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Many women diagnosed with uterine fibroids face the question of whether surgical intervention is necessary. Myomectomy is often recommended for women who experience severe symptoms like heavy menstrual bleeding, pelvic pain, or fertility challenges. For those considering this option, one common concern is whether the procedure qualifies as a major surgery. Understanding the nature of myomectomy, the techniques used, and the recovery process can help women make informed decisions. Myomectomy in Dubai is increasingly chosen for its effectiveness in removing fibroids while preserving the uterus.

Understanding Myomectomy

Myomectomy is a surgical procedure designed to remove fibroids—benign growths in the uterus—without removing the entire uterus. Unlike hysterectomy, which permanently ends a woman’s ability to conceive, myomectomy focuses on symptom relief while maintaining reproductive potential. The complexity of the surgery depends on several factors, including the size, number, and location of the fibroids.

Types of Myomectomy and Surgical Intensity

The surgical intensity of myomectomy varies depending on the method used:

This minimally invasive procedure involves inserting a hysteroscope through the vagina to remove fibroids from the uterine cavity.

• Usually performed as an outpatient procedure

• Quick recovery with minimal discomfort

• Considered less invasive and not typically classified as “major surgery”

Performed through small abdominal incisions, laparoscopic myomectomy allows the surgeon to remove fibroids using a camera and specialized instruments.

• Involves general anesthesia

• Shorter hospital stay compared to open surgery

• Recovery time is faster, but still considered moderately invasive

This traditional method requires a larger incision in the abdomen to access and remove fibroids.

• Usually considered major surgery due to its invasive nature

• Requires longer hospital stay and recovery

• Often recommended for large, numerous, or deeply embedded fibroids

A modern alternative where robotic arms assist the surgeon in precise removal of fibroids.

• Minimally invasive with smaller incisions

• Reduces blood loss and recovery time compared to open surgery

• Considered less invasive than traditional open surgery, but more complex than hysteroscopic methods

Factors That Make Myomectomy Major Surgery

Several factors contribute to myomectomy being considered major surgery:

• Size and number of fibroids: Larger or multiple fibroids require more extensive removal.

• Location: Fibroids deep within the uterine wall or near blood vessels increase surgical complexity.

• Patient health: Coexisting health conditions, such as anemia or cardiovascular concerns, may complicate surgery.

• Type of procedure: Open abdominal myomectomy is the most invasive, while hysteroscopic procedures are the least invasive.

Risks and Considerations

Like any surgery, myomectomy carries potential risks. Understanding these helps women prepare and make informed decisions:

• Bleeding during or after surgery

• Infection at the incision site

• Scar tissue formation, which may affect future fertility

• Rare complications related to anesthesia

However, with modern surgical techniques and experienced specialists, the risks are generally well-managed, and most women experience successful outcomes.

Recovery After Myomectomy

The recovery process depends largely on the type of myomectomy performed:

• Hysteroscopic Myomectomy: Usually allows return to normal activities within a few days.

• Laparoscopic or Robotic Myomectomy: Recovery typically takes 2–4 weeks.

• Open Abdominal Myomectomy: May require 4–6 weeks or more for full recovery.

Post-operative care includes avoiding heavy lifting, following medication guidelines, and attending follow-up appointments to monitor healing and check for recurrence of fibroids.

Fertility Considerations

One of the main reasons women choose myomectomy over hysterectomy is the preservation of fertility. Women who undergo myomectomy may conceive naturally after a recommended recovery period. Specialists often advise waiting several months before attempting conception to ensure the uterus has healed completely.

Conclusion

Whether myomectomy is considered major surgery depends largely on the method chosen and the complexity of the case. While hysteroscopic procedures are minimally invasive, open abdominal myomectomy is indeed major surgery with a longer recovery period. Consulting a qualified specialist in Myomectomy in Dubai helps assess individual circumstances and choose the safest, most effective approach. For women seeking reliable, high-quality surgical care, exploring options for Best Myomectomy Dubai ensures access to advanced techniques, careful monitoring, and personalized treatment plans that address both symptoms and fertility goals.