Laparoscopic Myomectomy: Minimally Invasive Fibroid Removal Surgery
Laparoscopy
What is Laparoscopic Myomectomy?
Laparoscopic myomectomy is a minimally invasive surgical procedure used to remove uterine fibroids. Fibroids are non-cancerous growths that develop in or around the uterus, often causing symptoms such as heavy menstrual bleeding, pelvic pain, and infertility. Unlike traditional open surgery, laparoscopic myomectomy requires only small incisions, making it a safer option with a faster recovery time.
During the procedure, the surgeon uses a laparoscope (a thin, flexible tube with a camera) to locate and excise the fibroids, preserving the uterus for future fertility. The technique reduces the risks associated with larger incisions, and women typically experience less pain, shorter hospital stays, and quicker return to daily activities.
Dr. Priyanka Mehta is a skilled expert in performing laparoscopic myomectomy, ensuring precise fibroid removal with a focus on preserving fertility and minimizing recovery time.
Post-Surgery Expectations
Most women experience a rapid recovery after laparoscopic myomectomy, thanks to the minimally invasive nature of the procedure. Here’s what to expect post-surgery:
- Same-Day or Overnight Stay:
- Most women can leave the hospital the same day of the procedure. If necessary, an overnight stay may be required for observation.
- Early Walking Encouraged:
- It is recommended to start walking early after surgery to prevent blood clots and promote healing.
- Activity Restrictions:
- For optimal healing, women should avoid activities such as driving, heavy lifting, strenuous exercise, tampons, and intercourse for up to six weeks.
Risks of Laparoscopic Myomectomy
While laparoscopic myomectomy is generally a safe procedure, there are some risks and potential complications:
- Excessive Blood Loss:
- Though rare, some women may experience excessive bleeding during the surgery, requiring blood transfusions or additional intervention.
- Scar Tissue (Adhesions):
- Scar tissue, known as adhesions, may develop after surgery. Adhesions can cause pelvic pain and may affect fertility in some cases.
- Infection or Injury:
- As with any surgery, there is a small risk of infection or injury to surrounding organs.
Alternative Treatments for Uterine Fibroids
While laparoscopic myomectomy is highly effective, there are alternative treatment options for fibroids, especially for those seeking non-surgical approaches or those not candidates for surgery:
- Birth Control Pills:
- Oral contraceptives can help reduce heavy bleeding associated with fibroids. However, they do not remove the fibroids themselves.
- GnRH Agonists:
- These medications induce a temporary menopause, reducing the size of fibroids. However, fibroids may return to their original size once the treatment is discontinued.
- Uterine Artery Embolization (UAE):
- A non-surgical procedure that blocks the blood supply to the fibroids, causing them to shrink.
- Endometrial Ablation:
- A procedure that destroys the lining of the uterus, reducing menstrual bleeding, but it is typically recommended for women who do not want to preserve fertility.