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Laparoscopic Myomectomy Surgery


What is myoma?

Those tumors not malignant which are originated from the myometrium that is seen especially after 35’s of the females are called myoma. It cannot be said that myoma is had by all the females; however, it is seen in approximately 25% of all the women around the world. It generally forms in the women over 35 age; however, it frequently begins to form while getting closer to their 40 age. Unless the myomas get extremely large and cause damage to other organs, or cause excessive bleeding, it will not pose a danger. Therefore, not each myoma will require operation. However, those myomas which get beyond their normal limit and excessively larger and begins to cause damage to other organs, then it should be excised by means of surgical operation. The myoma getting abnormally larger may cause excessive bleeding or menstrual irregularity because of the pressure created on the front wall of uterus. Otherwise, it may cause constipation, as it causes pressure on the intestines. In such cases, it is required to excise the myoma that cause all these through surgical operation.

What is laparoscopic myomectomy?

Laparoscopic myomectomy is the name given to the laparoscopic resection of the myomas that get excessively larger and cause damage to the organs. More clearly, it the operation whereby the myomas located in the uterus are excised and the area is cleared of the myomas after incising the abdomen region and accessing the uterus and then, the region where the myomas are located by laparoscopic methods. Laparoscopic myomectomy method is a method which is not applied for each patient with myoma. This method is only applied to those myomas larger than 5 cm and those myomas which cause menstrual irregularity, thamuria or constipation, and show fast development and growth and pose the risk of abortion in case of infertilities or pregnancies.

What are the advantages of Laparoscopic myomectomy method?

It advantage over the other surgery methods, especially over the method called open surgery is that the healing process of the wound is shorter and faster as the incision is smaller by laparoscopic myomectomy. In addition, the infection risk will also be highly minimized because of the smaller wound, and again, as the stitches are smaller, there will be an aesthetically thinner an smaller surgery scar.


Does this method have risks?

Despite being advantageous, it can be said that it has the same risks with the open surgery. That’s the laparoscopy myomectomy method is so much risky as the method that we call open surgery. Although both are performed using different methods, each is a surgical operation and each surgical operation have a risk even if just a little. When comparing the advantages to the risks, it is concluded that laparoscopic myomectomy method is more useful. A smaller surgery scar because of shorter period of discharge from hospital or smaller stitch scars makes this method more useful and more preferable. While the treatment methods should be studied carefully and the best suitable treatment method for the patient should be chosen even for the treatment of any disease, especially in case of surgical operation, both the patient and also the physician should be more careful. Each treatment method may not be applicable for each patient. Laparoscopic myomectomy method is quite useful for many patients. It also produces very successful results. However, in addition to all these, there are also patients for whom it may be inconvenient to undergo surgical operation by this method. If the individual has more than 4 myomas or has such myomas around 9-10 cm, it is not preferable for the patients to undergo surgical operation by this method. Again, the people who give the final and most clear answer in this respect are the gynecologists specialized in this field.

How is the decision on surgical operation made?

The person who will make more clear decision on whether the patient is ready for such surgical operation following to an assessment that will be made according to the result of the analyses and test to be previously made is the gynecologist. Especially if the person with whom the patient has been in contact for a long time is a gynecologist, things will be easier on the part of that patient because having been examined by the same physician makes the physician know the patient better. This means that the gynecologist can make the healthiest decision possible for the patient. In this respect, it is highly important for the specialist to know other existing diseases in addition to the gynecological diseases.