Laparoscopic myomectomy for large submucous myomas is a technically feasible procedure. It can be performed by experienced surgeons irrespective of the size or depth of the myoma. It prevents the complications of hysteroscopic removal of the myoma.

Removal of fibroids is beneficial in the treatment of heavy menstrual bleeding for women. Hysteroscopic resection of fibroids is a minimally invasive, safe, and effective treatment for submucosal fibroids. Laparoscopic myomectomy is the preferred choice in selected cases when abdominal removal of fibroids is required.

Laparoscopic Myomectomy for Submucous Myoma: A Minimally Invasive Approach to Uterine Fibroid Removal
 
Laparoscopic myomectomy is a cutting-edge, minimally invasive surgical technique for removing uterine fibroids, including submucous myomas. These fibroids grow within the uterine cavity and are often responsible for symptoms such as heavy menstrual bleeding, pelvic pain, and infertility. This procedure offers a safer and more effective alternative to traditional open surgery, providing faster recovery times and minimal scarring.
 
Understanding Submucous Myoma
Submucous myomas are a type of fibroid that develop beneath the inner lining of the uterus (endometrium) and protrude into the uterine cavity. They are classified into three types:
- Type 0: Fully within the uterine cavity, with no attachment to the myometrium.
- Type I: Extending into the uterine cavity with less than 50% embedded in the myometrium.
- Type II: More than 50% embedded in the myometrium.
 
These fibroids can significantly impact fertility and menstrual health, making their removal crucial for symptom relief and reproductive health.
 
Why Choose Laparoscopic Myomectomy?
Laparoscopic myomectomy is preferred over traditional open surgery due to its numerous benefits, including:
- Smaller incisions and reduced scarring
- Shorter hospital stays and faster recovery (typically within a few weeks)
- Reduced post-operative pain and minimal blood loss
- Lower risk of infection and complications
- Preservation of uterine integrity, making it an ideal option for women desiring future pregnancies
 
The Laparoscopic Myomectomy Procedure
1. Preoperative Evaluation
- A thorough evaluation is conducted using ultrasound or MRI to determine fibroid size, number, and location.
- Blood tests and pre-surgical preparations are done to assess overall health and readiness for surgery.
 
2. Surgical Steps
- The procedure is performed under general anesthesia.
- Small incisions (usually 3-4) are made in the abdomen to insert a laparoscope and specialized instruments.
- The surgeon carefully dissects and removes the submucous myoma while preserving healthy uterine tissue.
- The uterine wall is repaired using sutures to maintain structural integrity.
- The removed fibroid is extracted using a specialized morcellation technique to minimize tissue damage.
 
3. Postoperative Care
- Most patients can return home the same day or within 24 hours.
- Mild discomfort, bloating, and spotting are normal in the initial recovery period.
- Patients are advised to avoid strenuous activities and heavy lifting for a few weeks.
- Follow-up visits ensure proper healing and assess any potential complications.
 
Potential Risks and Complications
Although laparoscopic myomectomy is considered safe, some risks include:
- Bleeding and infection
- Adhesion formation leading to pelvic pain or fertility issues
- Uterine rupture in future pregnancies (though rare)
- Recurrence of fibroids
 
Conclusion
Laparoscopic myomectomy for submucous myoma is a highly effective and minimally invasive procedure that provides significant relief from fibroid-related symptoms. With its advantages of faster recovery, minimal scarring, and uterine preservation, it remains an excellent choice for women seeking fibroid treatment while maintaining their reproductive potential. Consulting a qualified gynecological surgeon is essential to determine the best treatment approach tailored to individual needs.

For More information:

World Laparoscopy Hospital
Cyber City, Gurugram, NCR Delhi
INDIA : +919811416838

World Laparoscopy Training Institute
Bld.No: 27, DHCC, Dubai
UAE : +971525857874

World Laparoscopy Training Institute
8320 Inv Dr, Tallahassee, Florida
USA : +1 321 250 7653
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