Scarless Myomectomy

What Is a Myoma?

Myomas are common gynecological growths that develop from the muscle layer of the uterus and are generally known as benign tumors. While they can often progress without symptoms, in some cases they may cause complaints such as menstrual irregularity, pain, or a feeling of pressure. You can review our myoma page for more detailed information about the formation, types, and treatment methods of myomas.

What Is Scarless Myomectomy?

Scarless myomectomy is the removal of myomas in the uterus using modern minimally invasive surgical methods, without making large surgical incisions. In this approach, the myomas are reached using techniques such as hysteroscopy, laparoscopy, or vaginal surgery, and the formation of a noticeable scar in the abdominal area after surgery is largely prevented. As a result, patients generally recover faster, experience less postoperative pain, and can return to their daily lives in a shorter time.

What Is Minimally Invasive Surgery?

Minimally invasive surgery refers to modern surgical methods performed without making large incisions in the body. In these techniques, the operation is carried out using small incisions or natural body openings, with the help of a camera and special surgical instruments. This results in less pain for patients, a reduced risk of infection, and a faster recovery process.

The Difference Between Scarless Myomectomy and Open Surgery

In open myoma surgery, a larger incision is made in the abdominal area, whereas in scarless myomectomy, small incisions or the vaginal route are used. For this reason, the recovery process in scarless operations is generally shorter, and any surgical scars that may form are much less noticeable.

Does Scarless Surgery Really Leave No Scar?

Since the incisions made during scarless myomectomy are quite small, the scars that may form after surgery are generally very faint. In most patients, these scars fade over time to the point of being unnoticeable. Furthermore, in some methods (for example, hysteroscopic or vaginal surgery), the operation can be performed without any incision in the abdominal area at all.

How Is Scarless Myomectomy Performed?

Scarless myomectomy can be performed with different minimally invasive surgical methods depending on the location, size, and number of the myomas. The aim of these operations is to remove the myomas from the uterus while causing minimal damage to the surrounding tissues and enabling the patient to recover faster. Thanks to modern surgical techniques, myomas can be reached through small incisions or natural body passages, and the likelihood of a noticeable scar after surgery is considerably reduced.

Hysteroscopic Myomectomy

In hysteroscopic myomectomy, a thin camera and surgical instruments are inserted into the uterus through the vagina. This method is used especially for removing myomas located within the uterine cavity. Since no incision is made in the abdominal area, no externally visible scar forms after the operation.

Laparoscopic Myomectomy

In laparoscopic myomectomy, small incisions of usually a few millimeters are made in the abdominal area. Through these incisions, a camera is placed to visualize the uterus, and the myomas are removed with the help of special surgical instruments. Since small incisions are used, the recovery process is generally faster, and the scars lose their visibility over time.

V-NOTES Myomectomy (Scarless and Modern Method)

V-NOTES (Vaginal Natural Orifice Transluminal Endoscopic Surgery) is a modern technique that has come to the fore in gynecological surgery in recent years, offering the possibility of scarless surgery. In this method, the surgical procedure is performed entirely through the vaginal route, without any incision in the abdominal area.

Especially in myoma surgery, it provides important advantages both in patient comfort and from a cosmetic standpoint.

What Is V-NOTES Myomectomy?

The V-NOTES method combines the advantages of vaginal surgery and laparoscopy (closed surgery). A special camera and surgical instruments are advanced through the vaginal route to reach and remove the myomas.

Since there is no incision in the abdomen:

• No suture scar forms
• The risk of infection is reduced
• The recovery process is faster

Who Is V-NOTES Suitable For?

V-NOTES myomectomy may not be suitable for every patient. However, it is generally a suitable option for:

• Patients with myomas in the uterus
• Those with cosmetic concerns (who do not want a scar)
• Those who want to recover faster
• Those who have not previously had abdominal surgery

A doctor’s evaluation is absolutely required to determine definitive suitability.

What Are the Advantages of V-NOTES?

