Myomectomy has overlall a low complication rate. Still, the laparoscopic and robotic procedure poses a unique set of challenges. Risks of laparoscopic myomectomy include:
Extreme blood loss is misfortune of laparoscopic myomectomy. Numerous ladies with uterine leiomyomas have low hemoglobin (iron deficiency) because of execcive menstrual flow, so they're at a higher danger of issues because of blood misfortune.
During myomectomy, specialists find a way to keep away from unreasonable blood loss. These may incorporate blocking stream from the uterine conduits by utilizing tourniquets and braces and infusing meds around fibroids to cause veins to cinch down. Unfortunately in laparoscopic surgery this technique can not be used. Notwithstanding, most advances don't diminish the danger of requiring a blood transfusion.
By and large, many gynecologist recommend that there is less blood misfortune with hysterectomy than myomectomy for correspondingly estimated uteruses.
Scar tissue. Entry points into the uterus to eliminate fibroids can prompt extensive adhesion and formation of scar tissue that may create after procedure. Laparoscopic myomectomy may bring about less postoperative adhesion than open myomectomy (laparotomy).
Pregnancy or labor confusions. A myomectomy can build certain dangers during conveyance in the event that patient become pregnant. On the off chance that specialist needed to make a profound cut in your uterine muscles, the specialist who deals with ensuing pregnancy may suggest cesarean conveyance (C-section) to keep away from crack of the uterus during delivery, an extremely uncommon difficulty of pregnancy. Fibroids themselves are likewise connected with pregnancy entanglements.
Uncommon possibility of hysterectomy. Seldom, the specialist must eliminate the uterus if bleeding is massive or different anomalies are found notwithstanding fibroids.
Uncommon possibility of spreading a dangerous malignant tumor. Seldom, a harmful tumor can be confused with a fibroid. Taking out the tumor, particularly if it's wrecked into little pieces (morcellation) to eliminate through a little entry point, can prompt spread of the malignant growth. The danger of this incident increments after menopause and as ladies of more than 50 age.
In 2014, the Food and Drug Administration (FDA) forewarned against utilizing a laparoscopic power morcellator for most ladies going through myomectomy. The American College of Obstetricians and Gynecologists (ACOG) prescribes converse with specialist about the dangers and advantages of morcellation.
Inspite of all these problem aparoscopic myomectomy, when performed by an experienced surgeon, can be considered a safe technique, with an extremely low failure rate and good results in terms of the outcome of pregnancy.
5 COMMENTS
Dr. Rajesh Goel
#1
Apr 18th, 2021 9:05 am
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Dr. Kirti Jaiswal
#2
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Dr. Kundan
#3
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#4
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Sanjana Singh
#5
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