Myomectomy is a Fibroid Removal Surgery. This procedure is performed either by keyhole (laparoscopic) that is done with tiny incisions or by open surgery, which is performed with a larger surgical incision. Doctors usually recommend myomectomy for fibroids causing symptoms that are troublesome or interfere with the patient’s normal pregnancies.
Laparoscopic Myomectomy is a preferred choice when compared to open abdominal surgery due to the following advantages:
Laparoscopic myomectomy is the surgical removal of fibroids that is usually considered when the fibroid size is less than 10cm and the total number of fibroids is less than 5. However, sometimes larger and more numerous fibroids can also be removed laparoscopically depending on the circumstance and the condition of the patient.
Benefits of Laparoscopic Myomectomy
The benefits are:
Prior to fibroid removal surgery procedure, the surgeon might give hormonal injections to reduce the size of the fibroids to make the procedure easier to perform.
The surgeon will make a couple of tiny incisions in the patient’s lower abdomen. Normally, 3 or 4 small incisions are made on the abdomen depending on the uterine size and other circumstances. The surgeon will make a 12mm incision within the umbilicus and the remaining incisions are made smaller, around 5mm.
A tube or a small needle is first inserted through one of the incisions to fill carbon dioxide in the abdomen to inflate the patient’s abdomen. This helps to keep the abdominal wall away from other internal organs reducing the risk of injury and also helps the surgeon to see well.
The surgeon will then insert the laparoscope through the small incision made in the navel, which will transmit images to a screen that will help the surgeon see inside. The surgeon will use a morcellator, a special device used to cut the fibroid into smaller pieces, which are then extracted out through a smaller incision. At the end of the procedure, all instruments are removed carefully and the incisions are closed with stitches.
Myomectomy has a lower complication rate but in rare cases, the procedure poses a certain set of risks :