Laparoscopic Myomectomy

A laparoscopic myomectomy is a minimally invasive surgical procedure to remove uterine fibroids (myomas) while preserving the uterus. This procedure is commonly chosen for women who wish to maintain their fertility or prefer a less invasive option compared to traditional open surgery.

Features of Laparoscopic Myomectomy

Minimally Invasive: Performed using small incisions and a laparoscope (a thin, lighted tube with a camera) to guide the surgery.

Preserves Uterus: Aimed at removing fibroids while keeping the uterus intact, allowing for the possibility of future pregnancies.

Quicker Recovery: Typically results in less post-operative pain, shorter hospital stays, and faster recovery compared to open surgery.

Indications for Laparoscopic Myomectomy

Uterine Fibroids: Noncancerous growths causing symptoms such as heavy menstrual bleeding, pelvic pain or pressure, frequent urination, or infertility.

Desire for Future Fertility: Women wishing to conceive in the future often prefer myomectomy over hysterectomy.

Symptomatic Relief: For women experiencing significant discomfort or complications due to fibroids.

Procedure

Pre-Operative Preparation:

Patients undergo routine pre-surgical evaluations, including blood tests and imaging (e.g., ultrasound or MRI) to assess the size, number, and location of fibroids.

Fasting and medication instructions are provided before the surgery.

Surgical Steps:

Anesthesia: General anesthesia is administered to ensure the patient is asleep and pain-free during the procedure.

Incisions Small incisions (typically 0.5 to 1 cm) are made in the abdomen.

Laparoscope Insertion: The laparoscope is inserted through one of the incisions, providing a visual guide for the surgeon.

Fibroid Removal: Surgical instruments are inserted through other small incisions to remove the fibroids. The uterus is repaired and reconstructed as needed.