Lap Myomectomy

Lap Myomectomy (Surgeries)

Lap Myomectomy, also known as Laparoscopic Myomectomy, is a minimally invasive surgical procedure used to remove uterine fibroids (leiomyomas) while preserving the uterus. Uterine fibroids are non-cancerous growths that often appear during childbearing years. This procedure is particularly beneficial for women who wish to retain their fertility and avoid the more invasive hysterectomy.

Understanding Uterine Fibroids

What are Uterine Fibroids?

Uterine fibroids are benign tumors that originate in the smooth muscle layer of the uterus. They can vary in size and number and are classified based on their location within the uterus.

Types of Uterine Fibroids

Intramural fibroids: Located within the muscular wall of the uterus.
Submucosal fibroids: Protrude into the uterine cavity.
Subserosal fibroids: Project to the outside of the uterus.
Pedunculated fibroids: Attached to the uterus by a thin stalk.

Symptoms and Diagnosis

Symptoms include heavy menstrual bleeding, pelvic pain, frequent urination, and infertility.
Diagnosis is typically made through pelvic exams, ultrasounds, and MRI scans.

Lap Myomectomy Procedure

Preoperative Preparations

Medical history review and physical examination
Imaging studies to map fibroid locations
Preoperative instructions, including fasting and medication adjustments

Step-by-Step Procedure

Anesthesia: General anesthesia is administered.
Incisions: Small incisions are made in the abdomen.
Laparoscope Insertion: A laparoscope (a thin, lighted tube with a camera) is inserted.
Fibroid Removal: Surgical instruments are used to remove the fibroids.
Closure: Incisions are closed with sutures or surgical glue.

Postoperative Care

Monitoring in a recovery room
Pain management
Instructions for home care, including activity restrictions and wound care

Benefits of Lap Myomectomy

Minimally Invasive: Smaller incisions reduce scarring and pain.
Faster Recovery: Patients typically recover more quickly than with open surgery.
Lower Risk of Complications: Reduced risk of infection and blood loss.

Risks and Considerations

Potential Risks and Complications

Bleeding
Infection
Damage to surrounding organs
Scar tissue formation

Factors Influencing Eligibility

Size, number, and location of fibroids
Overall health and medical history
Desire for future pregnancies

Comparing Lap Myomectomy with Other Treatments

Myomectomy vs. Hysterectomy: Preservation of the uterus vs. removal.
Non-surgical alternatives: Medications and uterine artery embolization.

Recovery and Aftercare

Typical Recovery Timeline

Initial recovery: 1-2 weeks
Full recovery: 4-6 weeks

Tips for a Smooth Recovery

Follow doctor’s instructions
Avoid heavy lifting and strenuous activities
Attend all follow-up appointments

Follow-up Appointments and Long-Term Care

Regular check-ups to monitor for fibroid recurrence
Discussing any concerns with a healthcare provider