Laparoscopic Mymectomy

Laparoscopic Myomectomy is a keyhole surgery where fibroids are removed through small incisions in the abdomen. A laparoscope, a thin tube with a camera, is inserted to guide the surgeon during the procedure. The fibroids are then carefully excised while leaving the uterus intact.

Key Benefits:

• Minimally invasive with small incisions
• Faster recovery time compared to open surgery
• Less post-operative pain
• Shorter hospital stay
• Preservation of the uterus and fertility

Uterine fibroids are benign growths that can vary in size, number, and location within the uterus. They can grow inside the uterine cavity, within the muscle layer, or on the outer surface of the uterus. While some women may have no symptoms, others may experience:

• Heavy or prolonged menstrual bleeding
• Pelvic pain or pressure
• Frequent urination or difficulty emptying the bladder
• Constipation
• Pain during intercourse
• Infertility or recurrent miscarriages

Laparoscopic Myomectomy is suitable for women who:

• Suffer from symptomatic fibroids, such as heavy bleeding and pelvic pain
• Want to preserve their fertility
• Have fibroids that are interfering with fertility or pregnancy
• Prefer a less invasive approach to fibroid removal

Before the procedure, your doctor may recommend:

• Pre-operative blood tests and imaging (such as ultrasound or MRI) to evaluate the size and location of the fibroids.
• Discussing your medical history, current medications, and any allergies.
• Ceasing certain medications like blood thinners or aspirin a few days before the surgery.
• Fasting for several hours prior to the procedure.

1. Anesthesia: The procedure is performed under general anesthesia.
2. Incisions: Small incisions (about 0.5-1 cm) are made in the abdomen.
3. Insertion of Laparoscope: A laparoscope is inserted through one of the incisions to visualize the uterus and fibroids.
4. Fibroid Removal: Special surgical instruments are inserted through the other incisions to carefully remove the fibroids.
5. Repair: The uterine muscle is sutured, and the fibroids are removed through the small incisions using a technique called morcellation.
6. Completion: Once the fibroids are removed, the incisions are closed, and the patient is moved to recovery.

• Hospital Stay: Most patients can return home the same day or within 24 hours.
• Post-Surgery Care: Expect some discomfort, bloating, and mild cramping. Pain medications will be prescribed to manage this.
• Return to Activity: Light activities can be resumed within a few days, while more strenuous activities should be avoided for 2-4 weeks.
• Follow-Up: A follow-up visit will be scheduled to ensure proper healing.

Like any surgical procedure, laparoscopic myomectomy carries some risks, though they are rare:

• Bleeding
• Infection
• Injury to surrounding organs (bladder, bowel)
• Scar tissue formation (adhesions)
• Recurrence of fibroids
• Uterine rupture during future pregnancies (in rare cases)

Your surgeon will discuss these risks in detail and take steps to minimize them.

• Preservation of Fertility: Women who undergo myomectomy retain their uterus and can attempt pregnancy after healing.
• Reduced Recovery Time: Compared to open surgery, laparoscopic myomectomy offers quicker recovery with less pain and shorter hospital stays.
• Smaller Scars: The tiny incisions made during the procedure leave minimal scars, contributing to better cosmetic outcomes.
• Lower Risk of Complications: The minimally invasive nature of the procedure reduces the risk of infection, blood loss, and prolonged hospital stays.

After surgery, contact your healthcare provider if you experience:

• Severe abdominal pain not relieved by medication
• Heavy bleeding
• High fever or signs of infection
• Difficulty urinating
• Any other concerning symptoms