Laparoscopic Myomectomy

Uterine fibroids are non-cancerous growths that develop in or on the uterus, often causing symptoms like heavy menstrual bleeding, pelvic pain, and infertility. A laparoscopic myomectomy is a surgical procedure that removes these fibroids using minimally invasive techniques. Unlike traditional open surgery, this approach involves smaller incisions, less pain, and a faster recovery time.

Laparoscopic myomectomy is a surgical procedure performed under general anesthesia. It involves the use of a laparoscope (a thin, lighted tube with a camera) and specialized instruments inserted through small incisions in the abdomen. The surgeon removes the fibroids while preserving the uterus, making it an ideal option for women who want to conceive in the future.

This procedure is recommended for women who:

• Experience symptoms such as heavy menstrual bleeding, pelvic pain, or pressure.
• Have fibroids that are causing infertility or recurrent pregnancy loss.
• Wish to preserve their uterus for future pregnancies.
• Have fibroids that are not excessively large or numerous (though advancements in techniques have expanded the eligibility criteria).

• Minimally Invasive: Smaller incisions result in less scarring and reduced postoperative pain.
• Faster Recovery: Most patients can return to normal activities within 1-2 weeks, compared to 4-6 weeks for open surgery.
• Reduced Risk of Complications: Lower risk of infection, bleeding, and adhesions compared to open myomectomy.
• Uterus Preservation: Ideal for women who want to maintain fertility.
• Shorter Hospital Stay: Patients often go home the same day or after a short hospital stay.

• Preparation:

1. Patients may undergo imaging tests (e.g., ultrasound or MRI) to assess the size, number, and location of fibroids.
2. Preoperative instructions may include fasting and stopping certain medications.

• Anesthesia: General anesthesia is administered to ensure the patient is asleep and pain-free during the procedure.
• Incisions:

1. The surgeon makes 3-4 small incisions (5-10 mm) in the abdomen.
2. Carbon dioxide gas is used to inflate the abdomen, creating space for the procedure.

• Fibroid Removal:

1. The laparoscope is inserted through one incision, providing a magnified view of the uterus and fibroids on a monitor.
2. Specialized instruments are used to cut and remove the fibroids.
3. If necessary, the fibroids are morcellated (cut into smaller pieces) for easier removal.

• Closing the Incisions: The incisions are closed with sutures or surgical tape.

• Hospital Stay: Most patients go home the same day or after an overnight stay.
• Pain Management: Mild pain or discomfort can be managed with prescribed medications.
• Activity Restrictions: Patients are advised to avoid heavy lifting and strenuous activities for 2-4 weeks.
• Follow-Up: A postoperative visit is scheduled to monitor healing and discuss further steps, such as family planning.

This procedure may not be suitable for women with:

• Very large fibroids.
• Numerous fibroids that make laparoscopic removal challenging.
• Certain medical conditions that increase surgical risks.

In such cases, alternative treatments like hysterectomy or open myomectomy may be recommended.

• Fertility Preservation: Unlike hysterectomy, this procedure allows women to conceive after recovery.
• Minimal Scarring: Smaller incisions mean less visible scarring compared to open surgery.
• Quick Recovery: Faster return to daily activities and work.

Note: Duas molestias excepturi sint occaecati cupiditate non provident, similique sunt in culpa qui officia deserunt mollitia animi, id est laborum et dolorum fuga.