Laparoscopic Myomectomy or fibroid removal is the latest in the list of keyhole or minimally invasive surgeries. It is performed under general anesthesia. 3-4 small cuts of around 0.5 -1.2 cm are made at the umbilicus and around it. A slender hollow tube containing a camera called the laparoscope is inserted through one of these cuts and the uterine cavity is visualized. Once the number, size and location of fibroids are assessed, micro instruments are introduced through other holes. If the fibroid is embedded in the uterine wall, the wall is cut and the fibroid is scooped and suctioned outwards. The uterine wall is re-stitched and the cuts on the abdominal wall are closed. The patient can go home in 24 hours after the procedure. She can return to her daily activities by one week after the procedure.Refer a Patient
Laparoscopic surgery is usually performed as out-patient surgery under general anesthesia and has absolutely revolutionized gynecologic surgery because of the short hospital stay and quick recovery. The laparoscope is a slender telescope that is inserted through the navel to view the pelvic and abdominal organs. Two or three small, half-inch incisions are made below the pubic hairline and instruments are passed through these small incisions to perform the surgery. Because the incisions are smaller, patients can enjoy faster recovery times and smaller scars.
Laparoscopic surgery differs from traditional surgery in a few key ways: during laparoscopic surgery, the surgeon is not looking into the abdomen directly through a large incision across the abdomen, but performs the surgery while looking at a large video monitor suspended over the patient's abdomen. The surgery, and especially the suturing of the uterus that is necessary during a laparoscopic myomectomy, requires a great deal of hand-eye coordination and dexterity, as well as knowledge of pelvic anatomy in order to be successful.
In the hands of an experienced and skilled surgeon, this procedure has minimum complications. Fibroids larger than 10 cm or more than 5 in number cannot be removed by this procedure. It is also difficult to remove fibroids located in cervix or near large blood vessel by this technique.If the fibroids are protruding in the uterine cavity then hysteroscopy is better suited procedure for fibroid removal.Post a Query
Before minimally invasive surgery, my symptoms were excessive, heavy bleeding, blood clots, painful cramps, lower back aches. I was really fatigued and stressed and I felt real bloated and just miserable, basically. My doctor said that I had to have a myomectomy.I found out about this keyhole day care surgery from a friend of mine who had sent me an article from the Times. I found out that it wasn't going to be as invasive as an open surgery. Fibroids removal surgery has changed my life because I no longer have to worry... Read More
Eileen Mbakara From NigeriaRefer a Patient
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