laparoscopic Myomectomy cost £1550.

Uterine fibroids, also known as leiomyomas or myomas, are non-cancerous growths that develop in or on the walls of the uterus. They are one of the most common benign tumors affecting women during their reproductive years, with estimates suggesting that up to 70% of women may develop them by age 50. While many fibroids cause no symptoms and require no treatment, others can lead to heavy menstrual bleeding, pelvic pain, urinary frequency, and even infertility. For women seeking to preserve their fertility or avoid a hysterectomy (removal of the uterus), laparoscopic myomectomy has emerged as an effective, minimally invasive surgical option.

What is Laparoscopic Myomectomy?

Laparoscopic myomectomy is a surgical procedure used to remove uterine fibroids while preserving the uterus. Unlike traditional open surgery, which involves a large abdominal incision, laparoscopic myomectomy uses small incisions and specialized instruments to access the fibroids. This approach offers several advantages, including reduced recovery time, less postoperative pain, and lower risk of complications compared to open surgery.

During the procedure, the surgeon makes three to four small incisions in the abdomen, through which a laparoscope (a thin, lighted tube with a camera) and other surgical tools are inserted. The laparoscope allows the surgeon to visualize the inside of the abdomen on a monitor, guiding the removal of the fibroids. Once the fibroids are excised, they are either removed through the incisions or morcellated (cut into smaller pieces) for easier extraction.

abdominal myomectomy vs. laparoscopic myomectomy

Laparoscopic myomectomy is the preferred way to remove fibroid but sometimes very big fibroid may require open technique which is called abdominal myomecotmy .

exercise after laparoscopic myomectomy

You can start exercise when you pain free, normally around 2 weeks from procedure.

First period after laparoscopic myomectomy

brown vaginal discharge or light vaginal bleeding or spotting for a few weeks. This is normal.

Benefits of Laparoscopic Myomectomy

1. Preservation of Fertility : One of the primary advantages of laparoscopic myomectomy is its ability to preserve the uterus, making it an ideal choice for women who wish to maintain their reproductive potential.

2. Minimally Invasive : The small incisions required for laparoscopy result in less tissue damage, reduced blood loss, and faster healing compared to traditional open surgery.

3. Shorter Hospital Stay : Most patients undergoing laparoscopic myomectomy are discharged within 24-48 hours, whereas open surgery often requires a hospital stay of several days.

4. Faster Recovery : Patients typically return to normal activities within two to four weeks after laparoscopic myomectomy, compared to six to eight weeks for open surgery.

5. Lower Risk of Complications : The minimally invasive nature of laparoscopy reduces the risk of infection, scarring, and other complications associated with larger incisions.

Who is a Candidate for Laparoscopic Myomectomy?

Not all women with uterine fibroids are candidates for laparoscopic myomectomy. The decision to proceed with this procedure depends on factors such as:

• Size and Location of Fibroids : Smaller fibroids located in the outer layers of the uterine wall are more easily accessible via laparoscopy. Larger or deeply embedded fibroids may require open surgery or robotic-assisted laparoscopy.

• Number of Fibroids : Women with multiple fibroids may still be eligible for laparoscopic myomectomy, but the complexity of the procedure increases with the number of fibroids present.

• Desire for Fertility Preservation : Women who wish to retain their ability to conceive are excellent candidates for myomectomy, as it preserves the uterus.

• Overall Health : The patient’s overall health and any underlying medical conditions will also influence the decision to pursue laparoscopic surgery.

Risks and Considerations

While laparoscopic myomectomy is generally safe, like any surgery, it carries some risks, including:

• Bleeding
• Infection
• Damage to surrounding organs
• Scar tissue formation (adhesions)
• Recurrence of fibroids

In rare cases, if the fibroids are too large or numerous, the surgeon may need to convert the laparoscopic procedure to an open surgery for safety reasons.

Robotic-Assisted Laparoscopic Myomectomy

In recent years, robotic-assisted laparoscopic myomectomy has gained popularity. This advanced technique uses a robotic system, such as the da Vinci Surgical System, to enhance the surgeon’s precision, control, and visualization during the procedure. Robotic assistance can be particularly beneficial for complex cases involving multiple or large fibroids.

Postoperative Care and Recovery

After laparoscopic myomectomy, patients are typically advised to rest and avoid strenuous activities for several weeks. Pain is usually managed with over-the-counter medications, and most women experience significant improvement in symptoms such as heavy bleeding and pelvic pain within a few months. However, it is important to follow up with the healthcare provider to ensure proper healing and monitor for any recurrence of fibroids.

Conclusion

Laparoscopic myomectomy represents a significant advancement in the treatment of uterine fibroids, offering women a safe, effective, and minimally invasive option for fibroid removal. By preserving the uterus and reducing recovery time, this procedure empowers women to take control of their reproductive health while minimizing the impact of surgery on their daily lives. As technology continues to evolve, innovations such as robotic-assisted surgery promise to further enhance the outcomes and accessibility of this life-changing procedure. If you are considering laparoscopic myomectomy, consult with your healthcare provider to determine if it is the right choice for you.