What is the best surgery for fibroids?

A myomectomy is an operation to remove fibroids while preserving the uterus. For women who have fibroid symptoms and want to have children in the future, myomectomy is the best treatment option. Myomectomy is very effective, but fibroids can re-grow.

Which is better laparoscopy or open surgery for fibroids?

Despite a longer procedural time, laparoscopic myomectomy achieves superior results compared to open myomectomy when treating uterine fibroids, according to a literature search and meta-analysis in the journal Laparoscopic, Endoscopic and Robotic Surgery.

What size of fibroid requires surgery?

Most experts believe that about 9-10 centimeters (about 4 inches) diameter is the largest size fibroid that should be removed laparoscopically.

What are the different types of myomectomy?

Types of Myectomy
  • Abdominal myomectomy.
  • Hysteroscopic myomectomy.
  • Laparoscopic myomectomy.
  • Robotic myomectomy.

Which is more painful laparoscopic or open surgery?

Only one item in the IPO questionnaire showed a significant difference between laparoscopic and open surgery. The patients from the laparoscopic group scored minimum pain at a higher level than the open surgery group ( ) (Table 2).

Which is safer laparoscopy or open surgery?

Conclusions: Laparoscopic surgery has demonstrably better quality-of-life outcomes than open surgery for cholecystectomy, splenectomy, and esophageal surgery. However, open hernioplasty has at least as good, if not better, health status outcomes than laparoscopic repair.

What type of myomectomy is best for a large fibroid?

Only certain fibroids can be removed by a laparoscopic myomectomy. If the fibroids are large, numerous or deeply embedded in the uterus, then an abdominal myomectomy may be necessary. Also, sometimes during the operation it is necessary to switch from a laparoscopic myomectomy to an abdominal myomectomy.

How many hours is myomectomy surgery?

Laparoscopic myomectomy can take two to four hours, based on the number of fibroids and their size. You can go home the same day or spend a night in the hospital, depending on how you feel after the procedure. Overall recovery is about two to four weeks.

What are the side effects of myomectomy?

Risks of myomectomy include:
  • Excessive blood loss. …
  • Scar tissue. …
  • Pregnancy or childbirth complications. …
  • Rare chance of hysterectomy. …
  • Rare chance of spreading a cancerous tumor.

Which operation is better for uterus removal?

The American Congress of Obstetricians and Gynecologists (ACOG) says the safest, least invasive and most cost-effective way to remove a uterus for non-cancerous reasons is a vaginal hysterectomy, rather than laparoscopic or open surgery.

What type of myomectomy is best for a large fibroid?

Only certain fibroids can be removed by a laparoscopic myomectomy. If the fibroids are large, numerous or deeply embedded in the uterus, then an abdominal myomectomy may be necessary. Also, sometimes during the operation it is necessary to switch from a laparoscopic myomectomy to an abdominal myomectomy.

Which surgery is best to remove uterus?

Vaginal hysterectomy is a surgical procedure to remove the uterus through the vagina. During a vaginal hysterectomy, the surgeon detaches the uterus from the ovaries, fallopian tubes and upper vagina, as well as from the blood vessels and connective tissue that support it, before removing the uterus.

Who is a good candidate for laparoscopic myomectomy?

Who is a good candidate for the surgery? The fertility sparing qualities of myomectomy make it an excellent option for women experiencing fibroid-related infertility or women seeking fibroid symptom relief who plan to become pregnant later in life.

How many hours is myomectomy surgery?

Laparoscopic myomectomy can take two to four hours, based on the number of fibroids and their size. You can go home the same day or spend a night in the hospital, depending on how you feel after the procedure. Overall recovery is about two to four weeks.

What are the side effects of myomectomy?

Risks of myomectomy include:
  • Excessive blood loss. …
  • Scar tissue. …
  • Pregnancy or childbirth complications. …
  • Rare chance of hysterectomy. …
  • Rare chance of spreading a cancerous tumor.