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Myomectomy Techniques

  • Adam Magos
  • Ioannis Tsibanakos
Chapter
Part of the Medical Radiology book series (MEDRAD)

Abstract

Uterine fibroids are common, and if symptomatic and the uterus is to be conserved for child-bearing, myomectomy is the traditional surgical solution. Myomectomy can be done by a variety of techniques, including by laparotomy (open surgery), laparoscopy, hysteroscopy and via the vagina. Each has its indication, and advantages and disadvantages. Open myomectomy is suitable for all cases and remains the only choice when the fibroids are numerous and/or large. Laparoscopic myomectomy is most suited to small to medium sized subserous fibroids but can also be used if the fibroid is intramural. Recently, robotically assisted laparoscopic myomectomy has been introduced into clinical practice, but whether it is cost effective remains to be seen. Hysteroscopic myomectomy is indicated for small intra-cavitary and submucous fibroids. Finally, vaginal myomectomy, widely practised in the nineteenth century, is undergoing a revival as an alternative to laparoscopic and hysteroscopic surgery.

Keywords

Uterine Artery Embolisation Uterine Cavity Uterine Fibroid GnRH Analogue Laparoscopic Myomectomy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  1. 1.University Department of Obstetrics and GynaecologyRoyal Free HospitalLondonUK

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