Introduction
Abdominal myomectomy removes uterine fibroids through an abdominal incision while preserving the uterus. It is often considered when future pregnancy is desired and hysterectomy is not the preferred option.
Fibroids can grow back. Success and future fertility depend on fibroid number, size, and location—outcomes cannot be promised. Alternatives include medicines, minimally invasive myomectomy, and uterine artery embolization.
Why it is done / when it is considered
Abdominal Myomectomy is commonly discussed in situations such as:
- Heavy bleeding, pain, or pressure from large or multiple fibroids
- Infertility or recurrent pregnancy loss when fibroids are suspected contributors
- Desire to keep the uterus when other treatments are insufficient
- Fibroid size or location not suitable for laparoscopic or hysteroscopic removal
How the procedure is done
- Under general anesthesia the abdomen is opened and fibroids are shelled out
- The uterine wall is repaired with layered sutures
- Techniques to reduce blood loss may be used
- Hospital stay of several days is typical
Preparation
- Anemia may be treated before surgery if present
- Ultrasound or MRI maps fibroid location and number
- Confirm no pregnancy and discuss contraception until recovery
- Discuss possible blood transfusion and fertility plans
Risks and possible complications
Risks differ by procedure. Your age, other illnesses, and anaesthesia plan change the picture—your care team will explain what applies to you.
- Bleeding—sometimes requiring conversion to hysterectomy
- Infection, adhesions, and future pregnancy complications
- Weakened uterine wall may require cesarean delivery in future pregnancies
- Fibroid recurrence over time
Recovery
- Gradually increase activity over several weeks
- Avoid heavy lifting and sex for the period your surgeon specifies
- Wait for surgeon clearance before trying to conceive
Aftercare and follow-up
- Take pain medicines and wound care instructions as directed
- Report heavy bleeding, fever, or severe pain
- Follow-up ultrasound and pregnancy planning discussions at scheduled visits
Frequently asked questions
How is myomectomy different from hysterectomy?
Myomectomy removes fibroids and keeps the uterus; hysterectomy removes the entire uterus.
Can I deliver vaginally after myomectomy?
Many women are advised to have cesarean delivery depending on uterine repair—this is individualized.
Are fibroids cancer?
Most fibroids are benign. Suspicious features require further evaluation.
Important caution
This article is general health information. It is not personal medical advice, a surgery recommendation, or a cost promise.
Decide on need, alternatives, risks, and cost with your doctor and hospital. If you have emergency symptoms, go to hospital without delay.