Myomectomy is a procedure that surgically removes fibroids, non-cancerous tumors of the uterus, and repairs the uterus for women who plan to bear children or want to keep their uterus. It is mainly for women who plan to bear children at a later age, when fibroid symptoms tend to occur.
This procedure can be done in a few different ways, depending on the type of size of the fibroids. Laparotomy or abdominal myomectomy uses an incision and allows the surgeon to visually inspect the uterus and feel for fibroids. It requires a short hospital stay and a recovery time of 4-6 weeks. Hysteroscopic myomectomy uses a tool called a resectoscope to enter through the vagina, release a liquid to expand the uterus and then shave away the fibroid pieces. Finally, laparoscopic myomectomy inserts a laparoscope, a small tube with a camera, into the pelvis and removes the fibroids through small incisions made in the abdomen. Laparoscopic patients are usually released the same day.
An ovarian cystectomy is a surgery to remove a cyst or cysts from one or both of your ovaries. This surgery will confirm the diagnosis of an ovarian cyst, remove a cyst that may be causing problems, and rule-out if the cyst was cancerous. A laparoscopic surgery uses small incisions and specialized tools. It is preferred among patients and doctors because it may offer a faster recovery time and a decreased incidence of infection than an open surgery.
An oophorectomy is a surgical procedure used to remove one or both of the ovaries as a treatment for pelvic diseases such as ovarian cancer or severe endometriosis. This procedure is often performed with a hysterectomy, which removes the uterus; or with a salpingectomy, which removes the fallopian tubes. An oophorectomy can also be performed as a preventive procedure, as a prophylactic oophorectomy.
Women typically undergo this procedure as treatment for:
Ovarian cysts or tumors
Ovarian torsion (twisting of an ovary)
Reducing the risk of ovarian and breast cancer
Some women have abnormal genes, known as BRCA1 and BRCA2 that give them an increased risk for developing ovarian cancer before the age of 70, many developing the disease around age 45.
This procedure may be performed through a traditional open incision or through laparoscopy with multiple small incisions, depending on each patient’s individual condition. Most patients can return to fully activities within six weeks, sooner after laparoscopic surgery.
Some women who are at a higher risk for developing ovarian cancer or other pelvic disease may actually benefit from not undergoing an oophorectomy, so that they can avoid hormone problems, avoid an increased risk of fractures and osteoporosis and often enjoy a longer survival rate. Oophorectomy also increases a patient’s risk of heart disease and does not completely eliminate the risk of ovarian or breast cancer.
Women should receive a yearly gynecological exam to ensure they are healthy. Schedule your appointment for your gynecological exam or gynecological surgery with Dr. Quartell by calling 973.716.9600 today!