Uterine Preserving Myoma Surgery

Uterine-sparing myoma surgeryIt is generally applied by doctors as a result of complaints caused by myomas. Myomas are cysts, or tumors, that are frequently encountered in the pelvic area of ​​women. Myomas are benign tumors found in the smooth muscle cells that make up the uterus.

Common complaints of people with fibroids can be listed as follows;

• abnormal vaginal bleeding
• Frequent urination due to pressure on the bladder, difficulty urinating, urinary incontinence,
• Change in menstrual amount and disruption of normal periods
• groin pain,
• Pain during sexual intercourse,
• Pregnancy-related problems
• Constipation and difficulty in defecation due to pressure in the large intestine,

In all these casesuterine-sparing myoma surgeryis implemented. Uterine-sparing myoma surgery is the surgical removal of benign tumors growing in the uterus, called myomas. This surgery is considered an alternative that preserves women's ability to reproduce by preserving their uterus. However, it may not be possible in all cases and other treatment options should be considered.

Myoma Treatment

When many people experience myoma problems, they wonder whether this problem can be treated with medication. At this point, the myoma problem cannot be effectively treated with medication, and the most commonly used method is myomectomy, that is, surgical removal of the myoma.

When planning gynecological surgery, complaints, examination findings, imaging results and the patient's pregnancy expectation should be evaluated together [1][3].

In some cases, myomectomy method is performed with laparoscopic surgery. Laparoscopic myomectomy surgery is generally recommended by doctors to reduce adhesions in the abdomen and also to reduce postoperative pain. Myomectomy techniques used in the treatment of myoma are as follows;

• Laparoscopic myomectomy
• Abdominal myomectomy
• Hysteroscopic myomectomy

More comprehensive informationmyoma treatmentYou can review it on our page.

Laparoscopic Myomectomy

Closed myoma surgeryIt is a surgical method used to remove fibroids located on the inner surface of the uterus. This surgery is usually performed laparoscopically and is called "closed" because the uterus is not punctured.

Minimally invasive approaches may not be suitable for every patient; The decision to operate should be made according to the type of disease, its extent, and the goals of surgery [1][2].

In this method, 3-4 small incisions are made for surgery and the uterus is entered with a laparoscope. Myomas are removed and the lining of the uterus is repaired. This surgery is generally less traumatic and results in a faster recovery time.

Abdominal Myomectomy

Abdominal myomectomyIt is usually done by the abdominal method and the uterus must be opened with a large incision. This method is the oldest method used during myomectomy surgery. This surgery, known as a classical surgical operation, can provide more effective results in some cases. Especially in case of removal of large myomas or if uterine cancer is suspected.

Preoperative preparation should take into account the risk of bleeding, risk of infection, medications used, and anesthesia evaluation [2][3].

Abdominal myomectomy is generally more severe and requires a longer recovery period than closed myomectomy.

Hysteroscopic Myomectomy

It is used to remove myomas located on the inner surface of the uterus.hysteroscopic myomectomy, the uterus is entered with a hysteroscope and the fibroids are removed.

Postoperative follow-up; It should be planned in terms of pain, fever, bleeding, wound healing and the process of returning to daily life [1].

Hysteroscopic myomectomy, one of the closed surgical methods, is performed without puncturing the uterus.

Hysteroscopic myomectomy is generally used to remove small or medium-sized myomas and is often performed in conjunction with laparoscopic myomectomy. However, in some cases, it cannot be used because the fibroids are too large.

How Many Hours Does Uterine Myoma Surgery Take?

How many hours does uterine myoma surgery take?This question is among the topics that people are generally curious about before the procedure. The duration of uterine myoma surgery may vary depending on its size, number and location. It usually takes between 2 and 4 hours. However, large fibroids may take longer to remove. Additionally, the method in which the surgery will be performed may also affect the duration. For example, surgeries performed using the laparoscopic method generally take less time.

Benefits of Laparoscopic Myomectomy Treatment

Comments of those who had myoma surgeryWhen examined, the laparoscopic method is the most preferred method among the techniques applied in these surgeries and is generally among the methods that the people who will undergo the procedure are most satisfied with.

Laparoscopic myomectomy is a treatment based on the removal of myomas by laparoscopic method.Benefits of laparoscopic myomectomy treatmentIt is generally used to remove large fibroids.

10 cm myoma surgeryIt is mostly carried out using this technique. It results in fewer wounds, shorter recovery time and less pain than open surgery. Additionally, because there is less damage to the uterine tissue, it does not affect your chances of future pregnancy.

Things to Consider After Laparoscopic Myomectomy

Complaints after myoma surgeryIt usually occurs as a result of not paying attention to some important points that should be taken into consideration after the laparoscopic myomectomy procedure. Generally, even if the process is completed well, ignoring some important elements causes various problems to occur. Some points to consider after laparoscopic myomectomy are:

• Recovery time: Recovery time after laparoscopic myomectomy is usually 2-4 weeks. Pain, swelling and bruising are normal during this period.
• Pain control: You should use prescribed painkillers for pain control after the procedure.
• Physical activity: It is necessary to limit physical activities for 2-4 weeks after the procedure.
• Urinary tract infections: there is a risk of urinary tract infections after the procedure. Therefore, it is important to clean your urinary tract frequently and follow your doctor's recommendations to prevent urinary tract infections.
• Pregnancy: Your chances of pregnancy may return to normal after laparoscopic myomectomy. However, you should wait until you have recovered before planning to become pregnant by talking to your doctor.
• Follow-up checks: it is important to carry out follow-up checks after the transaction. During these checks, your doctor checks whether the fibroids reoccur and your recovery.

References

• [1] ACOG - Clinical Guidance: Gynecology- Clinical guide archive for gynecological surgery and women's health practices.
• [2] RCOG - Patient information- Resource archive for gynecological diseases, surgeries and patient information.
• [3] NICE - Conditions and diseases: Gynaecology- Guidelines for the evaluation and treatment of gynecological diseases.