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Stomach Pictures After Myomectomy Surgery

Stomach pictures after myomectomy surgery

Myomectomy is a surgical procedure that is used to cut out fibroids while keeping the uterus intact. There are multiple types of myomectomy surgery, some of which are significantly more invasive than others. Before a myomectomy, many women are curious about the scars that will develop after the surgery. Our Fibroid Specialists discuss the four most common myomectomy techniques, where myomectomy scars can develop, and how the scars heal. We also share a brief gallery of stomach pictures after myomectomy surgery.

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Myomectomy Incision Types
Stomach Pictures After Myomectomy Surgery
Laparoscopic Myomectomy Scar Pictures
Abdominal Myomectomy Scar Pictures

Fibroid Specialist Dr. Michael Lalezarian

Fibroid Surgery Alternative in Los Angeles

ProFibroidMD is a leading provider of uterine fibroid embolization (UFE), the least invasive treatment option for uterine fibroid symptom relief. Our Fibroid Specialists have helped countless women overcome their fibroids and get back to their happy, healthy selves without going through a major surgery.
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“I did quite a lot of research about my options after learning I had 2-3 fibroids, one being almost 10cms in size. It was frightening to know that if it got any larger, I wouldn’t be able to do a myomectomy. I started finding out about the UFE and how it was far less invasive. I decided to get it done with Dr. Lalezarian and it went extremely well! The first couple of days after were difficult but once that passed, I have been feeling so much better overall, and my cycles have been far less strenuous. I would recommend it for anyone who is struggling to make a decision and wants to do something minimally invasive. You are in good hands with Dr. Lalezarian, who is a caring and attentive person to have supporting you!”

Elizabeth S, February 2022

Myomectomy Incision Types

Myomectomies can be divided into four categories based on how the fibroids are accessed: hysteroscopic, vaginal, laparoscopic, and abdominal (open). Each of these approaches requires different incisions, leaving scars in unique locations when the incisions heal.
Myomectomy scar incision types
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Hysteroscopic Myomectomy

Hysteroscopic myomectomy is probably the least invasive myomectomy technique. A hysteroscope is inserted into the uterus through the vaginal canal, allowing the surgeon to visualize any fibroids on the inner surface of the uterus (submucosal fibroids). The surgeon will then proceed to cut away any fibroid tissue using specialized surgical tools. This is typically done under local anesthesia, but general anesthesia is also an option.

Hysteroscopic myomectomy is typically an outpatient procedure and therefore does not require an overnight hospital stay. Post-procedural recovery is a brief 1-2 days before returning to normal activities, and complications are quite rare (less than 1%).

Because there are no external incisions, hysteroscopic myomectomy leaves no scars. However, hysteroscopic myomectomy can only treat submucosal fibroids, which is why it’s less common than some other myomectomy methods.

Vaginal Myomectomy

Vaginal myomectomy is similar to hysteroscopic myomectomy, but instead of navigating through to the uterus, incisions are made from the vaginal canal into the cervix and surrounding tissue, allowing the surgeon to enter the pelvis and the lower abdominal cavity.

As with hysteroscopic myomectomy, there are no external incisions required for vaginal myomectomy, and no scars after the surgery. However, it has been noted in the medical literature that conversion to another type of myomectomy technique (laparoscopic or open / abdominal) may be more likely during vaginal myomectomy.

Laparoscopic Myomectomy

Laparoscopic myomectomy is the most common myomectomy technique. Under general anesthesia, multiple small incisions are made at various points around the abdominal wall. Through these small incisions, surgical tools are inserted into the abdomen, including a camera and long cutting tools to remove fibroid tissue. Laparoscopic myomectomy can also be performed with the Da-Vinci robot, sometimes called robotic myomectomy, but the technique is approximately the same.

A brief hospital stay is often required after a laparoscopic myomectomy surgery, though some patients are able to go home on the same day of the procedure. Women can expect a 2-4 week recovery period before fully returning to their normal activities.

Women should expect visible scarring after laparoscopic myomectomy. Usually 3 small abdominal incisions, 1-2 inches in length, are required, but there are alternative laparoscopic techniques that can involve more or less incisions.

