|Discussion in 'All Categories' started by Michelle Rodrigues - Nov 3rd, 2011 10:41 pm.|
re: huge fibroids with swollen harnia by Dr M.K. Gupta - Nov 4th, 2011 11:07 pm
Dr M.K. Gupta
|Dear Michelle Rodrigues
Even the huge fibroid can be taken by laparoscopy. Fibroids which are connected to the outside the uterus by a stalk (pedunculated myomas) are the easiest to get rid of laparoscopically. Many subserous myomas close to the outer surface can also be removed through the laparoscope.
Fibroids which are deep within the wall from the uterus, or submucous are most difficult to remove laparoscopically. Although there has been successful pregnancies after laparoscopic removal of deep or multiple myomas, the real question is whether or not the uterus can be repaired too through the laparoscope as can be carried out by an abdominal myomectomy.
The benefit of a laparoscopic myomectomy over an abdominal myomectomy is that several small incisions are utilized rather than one larger incision. It is essential to know that even a laparoscopic myomectomy is real surgery, and frequently requires several weeks of recovery.
Another major factor in recovery time is motivation. One concern when there are multiple fibroids is of leaving smaller myomas behind. Often it is necessary to feel the uterus to obtain the smaller myomas; these likely could be left behind during a laparoscopic myomectomy.
In summary, I think laparoscopic myomectomy is the best for pedunculated and superficial myomas. When you will find deep myomas along with a large number of myomas.
We believe that it iss possible to correct the uterus better by doing an abdominal myomectomy. We can perform hernia surgery also at the same time by laparoscopy.
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