Laparoscopic Fibroid Removal Surgery

Overview and Procedure

Laparoscopic fibroid removal, also known as laparoscopic myomectomy, is a minimally invasive surgical procedure designed to remove uterine fibroids—non-cancerous growths in the uterus. The need for this procedure depends on specific symptoms or complications caused by fibroids.

When is Laparoscopic Fibroid Removal Needed?

You may require laparoscopic fibroid removal if experiencing:

Heavy or prolonged menstrual bleeding.
Bleeding between menstrual cycles.
Pain or pressure in the lower abdomen.
Difficulty emptying the bladder or frequent urination.
Challenges with conception, as some fibroids can increase the risk of miscarriage or pregnancy complications.

Alternate Names

Laparoscopic myomectomy

Preparation for the Procedure

Routine Tests

Blood tests and imaging, such as transvaginal sonography, are often performed to assess the uterine lining and overall health.

Fasting

Fasting for 10-12 hours before surgery is typically required.

Medication Review

Certain medications, such as blood thinners, may need to be temporarily stopped before the procedure.

How the Procedure is Performed

Laparoscopic fibroid removal is conducted under general anesthesia and involves the following steps:

Incisions: Small incisions, approximately half an inch long, are made near the belly button and lower abdomen.
Abdominal Inflation: Carbon dioxide gas is introduced to expand the abdominal cavity for better visibility.
Insertion of Tools: A laparoscope (a thin tube with a camera and light) is inserted through one incision, while surgical instruments are inserted through others.
Removal: The fibroids are carefully removed, and all instruments are withdrawn.
Closure: The gas is released, and the incisions are closed with sutures or surgical tape.

Recovery and Aftercare

Post-surgery, patients may notice some vaginal spotting or bleeding. Pain management and antibiotics are prescribed to aid in healing. Light activity, such as short walks, is encouraged to promote circulation, but heavy lifting and strenuous activities should be avoided until fully recovered.

For those planning pregnancy, a waiting period of 3-6 months is often advised to ensure the uterus heals completely. Follow-up visits with a healthcare provider help monitor recovery and provide guidance on further steps.

Risks of Laparoscopic Fibroid Removal

Though safe, this procedure carries some potential risks, including:

Excessive Bleeding: Larger fibroids or multiple growths may increase the risk of heavy bleeding.
Pregnancy Risks: A deep uterine incision may necessitate cesarean delivery in future pregnancies.
Hysterectomy: In rare cases, complete removal of the uterus may be required if other abnormalities are found.
Adhesions: Scar tissue formation can impact menstruation and fertility, though this risk is lower with laparoscopic surgery compared to open procedures.

Recovery Timeline

Light activities and walking are encouraged shortly after surgery.
Sexual activity is typically avoided for 6-8 weeks.
Full recovery, including readiness for pregnancy, generally takes 3-6 months.

Laparoscopic fibroid removal offers a quicker recovery and reduced discomfort compared to traditional open surgery, making it a preferred choice for eligible patients.

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