In rare instances, infections can develop at the surgery site(s) of an abdominal myomectomy, along with bleeding and damage to surrounding tissues. Sometimes, if fibroids are embedded too deeply within the wall of the uterus, a myomectomy that begins laparoscopically will have to transition to a traditional open surgery.
If you plan to become pregnant after a myomectomy, it may be recommended to have a C-section (Ceasarean) to decrease the chance of damage to your uterus during the delivery process. The number and depth of fibroids removed from within the uterine wall will determine if the need for a future C-section.
Abdominal myomectomies do not actually cure fibroids. It is possible for new fibroids to grow back after the surgery, which may require additional procedures if they become a nuisance.