Laparoscopic Myomectomy

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Laparoscopic Myomectomy

What is laparoscopic myomectomy?

Laparoscopic myomectomy is a minimally invasive surgical procedure used to remove uterine fibroids. It involves making small incisions in the abdomen, through which a camera and surgical instruments are inserted to visualize and remove the fibroids while preserving the uterus. This approach reduces scarring and promotes faster recovery compared to traditional open surgery.

Our team stands as the pinnacle of minimal invasive surgery, specializing in myomectomy procedures in Lahore Pakistan. With unmatched expertise Prof. Dr Rehana Aamer Khan redefine surgical precision, ensuring the utmost care and minimal disruption for our patients. Our commitment to advanced techniques minimizes incisions, reduces scarring, and accelerates recovery. Each member boasts extensive experience, employing state of the art technology to delicately remove uterine fibroids by preserving reproductive organs. Patient well being is paramount that is why we craft personalized treatment plans. Entrust your myomectomy to us, where excellence converges with compassion, setting the best standard for minimal invasive surgery in Lahore. Prof. Dr Rehana is doing myomectomy both laparoscopically and robotically in Lahore Pakistan

Laparoscopic Myomectomy procedure

The procedure typically begins with the patient under general anesthesia. The surgeon then makes several small incisions in the abdomen, through which they insert a laparoscope—a thin, flexible tube with a camera and light at its tip. The camera allows the surgeon to visualize the uterus and fibroids on a monitor in the operating room.

Next, specialized surgical instruments are inserted through the other incisions to manipulate and remove the fibroids. Depending on the size and location of the fibroids, various techniques may be used, including cutting the fibroid into smaller pieces for easier removal. The surgeon takes care to preserve the healthy uterine tissue, as the goal of the procedure is to maintain the woman's fertility and reproductive function.

Once all the fibroids have been removed, the surgeon carefully examines the uterus for any bleeding or other issues. The incisions are then closed, usually with dissolvable sutures or adhesive strips, and the patient is taken to the recovery room.

Robotic myomectomy is an extension of laparoscopic myomectomy. It uses a robotic surgical system which allows enhanced dexterity and precision. The surgeon sits at a console and controls the robotic arms equipped with surgical instruments, and the robotic system translates their hand movements into precise actions inside the patient's body.

With the robotic system, the surgeon gains access to a wider range of motion and increased precision due to the robotic arms' articulation. The system's design allows for more complex maneuvers and enables the surgeon to perform delicate tasks with greater control

Laparoscopic Myomectomy

When you need Laparoscopic Myomectomy

If you are experiencing any of the below situation your gynecologist may recommend Laparoscopic myomectomy, including:

  • Menstrual bleeding occurring outside the regular cycle or causing extreme heaviness and prolonged periods leading to anemia.
  • Experiencing pelvic pain and pressure.
  • Suffering from chronic pain in the lower abdominal area.
  • Feeling pelvic pressure and discomfort with large uterine myomas visible in ultrasound.
  • Ureteral obstruction.
  • Having a gestational size greater than 12 weeks, making it difficult to evaluate surrounding gynecological organs like ovaries and fallopian tubes.

If a patient experiences any of these symptoms, it is important for her to promptly visit her gynecologist. The gynecologist may recommend a laparoscopic myomectomy as a suitable treatment option.

Recovery Period after Laparoscopic Myomectomy

The duration of recovery varies based on the type of myomectomy procedure you undergo. Minimally invasive myomectomy typically requires two to three weeks for recovery, with a recommended minimum of two weeks off from work. Pain may be experienced in the initial days, but medications will be provided to manage it. Early mobilization through leg movements and short walks is encouraged to prevent blood clots.

On the other hand, open myomectomy entails a longer recovery period, usually up to six weeks before returning to normal activities. Consequently, laparoscopic myomectomy is often preferred over open myomectomy due to its quicker recovery.

