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Fibroids

Discussion in 'All Categories' started by Kanika - Aug 14th, 2024 12:58 pm.
Kanika	I have bleeding problem and also have fibroids in the uterus. The size of the biggest fibroid is 18 cm. I want to get Laparoscopic Myomectomy Surgery done. Please tell me about this surgery and whether Laparoscopic Surgery is possible.
re: Fibroids by Dr. B. S. Bhalla - Aug 14th, 2024 1:11 pm #1
Dr. B. S. Bhalla	Laparoscopic Myomectomy is a minimally invasive surgical procedure used to remove fibroids (non-cancerous growths) from the uterus. This type of surgery is performed using small incisions, through which a laparoscope (a thin, lighted tube with a camera) and surgical instruments are inserted. The camera allows the surgeon to view the inside of your abdomen and pelvis on a monitor, guiding them as they remove the fibroids. Procedure Overview: Preparation: You will be given general anesthesia to ensure you are asleep and pain-free during the procedure. The surgeon will make a few small incisions in your abdomen. Surgery: The laparoscope and other instruments are inserted through the incisions. The surgeon will carefully remove the fibroids while preserving as much of the healthy uterine tissue as possible. In some cases, the fibroids may be cut into smaller pieces (morcellation) to remove them through the small incisions. Completion: After the fibroids are removed, the surgeon will close the incisions with sutures. You will be monitored as you wake up from anesthesia. Considerations for an 18 cm Fibroid: Laparoscopic Feasibility: While Laparoscopic Myomectomy is generally effective for smaller fibroids, the size of your fibroid (18 cm) is quite large, which may pose challenges for this type of surgery. The surgeon will assess whether the fibroid can be safely removed laparoscopically or if an alternative approach, such as an open myomectomy (which involves a larger incision), is more appropriate. Benefits of Laparoscopic Surgery: Less Pain: Smaller incisions usually result in less post-operative pain. Faster Recovery: Patients typically recover more quickly compared to open surgery. Shorter Hospital Stay: You may be able to go home sooner, often within a day or two. Minimal Scarring: The small incisions leave minimal scars. Risks and Challenges: Conversion to Open Surgery: If the fibroid is too large or there are complications, the surgeon may need to switch to an open procedure during the surgery. Potential for Recurrence: Although the fibroids are removed, there is a possibility that new fibroids may develop in the future. Is Laparoscopic Surgery Possible for You? The possibility of laparoscopic surgery depends on several factors, including: The exact size, location, and number of fibroids. Your overall health and surgical history. The skill and experience of the surgeon.