{"id":987512098,"date":"2025-10-31T23:47:38","date_gmt":"2025-10-31T20:47:38","guid":{"rendered":"https:\/\/www.drsadimankiykac.com\/acik-myomektomi-nedir-rahimdeki-miyomlarin-acik-cerrahiyle-cikarilmasi\/"},"modified":"2026-08-02T16:25:10","modified_gmt":"2026-08-02T13:25:10","slug":"what-is-open-myomectomy-surgical-removal-of-uterine-fibroids-via-open-surgery","status":"publish","type":"post","link":"https:\/\/www.drsadimankiykac.com\/en\/what-is-open-myomectomy-surgical-removal-of-uterine-fibroids-via-open-surgery\/","title":{"rendered":"What Is Open Myomectomy? Surgical Removal of Uterine Fibroids via Open Surgery"},"content":{"rendered":"

What Is Open Myomectomy? Surgical Removal of Uterine Fibroids via Open Surgery<\/strong><\/h1>\n

The uterus is a vital organ at the center of women\u2019s health where pregnancy develops. However, in some women, masses called\u00a0fibroids<\/strong>\u00a0(benign tumors arising from the uterine muscle layer) may occur within this tissue. Fibroids often cause no symptoms; however, if they lead to complaints such as\u00a0heavy menstrual bleeding<\/strong>,\u00a0anemia<\/strong>,\u00a0abdominal pain<\/strong>,\u00a0bloating<\/strong>, and\u00a0fertility problems<\/strong>, surgical treatment may be required.<\/p>\n

At this point,\u00a0open myomectomy (removal of fibroids via laparotomy)<\/strong>\u00a0comes into play. This surgery is a safe and effective method that aims to remove only the fibroids while preserving the uterus. It is especially preferred in patients with large or numerous fibroids.<\/p>\n

What Is Myomectomy? (Surgical Removal of Fibroids from the Uterus)<\/strong><\/h2>\n

Myomectomy<\/strong>\u00a0is the procedure of removing fibroids from the uterus.\u00a0\u201cOpen myomectomy\u201d<\/strong>\u00a0refers to performing this procedure through an incision made in the abdomen (usually along the bikini line).
\nWith this method, the surgeon reaches the uterine tissue directly, carefully removes the fibroids, reconstructs the uterus, and preserves the patient\u2019s fertility potential.<\/p>\n

In summary:<\/strong>
\n<\/strong>\u2022\u00a0Purpose:<\/strong>\u00a0Remove only the fibroids while preserving the uterus
\n\u2022\u00a0Method:<\/strong>\u00a0Open surgery through an abdominal incision
\n\u2022\u00a0Advantage:<\/strong>\u00a0More effective results in large or multiple fibroids<\/p>\n

Who Is Open Myomectomy Suitable For?<\/strong><\/h2>\n

According to statistics,\u00a01 in 4 women<\/strong>\u00a0has fibroids, and not every fibroid requires surgery. However, in some situations, surgery becomes inevitable.<\/p>\n

Open myomectomy is generally recommended for the following patients:<\/strong><\/h2>\n
    \n
  1. Those with fibroids larger than5 cm<\/strong>\u00a0or deeply embedded in the uterine wall<\/li>\n
  2. Those withmultiple<\/strong>\u00a0fibroids<\/li>\n
  3. Those whoplan pregnancy<\/strong>\u00a0but cannot conceive due to fibroids<\/li>\n
  4. Patientsnot suitable for laparoscopic surgery<\/strong><\/li>\n
  5. Those experiencingheavy menstrual bleeding (menorrhagia)<\/strong>\u00a0and anemia<\/li>\n<\/ol>\n

    The most important goal in this method is both to preserve the uterus and to maintain the woman\u2019s chance of having children in the future.<\/p>\n

    Preoperative Preparation<\/strong><\/h2>\n

    A detailed evaluation is performed before surgery.
    \n\u2022\u00a0Ultrasound or MRI<\/strong>\u00a0is used to determine the number, location, and size of the fibroids.
    \n\u2022\u00a0Blood tests<\/strong>\u00a0are performed to assess the risk of anemia or infection.
    \n\u2022 The patient is informed in detail about the surgical process and the postoperative period.<\/p>\n

    In some cases,\u00a0hormone therapy (GnRH analogs)<\/strong>\u00a0may be used preoperatively to shrink the fibroids. This can facilitate the operation and reduce blood loss.<\/p>\n

