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Laparoscopic Myomectomy

  • Posted on- Apr 16, 2018
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Myomectomy is the surgery to remove the fibroids which are non-cancerous growths in the uterus. When this is done through key-hole surgery, the process is known as laparoscopic myomectomy.

Advantages of doing a laparoscopic myomectomy

Some of the advantages of laparoscopic myomectomy are listed below:

  • Pain will be less and hence a less amount of pain-relieving medicines will be required.
  • The Patient can resume movement much faster than in case of an open surgery.
  • Only 3-4, 1 cm long scars will be there on the tummy.
  • Rest period after surgery is considerably short.

Which patients will require laparoscopic myomectomy?

Laparoscopic myomectomy is required if fibroids

  • Cause heavy bleeding and the bleeding does not respond to medicines.
  • Severe pain during periods not relieved by painkillers.
  • Are large and are causing difficulty in getting pregnant.
  • Is pressing on the urinary bleeding cause difficulty in passing urine or frequent voiding.

How is laparoscopic myomectomy performed?

This procedure is performed in the outpatient surgery room and requires general anesthesia via an endotracheal tube.

During laparoscopy, the surgeon inserts 3 or 4 modern surgical tools through the abdominal wall and one of them is a fiber optic instrument connected with a video system and a TV screen and used for inspecting the internal organs of the patient.

The abdominal cavity is filled with carbon dioxide (CO2) gas for better visualization and manipulation.

During the operation, the surgeon removes one or more fibroids from the abdominal cavity by using a special surgical instrument called a morcellator. After that, the uterus is sutured restoring its original form and appearance, and tissue samples are sent for analysis under a microscope.

Risks associated with undergoing a Myomectomy procedure

Common Risks

  • Postoperative pain particularly shoulder tip pain.
  • Urinary infection, inability to pass urine frequently.
  • Wound infection, bruising and delayed wound healing.

Uncommon Risks

  • Damage to the bladder.
  • Pelvic abscess or infection.
  • Clot formation in the legs and lungs.
  • A hernia at the site of the incision.
  • Hemorrhage requiring a blood transfusion.
  • Adverse reaction to the anesthetic.

Very Uncommon Risks

  • Need for removal of the womb

After laparoscopic myomectomy

The patient will initially be able to consume fluids followed by soft food around 12 hours after laparoscopic myomectomy surgery and get out of the bed by the next day. The patient can go home most probably the next day after the surgery.

A revisit may be scheduled after a week or so for removal of stitches and for the biopsy report.

The patient can do some light work at home in the first 2 weeks,  and by 4-6 weeks after the surgery, she will be able to resume all normal activities.

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