How to remove the Fibroids with the help of laparoscopy

Uterine fibroids are tumors that grow inside the uterus. In 99% of cases, these tumors are not cancerous in nature. Almost 40-50% of women aged 40 and above are likely to develop fibroids inside the uterus but without any symptoms.

Read here: Some facts about Uterine fibroids

However, when the fibroids don’t cause any symptoms then doctors recommend not to go for surgery. 

When the size of fibroids increases, most of these women start getting symptoms. Symptoms include the following-

  1. Heavy bleeding during periods
  2. Prolonged menses
  3. Irregular periods
  4. Infertility
  5. Frequent urination
  6. Heaviness in the lower abdomen, etc.

In addition to the above symptoms, fibroids can also increase the risk of miscarriage in women and complications during pregnancy. 

Also read: Can uterine fibroids affect fertility in women?

Treating Uterine Fibroids with Laparoscopy

Laparoscopic fibroid removal is a minimally invasive method to get rid of uterine fibroids. The procedure may help to relieve uterine fibroid symptoms like abnormally heavy menstrual bleeding, pain in the pelvic region, and pressure on the bladder or bowel.

Unlike traditional open surgery, in laparoscopic fibroid removal, the gynecologist makes small incisions through which they insert specialized surgical instruments known as a laparoscope. 

Previously, the doctors removed uterine fibroids by open surgery where a long incision is made on the abdomen. Nowadays, much improved surgical techniques and instruments are available to remove fibroids with lesser pain, minimal blood loss, quick recovery, and no visible surgery marks.

Moreover, this technique helps patients with faster recovery time, less pain, fewer chances of scarring, fewer complications, and a quick return to normal activities.

Types of Laparoscopic fibroid removal 

There are generally three types of fibroid procedures. Doctors generally prescribe the which type ones should opt for depending on certain factors such as-

  • Size of the fibroids
  • Numbers of fibroids in the uterus
  • The location of the fibroids in the uterus
  • Whether a woman wants to conceive in the future

Laparoscopic myomectomy

Myomectomy is a minimally invasive method in which the fibroids are eliminated but the uterus remains intact.

Hence, this is an ideal option for women who want to retain their uterus for future childbearing or who are young. This technique is often used for removing fibroids on the outer surface of the uterus.

Other than laparoscopic uterus removal, there are two other choices through which a woman can go for a myomectomy-

  • Abdominal

Also known as laparotomy, women who have large fibroids should opt for this technique. The surgeon makes a cut in the lower belly and removes the fibroids. 

  • Hysteroscopic

When the fibroids grow inside the uterus, the doctor uses this procedure to remove them. With the help of a hysteroscope, the doctor removes the uterine fibroids. Through the hysteroscope, a high-frequency electric current passes through that helps in cutting off the fibroids. 

Laparoscopic hysterectomy

This is a minimally invasive technique suitable for patients who do not want to retain their uterus or who are above 40yrs of age with a complete family. Laparoscopic removal of the uterus is done so that patient cures completely with no recurrence.

Other than the laparoscopic hysterectomy, there are two different ways in which the surgeon removes the uterus-

  • Laparotomy in which the surgeon makes a cut in the lower abdomen and removes the uterus.
  • In a vaginal hysterectomy, the surgeon makes an incision in the vagina through which they remove the uterus. 

Also Read: Tips for Quick Hysterectomy Recovery

Endometrial Ablation

In this procedure, the doctor destroys the uterine lining who have small fibroids inside the uterus. Under general anesthesia, the doctor inserts a special instrument through the uterus and burns the lining using any of the following methods-

  • Electric current
  • Balloon filled with heated fluid
  • High-energy radio waves
  • Cold probe
  • Microwave energy
  • Heated fluid

Stop recurrence of fibroid in future with laparoscopic ligation

Laparoscopic ligation of the uterine artery is a method in which blood vessels feeding to fibroids are blocked. This technique helps to decrease in recurrence of the fibroid. And chances of future pregnancy are not compromised as the uterus gets its normal blood supply from other vessels.

Read More: Different treatment options available to remove uterine fibroids

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