What is open abdominal myomectomy? What are the advantages and disadvantages of open abdominal myomectomy?

Open abdominal myomectomy is a good surgical method. With the improvement of people's living standards, women pay more attention to the integrity of their bodies and hope to maintain the physiological function of the uterus. Both doctors and patients are increasingly willing to preserve the uterus, and myomectomy is a common method of preserving the uterus at this stage.

1. Open abdominal myomectomy refers to the removal of abdominal skin, abdominal muscle layer, fat and uterine muscle layer from the pseudocapsule, and then plastic suturing the uterus to allow the patient to continue menstruating and restore and improve fertility after the operation.

2. Advantages of open abdominal myomectomy:

During open abdominal myomectomy, finger palpation can reveal small, deep uterine fibroids and submucosal uterine fibroids that are smaller and not detected by preoperative ultrasound. Suturing is more thorough under direct vision, the tumor cavity is closed, and the uterine shape is restored better.

Data show that laparotomy is superior to laparoscopic surgery in terms of the number of uterine fibroids removed.

The indications for open uterine myomectomy are broad and are not limited by the location, size, or number of uterine fibroids, so special sites such as close to the mucosa or multiple uterine fibroids (>four) with a uterine volume >12 weeks of gestation and multiple uterine fibroids recurring between laparoscopy and laparotomy.

3. Disadvantages of open myomectomy:

The disadvantages of abdominal myomectomy are large incision, large trauma, large interference to the abdominal cavity, and slow recovery after surgery. Generally speaking, abdominal myomectomy takes 1.5-3 hours, and hospitalization is required for about 7 days after treatment. The amount of intraoperative bleeding is the highest among all uterine fibroid treatments that preserve the uterus.

The above is an analysis of the advantages and disadvantages of open abdominal myomectomy. Traditional open abdominal myomectomy has been widely used. Although minimally invasive surgery has developed rapidly and increased year by year, open abdominal surgery still has an irreplaceable position.