You care for pregnant women, gynecologists team Vithas Xanit International Hospital develops comprehensive care to women, including all gynecological processes throughout their life. Giving coverage from adolescence through menopause.
With more than 36 medical specialties, 200 physicians and surgeons of the highest level, Quironsalud Hospital Malaga is one of the most pertinent hospitals in Spain.
The Ob-Gyn department's mission is to provide comprehensive women's health care to improve health outcomes for the diverse population of women we serve in our community.
This international hospital incorporates prestigious doctors, invests in research and development, technology and continuing education that enhances skills, in facilities, and in an increased operational efficiency in order to provide nothing but the best
An ISO certified modern private hospital, which was opened in 2006, and is part of the Quironsalud Hospital Group. This tertiary care hospital has certified medical specialties capable of treating the most complicated medical cases.
Medimar International Hospital is a tetriatry care hospital with 200 physicians, 50 resident and 150 affiliated, providing healthcare services to the residents of Alicante, as well as to over 25,000 foreign patients a year.
HM Hospitales is a hospital group with six private hospitals in Madrid: three general hospitals, a cardiovascular hospital, an oncological center and a women's health hospital.
The Department of Obstetrics & Gynecology offers the full spectrum of general and specialty gynecological and obstetrical care. Our team offers expert patient services and includes leaders in basic science, clinical trials, and population- based research.
The OB-GYN clinic is committed to providing comprehensive care and enhanced services designed exclusively for women. All of our services are provided in a courteous, compassionate and confidential environment.
Hospital Quirónsalud Valencia is ranked as one of the best private schools in Spain, winning nine times in the TOP 20 award in recognition of its management and quality of care.
What is Myomectomy?
Myomectomy is a surgical procedure in which fibroids are removed from the uterus wall.
Gonadotropin Releasing Hormone Analogue (GnRH-a) therapy may be used before myomectomy to reduce the size of the fibroids. This helps in reducing blood loss during a surgery. The GnRH-a therapy decreases the estrogen amounts in the body.
What are the different methods of performing Myomectomy?
Myomectomy may be performed by various surgical methods; choosing the method depends on the size, number and location of the fibroids.
Hysteroscopy
Fibroids that are located on the inner wall of the uterus but have not grown deep into the wall of the uterus is removed by hysteroscopy. A hysteroscope is inserted through the cervix into the uterus and the fibroids are removed.
Laparoscopy
Fibroids that measure approximately 2 inches and are located outside the uterus is removed by laparoscopy. This method uses a laparoscope which is inserted through a small abdominal incision and the fibroids are located and removed.
Laparotomy
Fibroids that are large in size or those that have grown deep into the wall of the uterus are removed by laparotomy. This is the traditional method of performing a myomectomy. During a laparotomy, a full abdominal incision is made horizontally or vertically. A few incisions are made in the muscles of the uterus and the fibroid is removed.
How to prepare for Myomectomy?
The patient may be required to go through a hormone treatment 2 to 6 months before myomectomy to reduce the size of the fibroids.
The patient needs to go through a thorough physical examination.
The doctor should be informed if the patient is:
Taking any medication
Allergic to any medication
Treated for any pelvic, uterine, cervical or vaginal infection 6 weeks prior to the procedure.
Suffering from heart or lung ailments
Pregnant
Arrangements should be made for someone to drive the patient home.
About Myomectomy
Key facts to plan your treatment: how long it takes, your hospital stay, anaesthesia, risks and recovery.
Days admitted
- Hysteroscopy: is done as an outpatient procedure.
- Laparoscopy: may be done as an outpatient procedure. However, sometimes patients may require a stay of 1 day in the hospital.
- Laparotomy: 1 to 4 days at the hospital
Anesthesia
General Anesthesia
Recovery
- Patients will be able to recover in a couple of weeks after myomectomy using laparoscopy and hysteroscopy.
- Patients who have had a laparotomy may need 4 to 6 weeks to recover.
- Patients’ symptoms of bleeding and pain caused by fibroids are cured after myomectomy.
- In many cases of patients with the problem of infertility, chances of pregnancy are known to be improved after myomectomy.
Risks
Risks involved in myomectomy are rare. They include:
- Infection
- Bleeding
- Uterine wall weakening
- Risks of anesthesia
- Severe bleeding that may lead to the removal of the whole uterus
- Uterine scarring may lead to infertility
- Rupture of uterine scars during pregnancy and delivery
After care
- The patient should follow the doctor’s instructions carefully.
- Patients trying to get pregnant may try to conceive 4 to 6 months after myomectomy because fibroids may grow back later.
- Patients may be required to do a hysterosalpingogram 4 months after myomectomy.
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