Laparoscopic Myomectomy

Myomectomy is the surgery to remove the fibroids which are noncancerous growths in the uterus.  When this is done through key hole surgery, it is called laparoscopic myomectomy.

 

Advantages of doing a laparoscopic myomectomy

  • Pain will be lesser and hence lesser amount of pain relieving medicines need to be taken.
  • Patient can get out of bed and move around earlier than an open surgery.
  • Only 3-4, 1 cm long scars will be there on the tummy.
  • Rest period after surgery is considerably short.

 

Which patients need laparoscopic myomectomy?

Laparoscopic myomectomy is required if fibroids

  • Cause heavy bleeding and the bleeding does not respond to medicines.
  • Severe pain during periods not relieved by pain killers.
  • Are large and are causing difficulty in getting pregnant.
  • Is pressing on the urinary bleeding cause difficulty in passing urine or frequent voiding.

 

 Risks associated with undergoing a Myomectomy procedure

 Common Risks

  • Postoperative pain particularly shoulder tip pain.
  • Urinary infection, inability to pass urine and/or frequently.
  • Wound infection, bruising and delayed wound healing.

Uncommon Risks

  • Damage to the bowel, bladder.
  • Pelvic abscess or infection.
  • Clot formation in the legs and lungs.
  • Hernia at the site of incision.
  • Haemorrhage requiring blood transfusion.
  • Return to theatre because of delayed bleeding.
  • Adverse reaction to the anaesthetic.

Very Uncommon Risks

  • Need for removal of the womb

 

After laparoscopic myomectomy

You will be able to have initially fluids followed by soft food around 12 hours after laparoscopic myomectomy surgery and get out of bed by the next day. You can go home most probably the next day after surgery.

A revisit may be scheduled after a week or so for removal of stitches and for the biopsy report.

You can do some light work at home in the first 2 weeks, gradually increasing after that and by 4-6 weeks after surgery you will be able to resume all normal activities.

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