The most important advantages of the V-NOTES method are:

• No incision in the abdomen → scarless surgery
• Less pain
• Shorter hospital stay
• Quick return to daily life
• Lower risk of infection
• A better cosmetic result

The Postoperative Process

The postoperative process is generally comfortable:

• Most patients can get on their feet within a short time
• The return to daily activities is quick
• Pain is much less than after open surgery

When the doctor’s recommendations are followed, the recovery process is quite comfortable.

Why V-NOTES?

Today, patients expect not only treatment but also comfort and aesthetics. The V-NOTES method offers these three important needs together:

• Effective treatment
• Fast recovery
• A scarless result

Vaginal Myomectomy

Vaginal myomectomy is a surgical method in which the myomas are removed through the vaginal route. This technique is preferred especially for suitably located myomas, and since no incision is made in the abdominal area, the postoperative recovery process is generally more comfortable.

Who Is Scarless Myomectomy Suitable For?

Scarless myomectomy can be a suitable treatment option for patients whose myomas need to be removed surgically but who wish to avoid large surgical incisions. This method is preferred especially in patients who want to preserve their uterus, who aim for a faster recovery process, and whose myomas are suitable for minimally invasive surgery. However, the number, size, and location of the myomas within the uterus play an important role in determining the surgical method. For this reason, the most suitable treatment plan for each patient is determined after a detailed gynecological evaluation.

Patients Who Want to Have Children

Thanks to surgical techniques that preserve the uterus, scarless myomectomy can be a suitable option for patients planning to have children in the future. With this method, while the myomas are removed, an effort is made to preserve the structure of the uterus as much as possible.

Small and Medium-Sized Myomas

Minimally invasive surgical techniques are generally easier to apply in the treatment of small and medium-sized myomas. Such myomas can usually be removed safely with closed methods.

Patients with Cosmetic Concerns

For patients who do not want a large surgical scar in the abdominal area, scarless myomectomy is a cosmetically advantageous method. Thanks to small incisions or vaginal surgery, the scars after the operation are generally not noticeable.

Patients Whose Uterus Is to Be Preserved

If preservation of the uterus is desired while the myomas are removed, minimally invasive surgical methods may be preferred. In this way, the myomas can be removed without removing the uterus, and the patient’s reproductive potential can be preserved.

How Many Hours Does Scarless Myomectomy Take?

The duration of scarless myomectomy may vary depending on the number, size, and location of the myomas within the uterus. In general, myoma operations performed with minimally invasive techniques can be completed in approximately 45 minutes to 2 hours. In cases where a single small myoma is removed, the operation time may be shorter, while in cases with multiple or larger myomas, the operation may take longer.

Preoperative Preparation

Before the operation, the patient’s general health status is evaluated and the necessary tests are performed. The location and size of the myomas are determined with blood tests, ultrasound, or other imaging methods. In addition, an anesthesia evaluation is carried out and the surgical process is planned.

Techniques Applied During the Operation

During scarless myomectomy, hysteroscopic, laparoscopic, or vaginal surgical techniques can be used. In these methods, the myomas are reached using small incisions or natural body passages and removed with the help of surgical instruments.

Postoperative Hospital Stay

In myoma operations performed with minimally invasive methods, the hospital stay is generally shorter. Most patients can be discharged the same day or the next day after the operation. However, this period may vary depending on the patient’s general health status and the surgical method used.

Laparoscopic Myomectomy or Open Myomectomy?

One of the questions patients wonder about most when planning myoma surgery is whether the operation will be performed with the laparoscopic (closed) method or with open surgery. In laparoscopic myomectomy, small incisions are made in the abdominal area, and the myomas are removed with the help of a camera and special surgical instruments. In open myoma surgery, the operation is performed through a larger incision in the abdominal area.

Thanks to minimally invasive surgical methods, laparoscopic operations can generally offer advantages such as smaller incisions, a faster recovery process, and less surgical scarring. However, which method is preferred is determined by the doctor according to the size, number, and location of the myomas within the uterus.

In the table below, you can review a comparison of the main differences between laparoscopic myomectomy and open myomectomy.

