Myomectomy…how big is too big?
Location, location, location is true when approaching myomectomy as well as real estate. Managing one large fibroid is a substantively different operation than approaching the same size uterus with tens or hundreds of small tumors. Optimizing patient management includes: 1) eliminating anemia before attempting surgery 2) understanding the patient’s goal for surgery – reducing bleeding? – reducing bulk symptoms? – fertility? Each will demand transparent, evidence-based discussion and shared decision-making between the surgeon and patient.
Objectives:
Understand the pre-operative work-up to optimize patient outcomes for myomectomy
Understand the indications for surgery related to myomas
Incorporate evidence-based decision support for the approach to myomectomy