Fibroid removal, also referred to as myomectomy, is a surgical procedure performed to remove uterine fibroids while preserving the uterus. This treatment option is ideal for women who wish to maintain their fertility or who desire to keep their uterus for personal or medical reasons. Fibroid removal can be accomplished through various techniques, including open abdominal myomectomy, laparoscopic myomectomy, and hysteroscopic myomectomy.

1. Open Abdominal Myomectomy:

1. A traditional approach that involves a large abdominal incision.

2. The surgeon accesses the uterus, identifies the fibroids, and carefully removes them while preserving the healthy tissue.

3. The incision is closed using sutures, and the patient may require a hospital stay and longer recovery time compared to minimally invasive techniques.

2. Laparoscopic Myomectomy:

1. A minimally invasive technique performed through several small incisions in the abdomen.

2. A laparoscope and specialized instruments are used to visualize and remove the fibroids.

3. This approach offers advantages such as reduced scarring, shorter hospital stays, and faster recovery.

3. Hysteroscopic Myomectomy:

1. A minimally invasive procedure where the fibroids located inside the uterine cavity are removed using a hysteroscope.

2. The hysteroscope is inserted through the vagina and cervix, eliminating the need for abdominal incisions.

3. Hysteroscopic myomectomy is suitable for fibroids that are primarily within the uterine cavity.