Laparoscopic Myomectomy

Laparoscopic Myomectomy

Best myomectomy treatment in Bangalore

The surgical procedure used to remove fibroids from the uterus using a laparoscope is called laparoscopic myomectomy.A video laparoscope is a thin, lighted tube with a camera that is inserted through small cut made in the abdomen. This sends live video to a monitor which allows the surgeon to see whats inside the abdomen.

The surgeon uses specialized customised tools to remove fibroids from the uterus. This is done carefully while minimizing damage to the surrounding tissue. The uterus is then repaired using sutures to close the space where the fibroid was removed. Looking for the best myomectomy treatment in Bangalore? Then Contact us today.

How to diagnose the Mayoma / Fibroids?

1. History and exam: History aids daignosis ( for example :heavy bleeding , menstrual cramps and pressure symtoms in case of bigger sized fibroids. A physical examination of your pelvis is done to feel for the size and mobility of the uterus.

2. Imaging tests: Imaging tests, such as USG Pelvis, MRI, or CT scans, can provide a detailed view of the uterus and identify any fibroids ( number , location and size ) that may be present.

3. Hysteroscopy: This procedure involves inserting a thin, tube with a camera (hysteroscope) through the vagina and cervix to view the inside of the uterus and identify any fibroids inside the cavity of uterus.

4. Blood tests: Blood tests could be done to rule out anemia and other conditions that may cause symptoms like fibroids.

Indications /When it is to be performed.

Laparoscopic myomectomy is usually performed when a woman has uterine fibroids that are causing heavy or painful periods, pressure on the bladder or rectum, abdominal swelling, or difficulty getting pregnant.

How it is performed

Anesthesia: The patient is given general anesthesiawhich makes her unconscious and pain-free during the surgery.

Incision: The surgeon will then make 3-4 small (less than a cm) incisions in the lower abdomen, through which ports are inserted.

CO2 insufflation: Carbon dioxide gas is pumped into the abdominal cavity to create a space for surgical visualization.

Laparoscope insertion: The laparoscope is inserted through the ports to provide visual feedback. The surgeon can see the picture and video live as to the detailsof fibroids.

Dissection: the surgeon inserts small instruments to work on the fibroids. The fibroids are separated from the uterus and cut into small pieces.

Removal of fibroid: The pieces of fibroids are then removed through the small incisions and/ or a morcellator tool is used to fragment it before extraction.

Closure: The incisions are then closed using sutures.

Recovery: a. Once the surgery is completed, the patient is kept in the recovery room for some time to monitor until the effects of the anesthesia wear off.
b. Patient usually has a shorter hospital stay and can resume normal activities one week after the procedure.

Laparoscopic myomectomy offers advantages over open surgery such as minimal scarring, less blood loss, a shorter hospital stay, and a quicker recovery time. It is often an option for women who wish to preserve their fertility and avoid hysterectomy. However, it may not be suitable for women with larger or morbidly located fibroids.

Advantages of procedure

Less pain and infection

Small cut - better cosmesis

Faster recovery time

Less scarring

Reduced risk of infection

Shorter hospital stay

better visualization

Preserves fertility

Disadvanatages of procedure

Laparoscopic myomectomy is a advanced technically superior procedure.It may not be suitable for all patients or all types of fibroids.

Laparoscopic surgery is performed through small incisions so the surgeon may have limited access to the surgical site, which could make it more difficult to remove larger or more complex fibroids.

Laparoscopic myomectomy can take longer to perform than open surgery, which could increase the risk of complications.

As with any surgery, there is a risk of complications such as bleeding, infection, damage to nearby organs, or formation of blood clots.

It can be more expensive than open surgery. Cost could be compensated by shorter hospital stays and faster recovery times.

Laparoscopic myomectomy requires specialized equipment and training, which may not be available at all hospitals or surgical centers.

Drawbacks of procedure

Laparoscopic myomectomy is typically most effective for removing small to medium-sized fibroids, and it may not be suitable for removing large or multiple fibroids.

Laparoscopic myomectomy requires a high level of expertise skill and technical experience on the part of the surgeon.

As with any surgical procedure, there is a risk of complications associated with anesthesia, including allergic reactions or breathing problems.

Laparoscopic myomectomy can be more expensive than non-surgical alternatives, and insurance coverage may vary depending on the specific policy.

Who should perform the procedure

When considering laparoscopic myomectomy, it's important to choose a surgeon who has a proven track record of success with the procedure, and who can provide a thorough explanation of the risks, benefits, and potential complications of the surgery.

Ideally, patients should seek out a surgeon who has performed many laparoscopic myomectomy procedures and who has received specialized training in the technique. This may require researching different surgeons or seeking referrals from trusted healthcare providers or friends and family.

In addition to the surgeon, it's also important to choose a healthcare facility that has the necessary equipment and resources to support a successful laparoscopic myomectomy procedure.

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