Our Summary

This research paper is about a study conducted to see how effective different surgical techniques are in removing fibroids (non-cancerous growths in the uterus) in just one procedure. The researchers looked at many different studies (over a thousand) and focused on 78 of them. They found that the success rate of the surgery varied depending on the technique used and the type of fibroid being treated.

In simpler terms, when the fibroids were less embedded in the uterus wall (less than 50%), a technique called ‘slicing’ was successful about 86.5% of the time. However, a different technique that involves removing the deeper part of the fibroids was successful about 92.3% of the time.

When the fibroids were more embedded in the uterus wall (more than 50%), the ‘slicing’ technique was successful only about 70.6% of the time, while the deeper removal technique was successful about 88.4% of the time.

The researchers concluded that for fibroids that are more embedded in the uterus wall, the ‘slicing’ technique is less successful and has a higher rate of complications. Therefore, the deeper removal technique seems to be a better option in these cases.

FAQs

  1. What is the success rate of the ‘slicing’ technique in treating fibroids that are less embedded in the uterus wall?
  2. How does the effectiveness of the ‘slicing’ technique compare to the deeper removal technique when fibroids are more embedded in the uterus wall?
  3. Which surgical technique did the researchers conclude to be a better option for fibroids that are deeply embedded in the uterus wall?

Doctor’s Tip

One helpful tip a doctor might tell a patient about myomectomy is to discuss with them the different surgical techniques available and their success rates depending on the type and location of the fibroids. It is important for the patient to understand the potential outcomes and risks associated with each technique in order to make an informed decision about their treatment.

Suitable For

Myomectomy is typically recommended for patients who have symptomatic fibroids that are causing significant issues such as heavy menstrual bleeding, pelvic pain, pressure on the bladder or bowel, or infertility. Patients who want to preserve their uterus for future fertility or personal reasons may also be recommended for myomectomy.

Additionally, patients who have fibroids that are causing complications such as anemia, urinary retention, or recurrent miscarriages may also be candidates for myomectomy. Patients who have fibroids that are causing issues with fertility or pregnancy may also be recommended for myomectomy in order to improve their chances of conceiving and carrying a pregnancy to term.

Overall, myomectomy is typically recommended for patients who have symptomatic fibroids that are significantly impacting their quality of life or causing complications, and who want to preserve their uterus for future fertility or personal reasons.

Timeline

Before myomectomy, a patient may experience symptoms such as heavy or painful periods, pelvic pain, frequent urination, and difficulty getting pregnant. They may also undergo tests such as ultrasound or MRI to confirm the presence of fibroids.

After myomectomy, the patient may experience some pain and discomfort, as well as vaginal bleeding and discharge. They will need to rest and avoid heavy lifting and strenuous activities for a few weeks. Follow-up appointments will be scheduled to monitor recovery and ensure that the fibroids do not return. Over time, the patient should experience relief from their symptoms and improved quality of life.

What to Ask Your Doctor

  1. What are the different surgical techniques available for myomectomy and which one do you recommend for my specific case?
  2. What is the success rate of the surgery for my type of fibroids?
  3. What are the potential complications or risks associated with myomectomy?
  4. How long is the recovery period after the surgery and what can I expect in terms of post-operative care?
  5. Will I be able to conceive and carry a pregnancy to term after undergoing myomectomy?
  6. Are there any alternative treatment options to consider before opting for surgery?
  7. How will my symptoms (such as heavy menstrual bleeding or pelvic pain) be affected after the surgery?
  8. How often do fibroids recur after myomectomy and what can be done to prevent them from returning?
  9. Are there any lifestyle changes or medications that can help manage my symptoms before or after the surgery?
  10. What is the likelihood that I may need a hysterectomy in the future if my fibroids continue to grow or cause complications?

Reference

Authors: Indraccolo U, Bini V, Favilli A. Journal: Biomed Res Int. 2020 Jan 8;2020:4208497. doi: 10.1155/2020/4208497. eCollection 2020. PMID: 32090092