After a laparoscopic myomectomy, patients can go home on the same day, and the recovery period at home spans approximately two to four weeks.

If the myomectomy is performed using hysteroscopy through the vagina without incisions, the recovery can be even faster, often a matter of just a few days.

In summary, the type of myomectomy influences the recovery period, with minimally invasive procedures like laparoscopic or hysteroscopic myomectomy offering shorter recovery times compared to traditional open myomectomy. However, each patient's recovery may vary depending on individual factors and the presence of any complications. Always follow your doctor's post-operative instructions and attend follow-up appointments for optimal healing and outcome.

Will fibroids come back after myomectomy?

The recurrence of fibroids after a laparoscopic myomectomy is possible, but it is not guaranteed to happen in every case.
Fibroids are hormone-sensitive growths, and their development is influenced by estrogen and progesterone levels. Younger women with a higher estrogen exposure may have a slightly higher risk of new fibroid growth over time.

To reduce the chances of fibroid recurrence, it's essential to maintain regular follow-ups with a gynecologist and monitor any new symptoms or changes in the pelvic area. Additionally, hormonal therapies or other medications may be prescribed to manage fibroid growth if necessary.

Can you expect baby after myomectomy?

Yes, it is possible to expect a baby after undergoing a laparoscopic myomectomy. Laparoscopic myomectomy is a fertility-sparing surgical procedure specifically designed to remove uterine fibroids while preserving the uterus, making it an excellent option for women who wish to conceive and have a baby in the future.

The success of conceiving after laparoscopic myomectomy depends on several factors, including the size and location of the fibroids, the woman's age, overall health, and any other underlying fertility issues. In many cases, after the removal of fibroids, the uterus is better prepared for pregnancy, and fertility can be significantly improved. However, it's essential to note that while laparoscopic myomectomy enhances fertility prospects, it does not guarantee pregnancy.

For those planning to become pregnant after a laparoscopic myomectomy, it's advisable to wait for the appropriate healing period as advised by their healthcare provider. This typically ranges from a few weeks to a few months, depending on individual circumstances and the extent of the surgery.

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Our Gynecological Laparoscopic Surgery Team

In the realm of laparoscopic surgery Prof Dr Rehana Aamer Khan stands out as the best laparoscopic surgeon specializing in performing laparoscopic myomectomy in Lahore. With a wealth of expertise and skill in gynecological procedures, She has dedicated to providing exceptional care and positive outcomes for patients. As leaders in minimal invasive surgery in Lahore, we employ state of the art technology and advanced surgical techniques to offer the highest standard of care. Our patients can expect reduced postoperative pain, shorter recovery times, and minimal scarring compared to traditional open surgery. We prioritize patient safety and comfort, fostering a compassionate and supportive environment throughout the treatment journey. Rest assured that choosing us as your laparoscopic surgeon for myomectomy in Lahore means entrusting your health to a team committed to excellence and delivering the best possible outcomes in gynecological surgery.

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Laparoscopic Myomectomy`s FAQ

In routine patient stays for 24 hours in hospital. But patient with other complexities may will have to stay for extra time.

Depending on extent of laparoscopic myomectomy, the patient may be advised for 2 weeks in bed. Patients will need to be care full for 6 weeks after a myomectomy.

Cost of laparoscopic myomectomy varies patient to patient depending on complexity of procedure, patient individual fitness, weight and other medical conditions of the patient.

Patient can Start mild walk after coming home and increase her activity levels over the first few weeks. Many women should be able to walk for 30-60 minutes after 2-3 weeks.

You can expect pain and discomfort in your lower abdomen for at least the first few days after your operation. You may also have some pain in your shoulder. When leaving hospital, you should be provided with painkillers for the pain you are experiencing.

you should seek advice from your gynecologist if you do feel comfortable flying after your myomectomy, In general, it is recommended to avoid flying for up to 10 days after laparoscopic myomectomy.