Laparoscopic Myomectomy

Laparoscopic Myomectomy is the surgical removal of uterine fibroids while leaving the uterus intact. It is the primary treatment option for patients who still want to conceive or prefer not to have a hysterectomy through a minimally invasive procedure in which small incisions are made in the abdomen over the fibroid’s location. A camera and surgical instruments are inserted through these incisions to visualize and act on the uterus.

The symptoms of uterine fibroids differ depending on their size, location in the uterus, and type. They are most commonly found in menstruating women between the ages of 30 and 50.
There is no link between birth control pills or hormone replacement therapy used to treat menopause and uterine fibroids. When compared to women with normal blood pressure, certain medical conditions, such as high blood pressure, may increase the risk of uterine fibroids by 24%.

Symptoms

The most common symptom of uterine fibroids is 

• A heavier-than-normal period that lasts longer than usual.
• Even if you are menstruating, you may be palpable or even visible if it is large, resembling an early pregnancy.
• You may experience urinary incontinence or frequent urination, particularly when lying flat.
• You may be constipated or feel abdominal pressure.
• Fullness in the abdomen caused by a rapidly growing fibroid that may become malignant (Cancerous)
• Infertility.
• Easy miscarriage.

Diagnosis

• External and internal physical examination.
• Transvaginal or abdominal ultrasound.
• Magnetic resonance imaging (MRI) or computed tomography (CT) (MRI).
• Hysteroscopy.
• Laparoscopy.
• Hysterosalpingography.

Treatment

• If the fibroid is small, the doctor may recommend monitoring it or treating it with medication, followed by an ultrasound, and assessing any vaginal bleeding associated with the growth. Your doctor may also perform an anemia test on you. Your obstetrician/gynecologist (OB/GYN) will most likely see you every three to six months.
• If the fibroid causes excessive bleeding, medication to reduce blood loss may be prescribed.
• Myomectomy.
• The uterus is removed during a hysterectomy (only in severe cases where the patient no longer wishes to have children).