Understanding Laparoscopic Myomectomy
Laparoscopic myomectomy is a keyhole surgery procedure used to remove uterine fibroids (also known as myomas) while leaving the uterus intact. This advanced technique allows for the treatment of fibroids with smaller incisions compared to traditional open surgery.
The Laparoscopic Myomectomy Procedure
Here’s what you can expect during a laparoscopic myomectomy:
- You’ll be given general anaesthesia to ensure you’re comfortable throughout the procedure.
- The surgeon makes small incisions (usually 0.5-1 cm) in your abdomen.
- A laparoscope (a thin tube with a camera) and specialised surgical instruments are inserted through these incisions.
- Your abdomen is inflated with carbon dioxide gas to create space for the surgeon to work.
- The surgeon locates the fibroids using the laparoscope and removes them using the surgical instruments.
- Other techniques to reduce blood loss such as temporary uterine artery ligation and cell salvage may be utilised.
- The uterine muscle is then carefully repaired.
- The fibroids are removed from the abdominal cavity, often using a special instrument to break them into smaller pieces first.
- Finally, the small incisions are closed with stitches.
Benefits of the Procedure
Compared to traditional open surgery, laparoscopic myomectomy offers several advantages:
- Smaller scars
- Less postoperative pain
- Shorter hospital stay (often just overnight)
- Quicker recovery time
- Lower risk of infection
- Less blood loss during surgery
- Preservation of the uterus, maintaining the possibility of future pregnancies
Suitable Candidates
This procedure may be suitable for you if:
- You have symptomatic fibroids
- You wish to keep your uterus (perhaps to maintain fertility)
- Your fibroids are of a size and location suitable for laparoscopic removal
Your doctor will assess your individual case to determine if this is the best option for you.
Recovery Process
Recovery from laparoscopic myomectomy is typically quicker than open surgery:
- Most women go home the day after surgery
- You can usually return to normal activities within 2-3 weeks
- Full recovery typically takes about 4-6 weeks
You may experience some pain and light vaginal bleeding for a few days after the procedure, which is normal.
Important Considerations
- While laparoscopic myomectomy preserves your uterus, there’s a chance fibroids may return in the future.
- If you’re planning to get pregnant, your doctor will advise you on how long to wait after the surgery before trying to conceive.
- In some cases, the surgeon may need to switch to an open surgery during the procedure if complications arise.
At Endocare Joburg, our experienced gynaecologists are highly skilled in performing laparoscopic myomectomies. We’re here to answer any questions you may have about the procedure and help you decide if it’s the right option for you.