Please wait loading VIdeo Lecture of Prof. R.K. Mishra about Safe Laparoscopic Management Uterus Myoma...
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Fibroids that are attached to the outside the uterus by a stalk (pedunculated myomas) are the simplest to remove laparoscopically. Many subserous myomas (near to the outer surface) can also be removed with the laparoscope.
Fibroids which are deep within the wall from the uterus, or submucous are hardest to remove laparoscopically. Although there have been successful pregnancies after laparoscopic removal of deep or multiple myomas, the actual question is set up uterus can be repaired as well with the laparoscope just like be achieved with an abdominal myomectomy.
The benefit of a laparoscopic myomectomy over an abdominal myomectomy is the fact that several small incisions are used instead of one larger incision. It is important to comprehend that a laparoscopic myomectomy is real surgery, and often requires many weeks of recovery.
Another major element in recovery time is motivation; I have found motivation can be just like important in recovery since the kind of surgery. One concern when you will find multiple fibroids is of leaving smaller myomas behind. Often it is necessary to feel the uterus to obtain the smaller myomas; these likely would be left behind during a laparoscopic myomectomy. In summary laparoscopic myomectomy is the best for pedunculated and superficial myomas. When you will find deep myomas and a large number of myomas that it is possible to repair the uterus better by doing an abdominal myomectomy. .
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