Minimally Invasive (Laparoscopic) Fibroids Treatment - Uterine Fibroids Surgery at World Class Hospitals in India
What are fibroids?
Fibroid is a non-cancerous (benign) tumors that grow from the muscle layers of the uterus (womb). They are also known as uterine fibroids, myomas, or fibromyomas. The singular of uterine fibroids is Uterine Fibroma. Fibroids are growths of smooth muscle and fibrous tissue. Fibroids can vary in size, from that of a bean to as large as a melon.
What are the types of fibroid?
There are four types of Fibroid:
Intramural: These are located in the wall of the uterus. These are the most common types of fibroids.
Subserosal fibroids: These are located outside the wall of the uterus. They can develop into pedunculated fibroids (stalks). Subserosal fibroids can become quite large.
Submucosal fibroids: These are located in the muscle beneath the lining of the uterus wall.
Cervical fibroids: These are located in the neck of the womb (the cervix).
What are the causes of Uterine fibroids?
A fibroid starts as a single muscle cell in the uterus. For reasons that are not known, this cell changes into a fibroid tumor cell and starts to grow and multiply. Heredity may be a factor. It is thought that a muscle cell in the uterus may be "programmed" from birth to develop into a fibroid sometime perhaps many years after puberty (the start of menstrual periods). After puberty, the ovaries produce more hormones, especially estrogen. Higher levels of these hormones may help fibroids to grow, although exactly how this might happen is not understood.
What are the symptoms of Uterine fibroids?
The symptoms of fibroids may include:
Heavy Vaginal Bleeding :
Excessively heavy or prolonged menstrual bleeding is a common symptom. Women describe soaking through sanitary protection in less than an hour, passing blood clots and being unable to leave the house during the heaviest day of flow.
Pelvic Discomfort :
Women with large fibroids may feel heaviness or pressure in their lower abdomen or pelvis. Often this is described as a vague discomfort rather than a sharp pain. Sometimes, the enlarged uterus makes it difficult to lie face down, bend over or exercise without discomfort.
Pelvic Pain :
A less common symptom is acute, severe pain. This occurs when a fibroid goes through a process called degeneration. Usually, the pain is localized to a specific spot and improves on its own within two to four weeks. Using a pain reliever, such as ibuprofen, can decrease the pain significantly.
Bladder Problems :
The most common bladder symptom needs to urinate frequently. A woman may wake up several times during the night to empty her bladder. Occasionally, women are unable to urinate despite a full bladder.
Low Back Pain :
Rarely, fibroids press against the muscles and nerves of the lower back and cause back pain. A large fibroid on the back surface of the uterus is more likely to cause back pain than a small fibroid within the uterine wall. Because back pain is so common, it is important to look for other causes of the pain before attributing it to fibroids.
Rectal Pressure :
Fibroids also can press against the rectum and cause a sensation of rectal fullness, difficulty having a bowel movement or pain with bowel movements. Sometimes, fibroids can lead to the development of a hemorrhoid.
Discomfort or Pain with Sexual Intercourse :
Fibroids can make sexual intercourse painful or uncomfortable. The pain may occur only in specific positions or during certain times of the menstrual cycle. Discomfort during intercourse is a significant issue. If your doctor doesn't ask you about this symptom, make sure you mention it.
How are fibroids diagnosed?
In most cases, the symptoms of fibroids are rarely felt and the patient does not know she has them. They are usually discovered during a vaginal examination. The following are the tests conducted for the diagnosis of fibroids.
What Problems do Fibroids Cause?
Fibroids and Infertility, Miscarriage
1. Usually, the submucus fibroids cause repeated miscarriages.
2. Large intramural fibroids may be the cause of longstanding infertility if all other causes have been excluded.
Laparoscopic (Minimally Invasive) Fibroids Treatment - Uterine Fibroids Surgery at World Class Hospitals in India Surgical Treatment:
- The treatment for removing the fibroids from the uterine muscle is known as MYOMECTOMY.
- It is a specialized operation where the uterus is preserved for future fertility and only fibroids are removed.
- This operation is traditionally done through a LAPAROTOMY via a 'bikini' or 'up and down' incision.
- When the fibroids are less than 5 and less than 18 weeks size LAPAROSCOPIC myomectomy can be performed.
Laparoscopic Myomectomy (Keyhole, Minimally Invasive procedure to remove fibroids)
Myomectomy is the most suitable surgery option for women who have fibroids but wish to retain their uterus.
Laparoscopic Myomectomy : The advantage of this is that patients can go home the same or next day and be back to work in 1-2 weeks.
We use laser, harmonic scalpel, knife or electro surgery to remove the fibroids. The skill of the surgeon is paramount to results.
Minilap Myomectomy : This is another technique pioneered at our center where large multiple (up to 24 weeks) can be removed through a 2-inch bikini incision.
Patients can go home the next day after surgery.
Hysteroscopic Myomectomy : Submucus fibroids are removed by inserting a hysteroscope (small camera passed through the Vagina) and an electrical loop is used to remove the protruding part. This is rapid and effective surgery without the need of laparoscopy.
Estrogen is used after surgery to promote uterine lining re growth.
Total Laparoscopic Hysterectomy: When the family is complete and patient has a symptomatic fibroid, the whole Uterus is removed via only four small holes in the tummy using laparoscopic technique.
Laparoscopic Myomectomy has many advantages over the abdominal (open) approach:-
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