulate the growth of new blood vessels to supply themselves. For this reason, certain precautions should be taken against excessive bleeding during myomectomy surgery. These include blocking blood flow in uterine vessels and injecting drugs around fibroids to constrict blood vessels.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"scar-tissue\"><\/span><strong>Scar tissue<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<p>Incisions made in the uterus to remove fibroids may cause adhesions (scar tissue that develops after surgery). Adhesions that develop inside the uterus may block the development of a fertilized egg. Although this is rare, adhesions outside the uterus may affect nearby structures, leading to blocked tubes or bowel obstruction.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"development-of-new-fibroids\"><\/span><strong>Development of new fibroids<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<p>Myomectomy surgery cannot prevent the development of new fibroids. Small fibroids not visible during surgery may grow later and cause symptoms. As long as the uterus is in place, fibroid formation is possible. However, women with only one fibroid are less likely to develop new ones compared to women with multiple fibroids. If new fibroids occur, another myomectomy, hysterectomy, or other treatments may be considered.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"birth-complications\"><\/span><strong>Birth complications<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<p>Women who have previously undergone myomectomy may experience some complications during delivery. If the surgeon had to make a deep incision in the uterine wall during surgery, a cesarean delivery is required to prevent uterine rupture during labor.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"inability-to-reconstruct-the-uterus\"><\/span><strong>Inability to reconstruct the uterus<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<p>During surgery, in order to remove fibroids, the surgeon may have to leave a cavity and cut into the uterine wall muscle. Multiple stitches are required to close this area. In cases of severe bleeding or inability to reconstruct the uterus properly, hysterectomy may be necessary.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"what-measures-can-be-taken-to-reduce-the-risks-of-myomectomy\"><\/span>What Measures Can Be Taken to Reduce the Risks of Myomectomy?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><strong>Taking iron supplements and multivitamins:<\/strong> If women have iron deficiency due to heavy menstrual bleeding, they should take iron medication as recommended by their doctor before surgery.<\/p>\n\n\n\n<p><strong>Hormone therapy:<\/strong> To correct anemia, hormone therapy may be applied before surgery. To stop or reduce menstrual bleeding, GnRH agonists, hormone therapy, or birth control pills can be used. GnRH agonists block the production of estrogen and progesterone, stopping menstrual bleeding and allowing the body to store hemoglobin and iron.<\/p>\n\n\n\n<p><strong>Treatment to shrink fibroids:<\/strong> Certain hormonal treatments may shrink the uterus and fibroids. This effect allows the surgeon to make a smaller incision or use minimally invasive surgery instead of open surgery. These effects are achieved with medications used before surgery, and they disappear when the medication is stopped.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"how-to-prepare-for-myomectomy-surgery\"><\/span>How to Prepare for Myomectomy Surgery?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Patients should not eat anything for 8 hours before surgery. The stomach must be empty before surgery. Patients taking medication should consult their doctor. Before surgery, patients may need to wear special stockings to prevent blood clotting. The abdominal area is cleaned and shaved. Anesthesia is administered before entering surgery.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"surgical-approaches-in-myomectomy\"><\/span>Surgical Approaches in Myomectomy<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Depending on the size and type of fibroid, the surgeon may choose one of the following surgical approaches:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Abdominal myomectomy:<\/strong> The uterus is accessed with an open abdominal incision, and fibroids are removed.<\/li>\n\n\n\n<li><strong>Laparoscopic myomectomy:<\/strong> Several small incisions are made, and fibroids are removed with special instruments.<\/li>\n\n\n\n<li><strong>Hysteroscopic myomectomy:<\/strong> Special instruments are inserted through the vagina and cervix into the uterus to remove fibroids.<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"how-is-abdominal-myomectomy-laparotomy-performed\"><\/span>How Is Abdominal Myomectomy (Laparotomy) Performed?<span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<p>This procedure is performed under general anesthesia. The uterus is accessed through one or two vertical or horizontal incisions. A vertical incision is made from the midline of the abdomen below the navel to the pubic bone. This provides easy access to the uterus and reduces bleeding, making it especially preferred if the uterus is enlarged to the size of a 16-week pregnancy. It is also preferred when the fibroid is located in the connective tissue between the uterus and the pelvic wall. A horizontal incision is made just above the pubic bone. Since this incision follows the natural skin lines, the scar is finer and causes less pain, but access to the pelvis is more difficult.<\/p>\n\n\n\n<p>During surgery, the doctor can visually examine the uterus, palpate the fibroids, make incisions accordingly, remove them, and then repair the uterus. After surgery, the patient is monitored until the effects of anesthesia wear off. Medications such as morphine are given for pain. Once discharged, patients take oral medications for pain relief and are encouraged to walk early, reducing postoperative complications. Patients should avoid heavy work, sexual activity, driving, and tampon use for about 6 weeks. After abdominal myomectomy, patients usually stay in the hospital for 2\u20133 days, and recovery takes 4\u20136 weeks.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"how-is-laparoscopic-myomectomy-performed\"><\/span>How Is Laparoscopic Myomectomy Performed?<span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<p>In this method, an incision is made through the navel. Carbon dioxide gas is used to inflate the abdomen. A laparoscope is placed into the pelvic cavity to view the ovaries, uterus, and other pelvic organs. Small incisions are then made in the abdominal wall to remove the fibroids. The fibroid is removed through a small incision in the uterine wall or vagina.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"how-is-hysteroscopic-myomectomy-performed\"><\/span>How Is Hysteroscopic Myomectomy Performed?<span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<p>This method is generally recommended for submucosal fibroids located inside the uterine cavity. Under general or spinal anesthesia, a hysteroscope is inserted through the vagina and cervix into the uterus, and the fibroids are removed.<\/p>\n\n    <div class=\"xs_social_share_widget xs_share_url after_content \t\tmain_content  wslu-style-1 wslu-share-box-shaped wslu-fill-colored wslu-none wslu-share-horizontal wslu-theme-font-no wslu-main_content\">\n\n\t\t\n        <ul>\n\t\t\t        <\/ul>\n    <\/div> \n","protected":false},"excerpt":{"rendered":"<p>During the reproductive period in women, the myomectomy surgery, in which benign tumors in the uterus called fibroids are removed, allows the fibroids to be taken out while preserving the uterus. Fibroids may develop without showing any symptoms in most women. However, some fibroids can cause pain, severe and irregular menstrual bleeding, infertility, or put [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":1642,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[33],"tags":[],"class_list":["post-5445","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-womens-health"],"_links":{"self":[{"href":"https:\/\/serkanoral.com\/en\/wp-json\/wp\/v2\/posts\/5445","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/serkanoral.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/serkanoral.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/serkanoral.com\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/serkanoral.com\/en\/wp-json\/wp\/v2\/comments?post=5445"}],"version-history":[{"count":0,"href":"https:\/\/serkanoral.com\/en\/wp-json\/wp\/v2\/posts\/5445\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/serkanoral.com\/en\/wp-json\/wp\/v2\/media\/1642"}],"wp:attachment":[{"href":"https:\/\/serkanoral.com\/en\/wp-json\/wp\/v2\/media?parent=5445"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/serkanoral.com\/en\/wp-json\/wp\/v2\/categories?post=5445"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/serkanoral.com\/en\/wp-json\/wp\/v2\/tags?post=5445"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}