Description

Laparoscopic myomectomy is a minimally invasive surgical procedure performed to remove uterine fibroids (also known as myomas) while preserving the uterus. It is typically recommended for women who experience symptoms such as heavy menstrual bleeding, pelvic pain, infertility, or recurrent pregnancy loss due to fibroids and wish to retain their uterus for future pregnancies or other reasons. Key Features of Laparoscopic Myomectomy Minimally Invasive Approach: The procedure is performed using a laparoscope (a thin, flexible tube with a camera) and small surgical instruments inserted through tiny incisions in the abdomen. Advantages: Smaller incisions result in less pain and scarring. Reduced blood loss compared to open surgery. Shorter hospital stay (often outpatient or 1-2 days). Faster recovery time, typically 2-4 weeks. Indications: Symptomatic fibroids causing significant discomfort or health issues. Fibroids interfering with fertility or pregnancy. Women wishing to preserve their uterus. Procedure: General anesthesia is administered. Small incisions are made in the abdomen. The laparoscope and instruments are inserted to locate and remove the fibroids. The uterine wall is repaired, often with sutures, to restore its structural integrity. Removed fibroid tissue may be extracted through a small incision or using a morcellator (device that cuts the tissue into smaller pieces for removal). Risks: Bleeding or infection. Scar tissue formation (adhesions). Uterine rupture during future pregnancies (rare but possible, especially if the uterine wall was deeply affected). Conversion to open surgery if complications arise. Postoperative Care: Pain management with medications. Gradual return to normal activities over 2-4 weeks. Follow-up appointments to monitor recovery and uterine healing. Fertility and Pregnancy: Many women successfully conceive after laparoscopic myomectomy. Obstetricians may recommend cesarean delivery in future pregnancies to reduce the risk of uterine rupture, depending on the extent of uterine repair during the surgery. Alternative Treatments: Medication to manage fibroid symptoms (e.g., hormonal therapy). Uterine artery embolization (UAE) to shrink fibroids. Endometrial ablation (not suitable for women desiring future pregnancies). Open myomectomy for larger or more complex fibroids. If you're considering laparoscopic myomectomy, consult a gynecologist experienced in minimally invasive surgery to discuss your specific case, benefits, and potential risks.

Filter tags