Myoma removal is a surgical procedure in which the surgeon uses medical instruments to remove benign tissue nodules ("myomas") out of the uterine cavity. Depending on the location, size and the number of myomas, there are different ways to remove myoma:
- Hysteroscopic surgery: to perform this procedure the surgeon uses natural vaginal access to the uterus, and the myoma is removed with an electric curette. This procedure is suitable for small myomas that protrude through the cervical canal,
- Laparoscopic surgery: the abdominal wall and the navel area are used to insert instruments to reach the uterus and eventually myoma. The abdominal cavity is filled with carbon dioxide gas to provide the surgeon with a wider field of vision during surgery,
- Myomectomy by means of laparotomy: the abdominal wall incision exposes the uterus with myoma, and total removal of myoma is performed.
Myoma is removed under general anesthesia. Depending on the number of myomas, their location and size, the procedure can last from 30 minutes to several hours. Hysteroscopic myoma removal can be performed on an outpatient basis for small myomas, but sometimes not all myomas can be removed during surgery. Several interventions may be required.