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Abdominal myomectomy is a major surgical procedure, utilizing normal abdominal incision for conventional "open" surgery. It is generally used for removal of subserosal or intramural fibroids that are very large and/or numerous, or when cancer is suspected. An incision is made through the skin on the lower abdomen often called a "bikini cut." The fibroids are surgically removed from the wall of the uterus. The uterine muscle is sewn back together using several layers of stitches.
Post-surgery, most women stay 1-2 nights in the hospital, followed by 6-8 weeks reduced activity. Risks for uterine scarring and blood loss may be higher with abdominal myomectomies than with the less invasive procedures.
A C-section may be required for delivery of pregnancies after an abdominal myomectomy. This is done to reduce the chance of trauma to the uterus during labor. The need for C-section will depend on how deeply the fibroids were embedded in the wall of the uterus at the time of removal.
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