Abdominal (Open) Myomectomy

Abdominal myomectomy, sometimes called open myomectomy, is certainly the most invasive myomectomy technique. Under general anesthesia, a single large incision is made across the lower abdominal wall to expose the uterus. Fibroids are removed before the incision is closed.

An abdominal myomectomy can require up to 7 days of recovery in the hospital, and 4-6 weeks before returning to normal activities. Because the procedure is more invasive, there is a higher risk of blood loss, post-operative pain, and intra-abdominal adhesions.

A sizable scar will develop after abdominal myomectomy, significantly larger than laparoscopic scarring.

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Stomach Pictures After Myomectomy Surgery

Below you will find stomach pictures after myomectomy surgery. We have included both laparoscopic myomectomy scar pictures and abdominal (open) myomectomy scar pictures.

Laparoscopic Myomectomy Scar Pictures

Laparoscopic myomectomy usually leaves 3 small scars around the abdomen, but there are many different laparoscopic approaches, so more or fewer scars are possible. Laparoscopic myomectomy scars are around 1-2 inches in length, and are much less visible than abdominal scars. Below are 4 stomach pictures after laparoscopic myomectomy surgery.

Laparoscopic Myomectomy Scar Pictures

Abdominal (open) myomectomy typically leaves one large scar around the “bikini line”, about halfway between the belly button and the pubic bone. An open myomectomy scar will span several inches, often creating a visible crease across the abdomen even after the incision is fully healed. Below are 4 stomach pictures after abdominal myomectomy surgery.
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Questions to Ask Before Myomectomy Surgery

Myomectomy continues to be one of the most common treatment options for symptomatic fibroids, but major surgery is a major decision. Scarring is just one of many factors to consider when deciding between fibroid treatments, and you should be fully informed on all of your options. Check out our guide on Questions to Ask Before Fibroid Surgery to learn more.

More Resources
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When it comes to fibroid treatment, we believe that less is more. A less invasive procedure means less trauma, less risk, and shorter recovery time. Learn more about why we opt for UFE, the least invasive treatment for uterine fibroids.

Uterine artery embolization

Uterine Artery Embolization

Uterine artery embolization is a minimally-invasive procedure that we offer at ProFibroidMD to relieve heavy bleeding, pain, and other symptoms in patients with uterine fibroids. Learn more about our specialty procedure.
Fibroid Specialist in Los Angeles

Fibroid Specialist in Los Angeles

Learn more about Los Angeles Fibroid Specialist Dr. Michael Lalezarian.

References

[1] Piecak K, Milart P. Hysteroscopic myomectomy. Prz Menopauzalny. 2017;16(4):126-128.
[2] Ciebiera M, Łoziński T, Wojtyła C, Rawski W, Jakiel G. Complications in modern hysteroscopic myomectomy. Ginekol Pol. 2018;89(7):398-404.
[3] Grifo, J, Nassari, A, et al, Glob. libr. women’s med., (ISSN: 1756-2228) 2008; DOI 10.3843/GLOWM.10040. https://www.glowm.com/section-view/heading/Myomectomy/item/40#.YYaxxb3MJhE.
[4] Stoica RA, Bistriceanu I, Sima R, Iordache N. Laparoscopic myomectomy. J Med Life. 2014;7(4):522-4.
[5] Wang T, Tang H, Xie Z, Deng S. Robotic-assisted vs. laparoscopic and abdominal myomectomy for treatment of uterine fibroids: a meta-analysis. Minim Invasive Ther Allied Technol. 2018;27(5):249-264.
[6] Faivre E, Surroca MM, Deffieux X, Pages F, Gervaise A, Fernandez H. Vaginal myomectomy: literature review. J Minim Invasive Gynecol. 2010;17(2):154-60.
[7] Senapati S, Advincula AP. Surgical techniques: robot-assisted laparoscopic myomectomy with the da Vinci(®) surgical system. J Robot Surg. 2007;1(1):69-74.
[8] Wang T, Tang H, Xie Z, Deng S. Robotic-assisted vs. laparoscopic and abdominal myomectomy for treatment of uterine fibroids: a meta-analysis. Minim Invasive Ther Allied Technol. 2018;27(5):249-264.
[9] Raghavan R, Arya P, Arya P, China S. Abdominal incisions and sutures in obstetrics and gynaecology. The Obstetrician & Gynaecologist. 2014;16:13-18.

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