Differences Between Closed (Laparoscopic) Myomectomy and Open Myomectomy

Feature	Scarless Myomectomy (Minimally Invasive)	Open Myomectomy
Surgical method	Hysteroscopy, laparoscopy, or vaginal surgery	Performed through a wide incision in the abdomen
Incision size	Very small incisions or no incision	Large surgical incision
Surgical scar	Generally very small or faint enough to be unnoticeable	Noticeable surgical scar
Hospital stay	Generally the same day or 1 day	2–3 days
Postoperative pain	Less	More
Recovery time	Faster	Longer
Return to daily life	In a shorter time	Later

What Are the Advantages of Scarless Myomectomy?

Thanks to the use of minimally invasive surgical techniques, scarless myomectomy offers many advantages both cosmetically and medically. Since no large surgical incisions are made, the postoperative recovery process is generally more comfortable, and patients can return to their daily lives in a shorter time.

• Smaller incision: Since the incisions used during the operation are quite small, the likelihood of a noticeable surgical scar in the abdominal area is low.
• Less pain: Thanks to small incisions and less tissue damage, postoperative pain is generally milder.
• Faster recovery: Thanks to minimally invasive methods, patients can usually return to their normal lives in a shorter time.
• Lower risk of infection: The use of a smaller surgical field can contribute to a reduced risk of infection.
• Shorter hospital stay: Most patients can be discharged within a short time after the operation.
• Quick return to daily life: Work and daily activities can generally be resumed in a shorter time than after open surgery.

The Recovery Process After Scarless Myomectomy

The recovery process after scarless myomectomy may vary depending on the surgical method used and the patient’s general health status. Thanks to minimally invasive surgical techniques, patients generally recover faster and the postoperative period is more comfortable.

The First Day After Surgery

After the operation, patients can generally get on their feet within a short time. A feeling of mild pain or fatigue is normal and can be kept under control with the medications recommended by the doctor.

Return to Normal Life

Most patients can gradually return to their daily activities within a few days. However, it is recommended to avoid heavy physical activities and strenuous movements for a while.

When Can Sexual Life Resume?

It is generally recommended to wait a few weeks for the postoperative recovery process to be completed. This period is determined by the doctor according to the patient’s condition.

Sports and Exercise

Light walks can be taken shortly after the operation. However, before starting intense sports activities, it is important to comply with the period recommended by the doctor.

Do Myomas Recur After Scarless Myomectomy?

During scarless myomectomy, the existing myomas are surgically removed. However, the possibility of myomas forming again is not completely eliminated. The redevelopment of myomas is generally related to factors such as hormonal makeup, age, and genetic predisposition rather than the surgical method used. For this reason, regular gynecological check-ups after surgery are important.

Recurrence Rate

The rate of myoma recurrence can vary from person to person. Especially in patients who undergo myoma surgery at a young age, there may be a possibility of new myomas developing in later years under the influence of hormones. However, thanks to regular follow-up, newly formed myomas can be detected at an early stage.

Risk Factors

Genetic predisposition, hormonal changes, and certain lifestyle factors can play a role in myoma formation. In women with a family history of myomas or in patients of reproductive age, the likelihood of myomas recurring may be higher.

How Is Recurrence Prevented?

Completely preventing myomas may not always be possible. However, regular gynecological check-ups, healthy lifestyle habits, and following the doctor’s recommendations are important for early diagnosis and follow-up. When newly developing myomas are detected at an early stage, they can usually be treated with minimally invasive methods.

Scarless Myomectomy in Ankara

Scarless myomectomy is a gynecological operation that requires experience in minimally invasive surgical techniques. The treatment of myomas can be planned using laparoscopic, hysteroscopic, and other minimally invasive surgical methods.

At our clinic located in Çankaya, Ankara, myomas and other gynecological diseases are evaluated comprehensively. Through the examination and the necessary imaging methods, the size, number, and location of the myomas within the uterus are determined. Following this evaluation, the most suitable treatment method is planned for the patient, and an individualized treatment process is created.

To obtain detailed information about scarless myomectomy or to make an examination appointment, you can contact our clinic and receive a specialist evaluation of the most suitable treatment options for you.