Quote of Doç. Dr. İlkin Yeral
What is a Laparoscopic Myomectomy?
Laparoscopic myomectomy is the minimal invasive surgical method of removing the uterine fibroids (myoma), which keeps the uterus intact. Myomas are benign tumors growing into the muscular wall of the uterus and generally lead to symptoms of heavy menstrual bleeding, pelvic pain, and pressure onto the surrounding structures. In laparoscopic myomectomy, a laparoscope-a thin, flexible tube with a camera-is inserted through small incisions in the abdomen. The surgeon then uses special instruments to carefully cut out the fibroids, causing less injury to surrounding tissues than would occur during traditional open surgery.
When is Laparoscopic Myomectomy Recommended?
Laparoscopic myomectomy is generally recommended for women whose symptoms from fibroids include heavy bleeding, pain, or fertility problems. This is particularly helpful in women who want to conserve their uterus for future conception. On the other hand, a laparoscopic myomectomy is also indicated in large-sized or many fibroids causing immense discomfort or that severely impinge on one's activities of daily living. An appropriate evaluation by a healthcare provider should be made whether this procedure is suitable for size and location of the fibroids.
Benefits and Recovery
The advantages of laparoscopic myomectomy include small-size traumas, less postoperative pain, quicker restoration, and fewer postoperative scars compared to classic open surgery. Most women experience less postoperative discomfort and can return to normal activities in 1 to 2 weeks. The general recovery period is shorter, with fewer risks regarding infection and other complications. However, as with all surgeries, possible risks include bleeding or injury to surrounding organs; thus, aftercare instructions need to be followed and follow-up appointments attended accordingly.
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