Open Myomectomy in London

What the procedure involves

Open Myomectomy at London Gynaecology Clinic is a specialist uterus-sparing fibroid surgery performed for women needing removal of large or multiple fibroids. This expert procedure is carried out under general anaesthetic by our experienced team, led by a consultant gynaecologist and advanced laparoscopic surgeon. It begins with a careful incision in the lower abdomen, most often along the bikini line for minimal visible scarring. For significantly large fibroids, a vertical cut may be chosen. Through this incision, we access the womb and remove the fibroids one by one. The uterine muscle is repaired with precise stitches, ensuring strength and preservation of the womb. The abdominal incision is then closed with either dissolvable stitches or staples.

Throughout the surgery, our focus is on minimising blood loss, safeguarding fertility, and supporting early recovery. We use an evidence-based approach, taking the time to listen to your story and crafting a plan with your specific health and fertility goals at heart. At London Gynaecology Clinic, every open myomectomy is performed with a steady hand and careful technique to ensure the best possible outcome for your comfort and long-term well-being.

Why it is done

Open Myomectomy is recommended for women with large or multiple fibroids not suitable for keyhole surgery. This procedure is ideal for those experiencing heavy periods, pelvic pain, or fertility challenges related to fibroids, especially women wishing to preserve the option of future pregnancy. Our expert care in London ensures you receive the most appropriate advice and surgery for your needs.

Benefits

Having an open myomectomy at London Gynaecology Clinic provides relief from heavy periods and pain, and can improve your fertility by removing troublesome fibroids while keeping the womb intact. This approach allows us to handle even the largest fibroids and gives many women a greater chance to achieve pregnancy in the future.

Risks and complications

Risks include bleeding (occasionally needing transfusion), infection, adhesions, or, rarely, injury to nearby organs. In extremely rare cases, a hysterectomy may become necessary. Future pregnancies might require a planned Caesarean birth for safety.

Recovery and aftercare

You will usually stay in hospital for three to five days following your open myomectomy in London. Most women can return to light activities within two to three weeks and expect a full recovery in six to eight weeks. Heavy lifting and strenuous activity should be avoided for six weeks, and sexual activity can resume once cleared. Periods typically return and are often lighter after surgery.

 When to contact your doctor

Contact your doctor immediately if you experience heavy vaginal bleeding, persistent fever, severe abdominal pain, redness or discharge at the wound site, or trouble passing urine or stools.