A<unk>  can be performed in a number of ways, depending on the location, size and number of lesions and the experience and preference of the surgeon. Either a general or a spinal anesthesia is administered. Laparotomy Traditionally a<unk>  is performed via a laparotomy with a full abdominal incision, either vertically or horizontally. Once the peritoneal cavity is opened, the uterus is incised, and the lesion(s) removed. The open approach is often preferred for larger lesions. One or more incisions may be set into the<unk>  muscle and are repaired once the fibroid has been removed. Recovery after surgery takes six to eight weeks. Laparoscopy Using the laparoscopic approach the uterus is visualized and its fibroids located and removed. Studies have suggested that laparoscopic<unk>  leads to lower morbidity rates and faster recovery than does laparotomic<unk> . As with hysteroscopic<unk> , laparoscopic<unk>  is not generally used on very large fibroids. A study of laparoscopic<unk> es conducted between January 1990 and October 1998 examined 106 cases of laparoscopic<unk> , in which the fibroids were intramural or subserous and ranged in size from 3 to 10 cm. Hysteroscopy A fibroid that is located in a submucous position (that is, protruding into the endometrial cavity) may be accessible to hysteroscopic removal. This may apply primarily to smaller lesions as pointed out by a large study that collected results from 235 patients suffering from submucous myomas who were treated with hysteroscopic<unk> es; in none of these cases was the fibroid greater than 5 cm. However, larger lesions have also been treated by hysteroscopy. Recovery after hysteroscopic surgery is but a few days.
Uterine myomectomy
Glomectomy
Vasectomy
Vasectomy reversal
Tubal ligation
Sacrohysteropexy
Uterine artery embolization
Progesterone vaginal ring