Abdominal myomectomy

In an abdominal myomectomy an incision is made in the abdomen to reach the uterus. The standard method of performing a myomectomy is by laparotomy, making a four- to six-inch "bikini" incision on the abdomen just below the pubic hairline or a vertical incision in the midline of the abdomen. The advantage of this procedure is that there is no limit to the size or number of fibroids that can be removed. The surgeon is able to feel the uterus, which is helpful in fibroid removal and in locating fibroids that may be deep in the uterine wall. This procedure facilitates careful repair of the uterus. The disadvantage of an abdominal myomectomy is the incision. This procedure takes one to two hours, depending on the number and position of the fibroids. Most patients who have this procedure spend two nights in the hospital, and return to work in about four weeks.

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Comparison of different types of myomectomy

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