    How Is Open Myomectomy Performed?<\/strong><\/h2>\n

    The surgery is performed under general anesthesia.
    \nThe surgeon typically makes an incision of approximately\u00a010\u201315 cm<\/strong>\u00a0in the lower abdomen (at the level of the bikini line).<\/p>\n

    The steps are as follows:<\/strong><\/p>\n

      \n
    1. Access to the uterus:<\/strong>The abdominal wall and peritoneum are opened to expose the uterus.<\/li>\n
    2. Removal of fibroids:<\/strong>The fibroids are removed one by one; special medications are used to reduce bleeding during this step.<\/li>\n
    3. Repair of uterine tissue:<\/strong>The areas where the fibroids were removed are meticulously sutured, and the uterus is restored to its integrity.<\/li>\n
    4. Closure:<\/strong>The layers are closed in sequence, completing the operation.<\/li>\n<\/ol>\n

      The duration of the operation varies between\u00a01\u20132 hours<\/strong>, depending on the number and size of the fibroids.<\/p>\n

      Postoperative Course and Recovery<\/strong><\/h2>\n

      The recovery period after open myomectomy is somewhat longer than with minimally invasive (laparoscopic) methods. However, with proper care, patients can generally return to daily life in a short time.<\/p>\n

      Regarding the recovery process:<\/strong>
      \n\u2022\u00a0Hospital stay:<\/strong>\u00a01\u20133 days
      \n\u2022\u00a0Full recovery:<\/strong>\u00a04\u20136 weeks
      \n\u2022\u00a0First menstruation:<\/strong>\u00a0Usually occurs 4\u20138 weeks later<\/p>\n

      Points to consider:<\/strong><\/h2>\n

      \u2022 Avoid heavy lifting and sudden movements for the first 4 weeks.
      \n\u2022 Keep the incision area clean and monitor for signs of infection.
      \n\u2022 Do not resume sexual intercourse without medical clearance (generally after 6 weeks).
      \n\u2022 A diet rich in iron and protein is recommended.<\/p>\n

      Advantages of Open Myomectomy<\/strong><\/h2>\n
        \n
      • The uterus is preserved:<\/strong>Fertility potential continues.
        \n\u2022\u00a0Direct access to all fibroids is possible.<\/strong>
        \n\u2022\u00a0It is the most effective method in large and multiple fibroids.<\/strong>
        \n\u2022\u00a0It is a safe surgical option<\/strong>\u00a0due to the low risk of malignancy.<\/li>\n<\/ul>\n

        Disadvantages and Possible Risks<\/strong><\/h2>\n

        As with any surgical procedure, open myomectomy has certain risks:
        \n\u2022\u00a0Risk of bleeding:<\/strong>\u00a0Higher in large fibroids.
        \n\u2022\u00a0Adhesions (intra-abdominal adhesions):<\/strong>\u00a0Tissue adhesions may occur postoperatively.
        \n\u2022\u00a0Infection:<\/strong>\u00a0Rare; controlled with antibiotic therapy.
        \n\u2022\u00a0Cesarean requirement:<\/strong>\u00a0In some patients, cesarean delivery may be preferred in future pregnancies.<\/p>\n

        When performed by an experienced gynecologic surgeon, the complication rate is quite low.<\/p>\n

        Pregnancy After Open Myomectomy<\/strong><\/h2>\n

        Open myomectomy is a safe option for women who wish to preserve their fertility.
        \nPregnancy can be planned\u00a0after the uterus has completely healed<\/strong>\u00a0(generally\u00a06 months<\/strong>\u00a0after surgery).<\/p>\n

        Becoming pregnant before the recommended interval may lead to pregnancy when the uterine wall has not yet regained sufficient strength; this can increase risks such as\u00a0uterine rupture<\/strong>. Therefore, the post-myomectomy pregnancy plan must be made under medical supervision.<\/p>\n

        Alternative Surgical Methods<\/strong><\/h2>\n

        Depending on the size and location of the fibroid and the patient\u2019s desire for fertility, different methods can be applied:
        \n\u2022\u00a0Laparoscopic Myomectomy:<\/strong>\u00a0Minimally invasive surgery performed with small incisions using a camera.
        \n\u2022\u00a0Hysteroscopic Myomectomy:<\/strong>\u00a0Fibroids located on the inner uterine wall are removed via the vaginal route.
        \n\u2022\u00a0Hysterectomy:<\/strong>\u00a0Complete removal of the uterus (preferred in patients who do not desire fertility and have large fibroids).<\/p>\n

