Vaginal Procedures

We dedicate an entire team to assist you throughout the process of your uterine procedure

Myomectomy

Removing fibroids while preserving the uterus

A myomectomy is an operation to remove fibroids while preserving the uterus.  These common non cancerous growths appear in the uterus, usually during childbearing years, but they can occur at any age. For women who have fibroid symptoms and want to have children in the future, myomectomy is the best treatment option. A myomectomy can be performed several different ways. Depending on the size, number and location of your fibroids, you may be eligible for an abdominal myomectomy, a laparoscopic myomectomy, or a hysteroscopic myomectomy. The surgeon’s goal during myomectomy is to take out symptom-causing fibroids and reconstruct the uterus. 

Abdominal myomectomy

During this operation, an incision is made on the lower abdomen (a “bikini cut”). The fibroids are removed from the wall of the uterus, and the uterine muscle is sewn back together using several layers of stitches 

Laparoscopic myomectomy 

In a laparoscopic myomectomy, four one-centimeter incisions are made in the lower abdomen: one at the belly button, one below the bikini line near the pubic hair, and one near each hip. The abdominal cavity is filled with carbon dioxide gas. A thin, lighted telescope is placed through an incision so the doctors can see the ovaries, fallopian tubes and uterus. Long instruments, inserted through the other incisions, are used to remove the fibroids. The uterine muscle is then sewn back together, the gas is released and the skin incisions are closed. A the Complete Care Surgical Center we offer the 3D laparoscopic technology which allows us to perform the procedure with one incision in the belly button. 

Hysteroscopic myomectomy

Only women with submucosal fibroids — fibroids that expand from the uterine wall into the uterine cavity — are eligible for this type of myomectomy. During the procedure, the woman, most likely under anesthesia, is on her back with feet in gynecology stirrups. A speculum is placed in the vagina and a long, slender telescope is placed through the cervix into the uterine cavity. The uterine cavity is filled with fluid to lift apart the walls of the uterus. Instruments passed through the hysteroscope are used to shave off the submucosal fibroids. 

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Our all-female OB/GYN physicians and surgeons are highly skilled and experienced specialists that can address any type of OBGYN issues and concerns.