It is done for:

• Symptomatic fibroid treatment: Uterine fibroids are non-cancerous growths that can develop in the muscular wall of the uterus. They can cause various symptoms, including heavy or prolonged menstrual bleeding, pelvic pain or pressure, urinary frequency or urgency, and reproductive problems. Myomectomy aims to alleviate these symptoms by removing the fibroids while preserving the uterus.
• Preservation of fertility: For women who desire to preserve their fertility, myomectomy is a preferred treatment option. It allows for the removal of fibroids while keeping the uterus intact, which is crucial for future pregnancies. Myomectomy can improve fertility outcomes by reducing the size and location of fibroids that may interfere with conception, implantation, or normal uterine function.
• Different surgical approaches: Myomectomy can be performed using various surgical approaches, including abdominal myomectomy, laparoscopic myomectomy, hysteroscopic myomectomy, and robotic-assisted myomectomy. Each approach has its advantages and considerations, such as the size, number, and location of fibroids and patient factors. The choice of approach is determined by the individual patient's characteristics and the surgeon's recommendation.
• Minimally invasive techniques: Minimally invasive myomectomy techniques, such as laparoscopic and robotic-assisted approaches, have gained popularity due to their associated benefits. These techniques involve making small incisions, using specialized instruments and a camera to visualize and remove the fibroids. Minimally invasive myomectomy offers advantages such as smaller incisions, reduced blood loss, shorter hospital stays, faster recovery, and improved cosmetic outcomes compared to traditional open abdominal myomectomy.
• Patient selection and counseling: The scientific basis of myomectomy also includes careful patient selection and counseling. The decision to undergo myomectomy should involve a comprehensive evaluation of the patient's symptoms, fibroid characteristics, desire for future fertility, and overall health. Patient counseling should include information on the potential risks, benefits, and possible need for future interventions, as well as the potential impact on fertility.
• Surgical techniques and outcomes: The scientific evidence supporting myomectomy demonstrates its efficacy in relieving symptoms associated with fibroids and improving quality of life. Studies have shown that myomectomy can effectively reduce symptoms such as heavy menstrual bleeding, pelvic pain, and pressure. Furthermore, myomectomy has been associated with favorable outcomes in terms of fertility preservation and reproductive success, particularly for women with submucosal or intramural fibroids.