Treatment

Laparoscopic Myomectomy

Laparoscopic myomectomy is a minimally invasive surgical procedure to remove uterine fibroids (leiomyomas) through small incisions, offering advantages like less blood loss, shorter hospital stays, and faster recovery compared to traditional open surgery. 

Here's a more detailed explanation:

• Why it's done:

  It's used to treat symptomatic uterine fibroids, especially in women who desire to preserve their uterus and future fertility. 

• Advantages:

  • Minimally invasive: Smaller incisions lead to less pain, scarring, and faster recovery. 
  • Reduced blood loss: Compared to open myomectomy, laparoscopic surgery results in less blood loss. 
  • Shorter hospital stay: Patients typically have a shorter hospital stay and recovery time. 
  • Lower risk of complications: Laparoscopic surgery is associated with fewer complications and adhesions compared to open surgery. 

• Procedure:

  • Anesthesia: The patient is given general anesthesia. 
  • Incision: The surgeon makes small incisions in the abdomen. 
  • Laparoscope insertion: The laparoscope is inserted to visualize the uterus and fibroids. 
  • Fibroid removal: Small surgical instruments are used to remove the fibroids. 
  • Closure: The incisions are closed with sutures. 

• Recovery:

  • Patients typically experience some pain, swelling, and cramping after surgery. 
  • Recovery time is generally faster than after open myomectomy. 
  • It's important to follow your doctor's instructions regarding activity restrictions, pain medication, and follow-up appointments. 

• Robotic-assisted laparoscopic myomectomy:

  Some surgeons use robotic arms to perform laparoscopic myomectomy, which can provide enhanced precision and dexterity. 

• Considerations:

  • Not all fibroids are suitable for laparoscopic removal. Large, numerous, or deeply embedded fibroids may require an open myomectomy. 
  • Laparoscopic myomectomy is a major surgery, and like any surgery, it carries some risks, although they are generally low. 
  • Women planning to become pregnant in the future should discuss the risks and benefits of laparoscopic vs. open myomectomy with their doctor

• What it is:

  Laparoscopic myomectomy involves using a laparoscope (a thin, lighted tube with a camera) and small surgical instruments inserted through tiny incisions in the abdomen to visualize and remove fibroids. 

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