Laparoscopic Myomectomy
11 Mar

Laparoscopic Myomectomy

Myomectomy is the surgical removal of fibroids or myomas from the uterus. In this procedure the uterus is not removed. Myomectomy is the preferred choice of management of uterine fibroids for women who wish to become pregnant later or women who though not looking at future pregnancies want to preserve the uterus for the psychological need of having normal menstruation cycles.

Fibroids in the uterus can cause heavy or painful bleeding during periods. Fibroids, if large can cause compression effects on nearby organs like the ureters, bowels or may be a cause for not being able to conceive.

The above mentioned symptoms are indications for the removal of fibroids called myomectomy.

Myomectomy can be open {abdominal} myomectomy , laparoscopic myomectomy or hysterscopic myomectomy. Open Abdominal myomectomy involves making a fairly big incision or cut on the abdominal wall to approach the uterus. This is now less preferred and performed only when laparoscopy is contraindicated due to medical or surgical conditions.

Laparoscopic myomectomy is preferred over open myomectomy as it is less invasive, less post operative pain, less blood loss, less postoperative infection, shorter hospital stay and faster recovery. Even large fibroids can be removed laparoscopically as small strips through 12mm incisions using a special instrument called a Morcellator.

When fibroids are protruding into the uterine cavity they are called submucous myomas. They can be removed by the technique of hysteroscopic myomectomy without the need for opening the abdomen or laparoscopy and hence has the fastest post operative recovery.