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Problem of Uterine Fibroid
Discussion in 'All Categories' started by Silpi Mukharjee - Aug 7th, 2012 2:45 am.
Silpi Mukharjee
Silpi Mukharjee
Hello, I have multiple fibroids in my uterus causing excessive bleeding & pain. my hemoglobin has gone down to 7.6 gm/dl. The content of ultrasound report are as follows:
- A large intramural fibroid 7.01 cm x 6.9 cm x 5.9 cm in size in the fundus of uterus with submucosal extension. Displacement and distortion of the endometrical cavity is noted.
- Another 2.1 cm x 2 cm well defined, rounded hyperechoic lesion in the posterior wall of lower uterine segment suggestive of adenomyolipoma.

I want to know what operation is best for this problem: Laparoscopic or traditional open surgery?

re: Problem of Uterine Fibroid by Dr M K Gupta - Aug 11th, 2012 8:37 am
Dr M K Gupta
Dr M K Gupta
Dear Silpi

You did not tell your age or your family is complete or not. Surgical therapy usually involves myomectomy or total abdominal or vaginal hysterectomy. Some gynecologists recommend laparoscopic myomectomy, which requires advanced pelviscopic skill. Selecting the appropriate treatment methods are controversial. Abdominal or vaginal myomectomy is usually recommended for ladies under 40 years old who would like to have children, and total vaginal or abdominal hysterectomy is suggested for women who have completed their own families.

Fibroid uterus is the most frequent diagnosis resulting in hysterectomy; this accounts for 37% to 62% of hysterectomies performed annually. From the estimated half-million hysterectomies performed annually in the US, the overall mortality rate is 12 per 10,000. Major complications, often include wound infection; postoperative bleeding; transfusion; ureteral, bladder, and bowel injuries.

There are several new operative techniques that don't require major surgery. Laparoscopic myoma coagulation - myolysis is an alternative to myomectomy. This process could be combined with endometrial ablation for patients who've persistent uterine bleeding. Laparoscopic myomectomy is yet another alternative to hysterectomy.

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