When Should a Myomectomy be Done Vs. a Hysterectomy?
by Dr. Verónica Rembis
Each patient I have operated on is given a different treatment, because the cause and the anatomical problem are different.
For example, patients who want to have children can definitely not have a hysterectomy, but rather a myomectomy. This may be performed by open surgery, such as a cæsarean section or laparoscopic surgery depending on the location and size of ?what?(fill in the information)?. If the fibroid is submucosal, it can be removed by hysteroscopy.
In contrast, my patients who have bleeding, pelvic pain, anemia, and fibroids, but no
longer want to have children, can have laparoscopic surgery for hysterectomy, if the uterus is relatively small, below the navel and it is not very wide. Patients whose uterus is too large and above the navel need open surgery, which can be vertical or horizontal, depending on its characteristics.
Finally, patients who have uterine prolapse, that is, when the uterus is visible or emerging from the vulva, should have a vaginal hysterectomy. In this way, the uterus is extracted through the vagina.
In the three types of hysterectomy, I can remove the uterus only, or both the uterus and the ovaries, depending on whether the patient has
been through menopause or not, and if the ovaries have any problems such as cysts, endometriomas, or tumors.
In my 20 years of experience, I have attended many different congresses and training courses where I have extended my knowledge with new options, such as the use of lasers or new surgical techniques that facilitate the recovery of the patient. .