Laparoscopic Myomectomy is a minimally invasive surgery involving the removal of uterine fibroids while at the same time preserving the uterus. Medically, this procedure is also referred to as robotic myomectomy.
Whenever fibroids begin to significantly interfere with one’s everyday life, medical practitioners often recommend this surgical procedure. Some of the possible symptoms leading to this surgery include pelvic pain, increased urination, heavy periods, and irregular menstrual bleeding. Through small incisions created on the abdomen, Laparoscopic Myomectomy effectively eliminated fibroids. Generally, there are various types of this surgical approach based on the size and location of the fibroids.
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Laparoscopic Myomectomy can be a suitable choice to get rid of fibroids. However, factors such as fibroid location, size, and number should be considered. A separate uterine incision may be required for the removal of every fibroid. As a result, laparoscopically taking out several fibroids might take time. Usually, smaller fibroids that are located near the uterus surface are easy to remove.
Alternative myomectomy techniques may be more appropriate for those with multiple fibroids positioned deep in the womb. Fibroids located on the uterus's surface are easily accessible, while those deeply rooted or near the vital blood vessels are difficult to remove and may need other forms of myomectomy.
Prepare yourself mentally for the body changes that surgery will cause. Discuss your concerns with loved ones or seek professional support if necessary.
Follow the following preoperative guidelines:
Laparoscopic Myomectomy involves a number of steps. First, the surgeon will create four tiny incisions, each measuring ½ inch in the lower belly after administering general anesthesia. The abdominal cavity will be inflated with carbon dioxide to ensure a clear visibility of the structures.
A laparoscope, which is a thin, lighted tube attached to a camera on the tip, is inserted through one of the cuts. Other small tools are placed through the remaining incisions. In robotic surgery, the surgeon utilizes a robotic arm to regulate the instruments.
For smaller fibroids, the surgeon may cut them into tiny pieces, while for larger fibroids, a bigger incision may be made to perform an abdominal myomectomy. After the procedure, the instruments are taken out, the gas is released, and the surgical incisions are sealed.
Various types of myomectomy procedures are based on the fibroid size and location. All are performed under anesthesia in an operation area.
This procedure involves the use of a narrow telescope to view the uterine cavity. The device is placed in the vagina and passed via the cervix to enable clear visualization and removal of the small fibroids.
This technique is ideal for the removal of fibroids that have spread to the uterine wall or those exposed out of the uterine cavity. The procedure is done by inserting a laparoscope with other tools into the abdomen.
This procedure is the same as laparoscopic myomectomy. However, advanced robotic technology is used for improved precision.
During this approach, the surgeon will create a vertical cut into the abdomen to directly access the uterus. Unlike other myomectomy techniques, the incision is usually the largest, and healing takes some time. This technique is often recommended to remove overly large fibroids.
Laparoscopic Myomectomy is a minimally invasive procedure that provides benefits such as less bleeding, reduced pain, and faster recovery compared to other traditional myomectomy techniques.
While laparoscopic myomectomy is considered generally safe, it does carry some risks, such as:
Complications of laparoscopic myomectomy can be categorized into two types: intraoperative and postoperative. Intraoperative complications include hemostasis, enucleation, and morcellation injury, while postoperative complications commonly involve pelvic adhesions and hematoma.
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You may experience some discomfort and spotting for a few weeks following the procedure. In this case, the physician may prescribe certain medications. Recovery times may vary depending on the type of surgery conducted:
During recovery, it’s advisable to avoid strenuous and too-long exercise, lifting heavy items, and fast-paced walks. Seek medical advice before resuming sexual activity. If you’re planning to have children, consult with your healthcare provider first.
Most people recover fully within 6-8 weeks post the procedure. During this period, extreme fatigue is common, so you will be required to rest as long as you can. Also, do not lift anything heavy.
After laparoscopic surgery, you won’t be able to get pregnant or undergo a menstrual cycle if the ovaries are removed. This will result in immediate menopause if you haven’t started already. Moreover, you may experience symptoms like vaginal dryness, hot flashes, and night sweats. Some women may feel exhaustion that may persist for up to 10 weeks or, in some cases, for 6 months after the procedure.
Laparoscopic myomectomy is often ideal for women planning to get pregnant in the future because of its reduced risk of scarring. Nevertheless, some research indicates an increased possibility of uterine rupture during pregnancy after surgery. This is because of a potential weakness in the uterine defect’s ability to heal after a deeply located tumor is removed.
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