
Another possible reason to remove fibroids is if you are trying to become pregnant, as fibroids may cause infertility problems. Surgery to remove fibroids may be an effective treatment option to ease these symptoms. Fibroids can cause symptoms such as heavy or long periods, backache, pelvic pain or pressure, constipation, and frequent or difficult urination. Why am I having this surgery? If your provider discovers fibroids in your uterus, you may need a myomectomy to remove them. An abdominal myomectomy is major surgery performed through an incision in your lower abdomen. As many as 3 in 4 women will have a fibroid at some point in their lives. Fibroids are benign tissues that grow inside your uterus. ©Susan Parker, PT, OBGYN.What is an abdominal myomectomy? Myomectomy is a surgery to remove fibroids from the uterus. This exercise is well described by Elizabeth Noble, PT in her book titled Essential Exercises for the Childbearing Year. Once you are performing this correctly, you can also perform the exercise while sitting and standing. First, take a deep breath and then as you exhale, tighten your stomach muscles under your hands. This exercise can be performed by lying on your back and placing your hands on the area of your stomach just below the ribs. This will help to prevent the abdominal muscles from bulging as well as to compress the contents of the abdominal wall. Learning to tighten the transverse muscle on outward breath will promote improving the muscular tone of the abdominal wall. This muscle extends from ribs 6-12, iliac crest, thoracolumbar fascia and inguinal ligament to the linea alba, pubic crest and pubis. Thus a key muscle to rehabilitate following surgery and birth is the transverse abdominus. It is critical to exercise the transverse muscles to minimize the "abdominal pouch". When exercising the abdominals many women only work the rectus abdominus.

The muscles of the abdominal wall include the rectos abdominus, pyramidalis, internal and external oblique muscles, and the transverse abdominus. It is comprised of skin, fascia and muscles. The abdominal wall consists of 8 layers of tissue. They are especially curious about this following surgical procedures i.e.: laparotomy, laparoscopy and hysterectomy. Many women want to know how to acquire a flat stomach.
