Laparoscopic Myomectomy

What is Laparoscopic Myomectomy?

Laparoscopic myomectomy is a minimally invasive surgical procedure used to remove uterine fibroids, also known as leiomyomas, which are some very common benign lesions that appear within the uterus walls. Uterine fibroids can affect women at almost all ages.

Why Will You Need a Laparoscopic Myomectomy?

Usually, uterine fibroids cause no or minimal symptoms and don’t require any additional medical intervention. However, there are some signs and symptoms caused by fibroid that might require their removal, including:

  • Severe pelvic pain
  • Abnormally large fibroids
  • Severe irregular and/or heavy menstrual bleeding
  • Infertility caused by uterine fibroids

What Does a Laparoscopic Myomectomy Involve?

Before the Procedure

Before your surgery, your doctor will explain to you the reasons and the steps of your surgical procedure. It’s important to mention here if you have any other condition or take any medication. Your doctor will ask you to stop drinking or eating anything at least 8 hours before the procedure.

During the Procedure

Using laparoscopic surgery to treat uterine fibroids instead of open surgery has several benefits including:

  • Less invasive procedure
  • Shorter recovery time and less pain.

After a general anesthetic, your doctor will make 3-4 small incisions in your abdomen and introduce the laparoscopy instruments. Then, your doctor will cut the uterine wall and remove the fibroids. Finally, your uterus and skin incisions will be closed back again. The entire procedure usually takes between 1 and 2 hours.

After the Procedure

Usually, you can go home the same day, after you have fully recovered from sedation. At home, you might feel some discomfort in your lower abdomen and some vaginal spotting, which are normal. Returning to your job and regular activities will be possible after at least 2 weeks.

Laparoscopic Myomectomy Possible Risks and Complications

Laparoscopic myomectomy, generally, is a very safe procedure with minimal complications and risk rate. However, there are some possible risks related, including:

  • Excessive blood loss during surgery
  • Developing scar tissue after surgery
  • Increased risk of pregnancy complications and delivery complications
  • Risk of open operation

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