What is leiomyomas?
What surgeries are usually performed to remove uterine myoma?
- Open Abdominal Myomectomy: In which the doctor makes a surgical incision in the lower abdomen (the incision is often horizontal) to reach the uterus and remove the tumor.
- Laparoscopic Myomectomy: Which we will talk about in detail later in the article.
- Robotic Myomectomy: Very similar to laparoscopic myomectomy, except that the doctor here sits away from the patient and controls robotic tools via a remote control tool, allowing greater access to the tumor and clearer vision.
- uterine myomectomy via Hysteroscopy Hysteroscopic Myomectomy: The doctor removes the tumor by inserting a speculum (with other medical tools) into the vagina and through the cervix until it reaches the site of the tumor.
In Turkey, there are several other non-surgical treatments for this tumor with high efficiency, such as Catheter treatment of fibroids (muscular tissues).
When do we do laparoscopic hysterectomy instead of other methods?
- Pain is less and blood loss is less and controlled.
- Much fewer aesthetic problems compared to the use of laparotomy.
- Fewer adhesions.
- Faster recovery after surgery compared to other methods.
- The patient does not need to stay in the hospital for more than one night.
- The uterus should have good mobility that allows maneuverability.
- The diameter of the tumor should not exceed a maximum of 10 cm (of course there are exceptions that depend on the case and the patient).
- There should be no more than 5 fibroids.
- That there is a sufficient surgical field for the surgical operation, and that the tumor is not deep, so it is impossible to eradicate.
Who are the candidates for laparoscopic myomectomy?
- Severe pelvic or abdominal pain that does not go away on its own.
- Bleeding outside of menstruation.
- Troubled menstrual cycle (longer or shorter)
- Difficulty urinating or incontinence in some cases.
- Unexplained anemia.
Preparations before the operation
Iron-boosting drugs can also be given to the patient to prevent heavy bleeding and treat anemia.
- Echo belly
- MRI . magnetic resonance imaging
- Some blood tests
How is a laparoscopic uterine myomectomy performed?
In the robotic myomectomy surgery, the same steps are taken, except that the doctor controls a robotic hand remotely to alternate his place in the procedure.
Complications and after the operation
- Infection at the incision site.
- Anesthetic problems caused by the drug not agreeing with the patient's body.
- Heavy bleeding (very rare due to the minimally invasive surgery and small incisions)
- Formation of clots after the operation.
- Damage to nearby organs inside the abdomen.
- Not completely eradicating the tumor, which leads to its growth again and the return of symptoms in the patient.
Why should I choose treatment in Turkey?
The reason for this is due to the presence of advanced medical centers that provide appropriate treatment by the most skilled doctors and the latest medical devices at a low cost.
Frequently asked questions about laparoscopic myomectomy in Turkey
Is laparoscopic myomectomy dangerous?
Laparoscopic myomectomy carries much less risk and complications than the open method of surgery, and its risk does not exceed the risk of the usual operation.
How long does laparoscopic uterine myomectomy take?
The duration of the hysterectomy operation does not exceed 3 hours at the most.
Can uterine myoma reappear after the operation?
The uterine myoma has several causes and it can recur after excision, either because it was not completely removed, or there is another cause that we have to treat.