|Discussion in 'All Categories' started by Mrs Johnson O.R - Jun 2nd, 2013 2:11 am.|
Mrs Johnson O.R
|Big fibroid as big as 7-8 months pregnancy .|
re: Fibroid by Dr J S Chowhan - Jun 4th, 2013 10:24 pm
Dr J S Chowhan
|Dear Mrs Johnson
Even the big fibroid can be removed by laparoscopic surgery. It is very important be aware that since fibroids usually are not cancerous, no treatment at all is just about the most suitable option for girls who have no symptoms from the fibroids. The traditional answer to uterine fibroids can be a large abdominal incision and only removal of the uterus (hysterectomy) or removing the fibroids. Hysterectomy has usually been recommended for females who are certainly not intending to possess more children, while there is a 15-20 percent risk the symptoms might not improve following a myomectomy, that can require additional surgery. However, there are many females who need to conserve their uterus even though they would not have more children. You will need to respect their wishes if they understand fully the risks and benefits associated with their decision. Virtually all women with uterine fibroids does not need to use a laparotomy to fix their problem. We will discuss some in the minimally invasive and non-invasive treatment methods that are available today.
Myomectomy ought to be the surgical accessibility of choice in females who wish to have an overabundance children. Additional options such uterine artery embolization, uterine artery occlusion, cryomyolysis and focused ultrasound are usually not advised for females who would like to have an overabundance children. You will find nevertheless some ladies who have become pregnant after these procedures and successfully carried their babies to term without complication. A large number of women had uterine artery embolization. The quantity of complications from the pregnancies that occurred in they was significantly more than for women who was lacking these procedures. A number of that might be explained by the fact that women who underwent these procedures had other health issues that may ensure it is more probable for them to have problems in their pregnancy. Nevertheless, it seems like clear that this probability of complications is increased understanding that girls that desire to get pregnant needs to have either an abdominal or perhaps a laparoscopic myomectomy.
Another alternative is applying the da Vinci robot for the myomectomy. The da Vinci robot includes 3 to 4 mechanical arms which might be controlled by the surgeon from a separate control unit. The arms of the robot can hold various instruments as well as the instruments can move freely on the tip, allowing much more freedom of movement compared to traditional laparoscopy. Moreover, the surgeon has 3 dimensional vision of his environment with the control unit. As a result suturing much more easier and allows more surgeons to be able to complete true laparoscopically. The robot has some disadvantages too, including deficiency of tactile sensation, i.e. the physician can't feel how hard or soft an organ is or how tightly a knot is being tied and has to rely completely on the he sees. The robot can be very bulky and adds about Thirty minutes on the time period of the surgery because of the period of time it will take to put it together and take off it following a case. It is also very costly and the current version uses slightly larger trocars compared to the trocars employed in standard laparoscopy cases, helping to make the scars just a little bigger and possibly increases post-operative pain.
J S Chowhan
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