Fibroids removal / Myomectomy

Uterine fibroids are benign tumors that result from abnormal growth of cells in the uterine muscle. Hormonal disorders and genetic tendencies contribute to their formation. In the first phase of growth, uterine fibroids do not have to cause any discomfort, so without careful examination they are often impossible to recognize, and a thorough diagnosis is necessary. Without proper diagnosis and treatment, fibroids can develop into a malignant tumor – sarcoma. That is why it is so important to undergo surgery to remove uterine fibroids. The type of surgery and the method of removal of fibroids depends on many factors and is consulted with the surgeon prior to surgery.

  • Laparoscopic myomectomy (fibroid removal up to 10 cm)
  • Laparoscopic myomectomy (fibroid removal above 10 cm)

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Treatment of fibroids

The basic and only effective treatment of fibroids is their removal with histopathological examination. Sometimes it may be preceded by pharmacological treatment in order to reduce the volume of the fibroids and reduce their blood supply. Operative hysteroscopy or laparoscopic surgeries require not only specialized equipment and a properly prepared operating room, but above all an experienced and trained operating team.

Please inform your doctor about all medications you are taking and about any ailments during the medical consultation. All required tests should be performed as prescribed by your doctor prior to surgery. Before surgery hysteroscopy, hormone treatment is usually used for 2 to 4 weeks to reduce the thickness of the uterine walls and / or to reduce the volume of the myoma. In addition, a cytological examination and vaginal cleanliness test are performed before the procedure – afterwards, the doctor may recommend the use of vaginal globules for several days before the procedure in order to reduce bacteriological contamination of the vagina. Operative hysteroscopy is performed at the beginning of the cycle, but after the menstrual bleeding has stopped.

After most of the more complicated hysteroscopic surgeries, the patient can return home 2 hours after the end of the procedure and usually returns to almost full activity within 1-3 days. For 4-6 weeks, you should not lift objects weighing more than 5 kg and do not perform exercises that require stretching the abdominal wall. After the operative hysteroscopy and laparoscopic operations, it is forbidden to perform heavy physical work for 1-2 weeks. You should follow an easily digestible diet after the procedure to reduce the possibility of pain after the procedure.

People struggling with comorbidities or other health problems must inform the doctor about it during the first qualifying consultation. Before the procedure, perform all examinations as recommended by your doctor and follow all recommendations before and after the procedure. Due to the recommendation of hormone therapy, it is necessary to inform the doctor about the drugs used, especially hormonal ones, before the procedure.

Contraindications for surgery:

  • inflammation of the genital organs (or recently healed)
  • heavy bleeding or bleeding from the uterus
  • pregnancy
  • cervical cancer
  • damage to the uterine wall
  • infection
  • genital infections
About the procedure

Treatment of fibroids

The basic and only effective treatment of fibroids is their removal with histopathological examination. Sometimes it may be preceded by pharmacological treatment in order to reduce the volume of the fibroids and reduce their blood supply. Operative hysteroscopy or laparoscopic surgeries require not only specialized equipment and a properly prepared operating room, but above all an experienced and trained operating team.

Preparation

Please inform your doctor about all medications you are taking and about any ailments during the medical consultation. All required tests should be performed as prescribed by your doctor prior to surgery. Before surgery hysteroscopy, hormone treatment is usually used for 2 to 4 weeks to reduce the thickness of the uterine walls and / or to reduce the volume of the myoma. In addition, a cytological examination and vaginal cleanliness test are performed before the procedure – afterwards, the doctor may recommend the use of vaginal globules for several days before the procedure in order to reduce bacteriological contamination of the vagina. Operative hysteroscopy is performed at the beginning of the cycle, but after the menstrual bleeding has stopped.

Convalescence

After most of the more complicated hysteroscopic surgeries, the patient can return home 2 hours after the end of the procedure and usually returns to almost full activity within 1-3 days. For 4-6 weeks, you should not lift objects weighing more than 5 kg and do not perform exercises that require stretching the abdominal wall. After the operative hysteroscopy and laparoscopic operations, it is forbidden to perform heavy physical work for 1-2 weeks. You should follow an easily digestible diet after the procedure to reduce the possibility of pain after the procedure.

Precautions

People struggling with comorbidities or other health problems must inform the doctor about it during the first qualifying consultation. Before the procedure, perform all examinations as recommended by your doctor and follow all recommendations before and after the procedure. Due to the recommendation of hormone therapy, it is necessary to inform the doctor about the drugs used, especially hormonal ones, before the procedure.

Contraindications for surgery:

  • inflammation of the genital organs (or recently healed)
  • heavy bleeding or bleeding from the uterus
  • pregnancy
  • cervical cancer
  • damage to the uterine wall
  • infection
  • genital infections

MINIMALLY INVASIVE GYNECOLOGY

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