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Laparoscopic Myomectomy [for Fibroid]

Uterine myomas, or fibroids, are benign tumors made up of smooth muscle and fibrous tissue in the uterine wall. Although they are called tumors, they are not cancerous. Myomas are of varying size and number, grow slowly, and are usually asymptomatic in the majority of cases. They do not need to be treated unless symptoms arise, which occurs in about 25% of cases. Myomas occur as a solitary nodule or in association, ranging from 1 mm to more than 20 cm in diameter. Myomas are the most commonly diagnosed female pelvis tumors and an important reason for hysterectomy.

Symptoms of Uterine Myomas

Myomas are responsible for causing a variety of symptoms that may include:

• Prolonged and heavy menstrual flow
• Abdominal size increase or weight gain
• Pelvic pain or pressure
• Bladder or bowel pressure
• Back or leg pain
• Painful sexual intercourse

Causes of Uterine Myomas

The cause of myoma formation is not precisely known. Nonetheless, they occur mostly in women of reproductive age and not prior to the initiation of estrogen secretion. Myomas grow quickly during pregnancy because of elevated estrogen levels and may reduce in size following menopause due to decreased hormone levels.

A myomectomy is a surgical operation intended to remove fibroids and leave the uterus intact. It is a alternative to a hysterectomy, allowing women the choice to preserve their reproductive capacity. Although at times more challenging than a hysterectomy, myomectomy is highly beneficial.

Benefits of Laparoscopic Myomectomy

• Minimal invasion with small cuts and less scarring
• Less trauma to tissue and organs
• Less post-operative pain
• Reduced use of narcotics for pain management
• Reduced hospital stay
• Quicker recovery and sooner return to normal activities

Procedure: How Laparoscopic Myomectomy Works

Preoperative Preparation:

• Patients need to fast for six hours prior to surgery.
• Preoperative measures can involve shaving and an enema.

Surgical Process:

• General anesthesia is given.
• A laparoscope and instruments are inserted.
• The fibroid is found, and an incision is made in the uterus.
• The fibroid is gently dissected away from the uterine muscle.
• The uterine incision is closed.
• The fibroid is removed, usually in pieces with a specialized device known as a morcellator.
• Surgical incisions are closed.

Postoperative Recovery

• Average hospital stay is about two days, with some patients being discharged on the day following surgery.
• Pain management is individualized, with oral or injectable pain medication administered as needed.
• A low-grade fever is frequent during the early postoperative days.
• a- Patients must rest, drink plenty of fluids, and avoid blood clots with gentle movemesfdsg
• Progressive physical exercise is advisable, although fatigue and mild bowel cramps can linger for a short while.
• Regular daily routines can usually resume within 2-3 weeks, based on individual recovery progress.
• Sex should be avoided for at least six weeks following surgery.

By knowing the nature, symptoms, and treatment of uterine myomas, patients are able to make informed health decisions in consultation with their healthcare providers.

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