Laparoscopic Myomectomy Procedure for Treating Fibroids
Myomectomy is a surgical procedure to remove the uterine fibroids, generally via the abdomen, without removing the womb (uterus).
Laparoscopic Myomectomy Surgery for Fibroids
The advantage of a laparoscopic myomectomy over an abdominal myomectomy is that several small incisions are used rather than one larger incision. The disadvantage is that only small fibroids can be removed by laparoscopic myomectomy and it is not recommended if there are many fibroids or if the fibroids are deeply embedded in the uterine wall.
Laparoscopic surgery is usually performed under general anaesthesia. The procedure can take one to three hours, depending on the number, size, and depth of the fibroids within the muscle wall. Following laparoscopic myomectomy many women are able to leave the hospital the next day, although a two-night stay may be necessary. Because the incisions are small, recovery is usually associated with minimal discomfort. After laparoscopic myomectomy, women usually return to normal activity within ten to fourteen days.
Laparoscopic Myomectomy Procedure
During this procedure a laparoscope (a thin fiber-optic device that transmits light and a video image) is inserted through a small incision, usually in the navel, to view the uterus. The image from the camera attached to the end of the laparoscope is seen on a video monitor. Two or three small (0.5-1.5cm) incisions are made below the public hairline and instruments are inserted through these incisions to perform the surgery. The fibroids are detached from the uterus and removed. Following removal of the uterine fibroids, the openings in the uterus are stitched closed with the use of specially designed instruments.
Risks of Surgery
What happens on the day, and before the operation?
What happens DURING the operation?
Generally speaking, the surgeon performs the following:
The whole operation can take several hours to complete, depending on the size and location and number of fibroids to be removed. Keyhole procedure in some cases takes longer than open abdominal surgery.
When the operation is over, the anaesthetist will bring you back to consciousness. You will then be moved to the recovery room where you are being watched by the anaesthetist and given oxygen. You will continue to wake up, feel drowsy and weak for a little while. Specially trained nurses will care for you in the recovery room until you are fine to move to the ward.
What happens after surgery?
When you wake up from the operation, you will notice that you have the following:
Depending on your speed of recovery, you are going hone within 3 to 7 days after open abdominal surgery and in a day or two after keyhole procedure. You will normally be given an appointment to be seen in the clinic in 6 weeks.
Care At Home Guide