        The most appropriate method for each patient is decided jointly by the physician and the patient.<\/p>\n

        Follow-Up After Open Myomectomy<\/strong><\/h2>\n

        In the first year after surgery, patients should attend regular gynecologic check-ups.
        \nThe probability of fibroid recurrence is\u00a010\u201320%<\/strong>. Therefore:
        \n\u2022 Annual ultrasound examinations are important.
        \n\u2022 One should avoid factors such as excessive stress, hormonal imbalance, and obesity.
        \n\u2022 Regular exercise and a balanced diet help maintain hormonal balance.<\/p>\n

        Frequently Asked Questions (FAQ)<\/strong><\/h2>\n
          \n
        1. When can I return to work after open myomectomy?<\/strong>
          \nIt is generally possible to return to light-duty work after4\u20136 weeks<\/strong>. However, for physically demanding jobs, medical clearance should be awaited.<\/li>\n
        2. Do fibroids recur after surgery?<\/strong>
          \nEspecially in those with a genetic predisposition or ongoing hormonal imbalance, fibroids may redevelop. Therefore, regular follow-up is important.<\/li>\n
        3. Will my menstrual pattern change after open myomectomy?<\/strong>
          \nMenstrual delays or irregularities may occur in the first few months; however, as the uterus heals, the cycle returns to normal. Most patients experience less painful and better-controlled periods.<\/li>\n
        4. Is open myomectomy or the minimally invasive method better?<\/strong>
          \nThis depends entirely on the size and number of fibroids and the patient\u2019s fertility goals. In large fibroids, the open method may be preferred.<\/li>\n
        5. When can sexual intercourse be resumed after surgery?<\/strong>
          \nGenerally after6 weeks<\/strong>, once the uterus and incision tissue have completely healed.<\/li>\n<\/ol>\n

           <\/p>\n","protected":false},"excerpt":{"rendered":"

          The uterus is a vital organ at the center of women\u2019s health where pregnancy develops. However, in some women, masses called fibroids (benign tumors arising from the uterine muscle layer) may occur within this tissue. Fibroids often cause no symptoms; however, if they lead to complaints such as heavy menstrual bleeding, anemia, abdominal pain, bloating, and fertility problems, surgical treatment may be required.
          \nAt this point, open myomectomy (removal of fibroids via laparotomy) comes into play. This surgery is a safe and effective method that aims to remove only the fibroids while preserving the uterus. It is especially preferred in patients with large or numerous fibroids.<\/p>\n","protected":false},"author":1,"featured_media":987512099,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[919],"tags":[978,992,988,983,984,980,987,991,985,990,981,974,979,989,976,977,986,982],"dipi_cpt_category":[],"class_list":["post-987512098","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","tag-abdominal-hysterectomy-ankara","tag-abdominal-hysterectomy-clinic-ankara","tag-abdominal-hysterectomy-cost-ankara","tag-abdominal-hysterectomy-recovery-ankara","tag-abdominal-hysterectomy-surgeon-ankara","tag-abdominal-open-uterus-surgery-ankara","tag-fibroid-surgery-ankara","tag-gynecologic-oncology-surgery-ankara","tag-gynecologic-surgery-ankara","tag-hysterectomy-postoperative-care-ankara","tag-hysterectomy-specialist-ankara","tag-myomektomi-sonrasi-gebelik","tag-open-hysterectomy-ankara","tag-open-uterus-surgery-consultation-ankara","tag-rahim-koruyucu-cerrahi","tag-rahimde-miyom","tag-uterine-cancer-surgery-ankara","tag-uterus-removal-surgery-ankara"],"_links":{"self":[{"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/posts\/987512098","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/comments?post=987512098"}],"version-history":[{"count":1,"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/posts\/987512098\/revisions"}],"predecessor-version":[{"id":987512101,"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/posts\/987512098\/revisions\/987512101"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/media\/987512099"}],"wp:attachment":[{"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/media?parent=987512098"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/categories?post=987512098"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/tags?post=987512098"},{"taxonomy":"dipi_cpt_category","embeddable":true,"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/dipi_cpt_category?post=987512098"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}