- Laparoscopic Myomectomy
- Who Is A Good Candidate?
- Laparoscopic Myomectomy Types
- Surgery Preparation
- Risk Factors
- Frequently Asked Questions:
- Consult Laparoscopic Myomectomy Doctor
- Enhanced recovery
- Short hospital stay
- Cosmetically improved scar
- Reduced adhesions (scarring) from the procedure
- Comparable pregnancy rates
What is Laparoscopic Myomectomy?
Who is a Good Candidate?
- Abdominal myomectomy may be better for you if you have many or very large fibroids growing on the uterine wall.
- Laparoscopic myomectomy may be better if you have smaller and fewer fibroids.
- Hysteroscopic myomectomy may be better if you have smaller fibroids inside the uterus.
- It causes less blood loss during the operation process.
- Treatment does not take long when the patient is discharged in one day.
- He has a quick postoperative recovery.
Types of Myomectomy
The Vertical or Horizontal Incision
Preparing To The Surgery
- Blood test
- Magnetic resonance
- Pelvic ultrasound
What Happens During The Procedure?
What Are The Risks Involved in Laparoscopic Myomectomy?
- Excessive blood loss is greater with a larger uterus. Due to heavy menstrual bleeding, women already suffer from low blood counts (anemia). This creates an increased risk due to blood loss and doctors always suggest ways to increase the blood count before undergoing surgery. To avoid severe bleeding, doctors inject drugs around the fibroids to clamp down on the blood vessels and stop the flow of the arteries to the uterus.
- There may be some risk during pregnancy. Doctors may recommend a cesarean section (cesarean section) if there has been a deep incision in the uterine wall. This is done to prevent the uterus from rupturing during labor, which is a very rare complication during pregnancy. Fibroids are associated with complications during pregnancy.
- There may be a rare possibility of a hysterectomy in which the surgeon removes the uterus if bleeding is uncontrollable and abnormalities other than fibroids are also found.
- There may be little chance that the cancerous tumor will spread, which can be mistaken for fibroids. In case the tumor is removed through a small incision, it can break the tumor into small pieces and spread it. As women age and after menopause, the chances and risk of these cases may increase.
- After surgery, there may be adhesions - bands of scars due to an incision in the uterus to remove the fibroids. Due to the adhesion formed within the uterus, there may be chances of light menstrual periods and difficulty with fertility. The chances of adhesion are greater in laparoscopic myomectomy.
Dr Vindhya Gemaraju
Sr. Consultant OBGY & vNOTES Laparoscopy surgeon
MBBS, DGO, DNB
Experience: 13 Years
Hyderabad : Get Directions
Frequently Asked Questions:
Laparoscopic myomectomy can take two to four hours, depending on the number of fibroids and their size. The general recovery is two to four weeks.
It may take 1 to 2 weeks for a full recovery. It is important not to lift anything heavy for about 1 week.
It can be done in a hospital or outpatient surgical center. You will likely be given general anesthesia for this type of surgery. This means that you will sleep through the procedure and will not feel any pain.