Abdominal myomectomy

Abstract

Despite advances in laparoscopic techniques abdominal myomectomy still holds a place in modern day reproductive surgical practice, especially where large or multiple fibroids are present. Although some modifications have been made the technique first described by Bonney is largely still employed today. Adjuvant measures have been suggested to reduce blood loss and adhesion formation although currently there is relatively little evidence to suggest which is superior. However, comprehensive pre-operative assessment together with meticulous surgical technique will assist in achieving low complication rates and good reproductive outcomes.