What are the advantages and disadvantages of open uterine myomectomy?

For women, if they suffer from uterine fibroids, the problem is quite serious. In order to solve this problem, many female friends choose to use abdominal myomectomy for treatment. Although this surgical method is currently a more advanced treatment method, it also has its advantages and disadvantages. If the patient has decided to undergo surgery, then the first thing to do is to understand the advantages and disadvantages of abdominal myomectomy.

Advantages of abdominal myomectomy:

During open abdominal myomectomy, small, deep-seated uterine fibroids and submucosal uterine fibroids that are smaller and not detected by preoperative ultrasound can be detected by finger touch. Suturing and closing the tumor cavity under direct vision can be more thorough, and the shape of the uterus can be restored better.

Data show that laparotomy is superior to laparoscopic surgery in terms of the number of uterine fibroids removed.

Open abdominal myomectomy has a wide range of indications and is not limited by the location, size, and number of uterine fibroids. Therefore, for special locations, such as uterine fibroids close to the mucosa, or multiple uterine fibroids (>4), uterine fibroids with a uterine volume >12 weeks of gestation, and recurrent uterine fibroids after multiple myomectomy, open abdominal surgery is the first choice between laparoscopy and open abdominal surgery.

Disadvantages of open myomectomy:

Open abdominal myomectomy has the disadvantages of large incision, large trauma, large interference to the abdominal cavity, and slow postoperative recovery. Generally speaking, an open abdominal myomectomy takes 1.5-3 hours, and hospitalization is required for about 7 days after the treatment. The amount of intraoperative bleeding is the highest among all uterine fibroid treatments that preserve the uterus.

To sum up, I believe you already know the advantages and disadvantages of open abdominal myomectomy. In fact, one of the biggest advantages of open abdominal myomectomy is that it does not affect women's fertility. Even after removing the myoma, women's fertility will be improved. Therefore, for women who have not yet given birth, choosing open abdominal myomectomy is a very correct choice.