Hysteroscopic fibroid removal or hysteroscopic myomectomy is a boon for women of reproductive age suffering from fibroids. It's a revolution in medical technique, as earlier fibroid treatment meant removal of uterus and any chance of getting pregnant was gone. But now with this technique women can get pregnant after the fibroids are removed as in this procedure only the fibroid tissue is removed and rest of the uterus, fallopian tubes, cervix and vagina are kept intact and untouched.
Fibroids are lumpy overgrowths in the inner lining of the uterus called the endometrium. The tissue in the muscular lining may get larger at some point in the uterus and is called as fibroids. They can be a single large fibroid or many small ones. Most of the time, they are small and less in number, and are asymptomatic. Most of the women have at least one fibroid present in their uterus. But at times the fibroid can be multiple and large and can cause symptoms like bulky uterus, heavy menstruation, frequent miscarriage etc.Refer a Patient
Hysteroscopy is a therapeutic and a diagnostic procedure in which a long slender tube with a camera is inserted through the vagina into the uterus. It helps the surgeon to visualize the interior of the uterus very clearly and get the precise size and location of the fibroids. Small instruments can then be inserted through the hysteroscope to fragment the fibroid and remove it.
This is an outpatient procedure that is carried out in an hour or two in the outpatient department. The surgeon confirms in the prior visit that the patient is an ideal candidate for this procedure. The patient may or may not be given local anesthesia. A long slender tube with a camera called as the hysteroscope is inserted through the vagina into the uterus. The interior of the uterine wall is visualized and the presence of fibroids or polyps is noted. Then small instruments are inserted through the hysterscope and the fibroids are crushed and removed through the vagina. The total length of stay in the hospital is up to 2 hours and the patient can resume normal activity within one or two days.
Traditional approach to removing fibroids involved a long incision across the abdomen, the uterus was also cut open and the fibroids were removed under the naked eye. The drawbacks of this procedure included excessive bleeding, longer recovery as the scar needed time to heal, infection and prolonged hospital stay. At times if the fibroids were multiple, then removal of the uterus with or without the cervix, vagina and fallopian tubes was the only option. This was known as abdominal hysterectomy. It removed all the uterus tissue and hence the women lost all chances of conception.Post a Query
The da vinci system has revolutionized the laparoscopic surgical procedure. The procedure is the same except that the surgery is carried out by a robot which is controlled remotely by the surgeon. The robotic technique gives the surgeon more freedom of movement and greater precision and visualization. Surgeons trained in robotic myomectomy can carry out this procedure with absolute perfection.
When I was diagnosed with uterine fibroids, I wanted to find out everything I could about them. My symptoms were text book symptoms: heavy bleeding, a lot of pain, anemia. I was referred to a gynecologist, who recommended hysterectomy. Basically the story was, well you've had your children. You don't need your uterus anymore. ... Read More
Rosalina Ngari, Kenya.
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