A fibroid is a non-cancerous growth that forms in or around the womb. These growths are made of the same muscle tissue as the uterus itself. They can vary dramatically in size and number; some are as small as a pea, while others can grow to the size of a melon.
A woman might have a single fibroid or several at once. Depending on their size and location, they may not cause any symptoms at all, but they can just as easily lead to problems like pelvic pain, very heavy menstrual bleeding, and fertility issues.
What is a Laparoscopic Myomectomy?
Laparoscopic myomectomy is a type of keyhole surgery that removes fibroids while preserving the womb. This is a big deal, especially for those who wish to have children in the future. The surgeon makes several small incisions in the abdomen, through which they insert a camera and long, thin surgical instruments.
It’s important to remember that this isn’t an option for every single case. The suitability of this procedure depends on factors like the fibroids’ size, their number, and their exact position. Generally, fibroids that are less than 10 cm are good candidates for this type of removal.
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Preparation Before Surgery
A few weeks before your surgery, you’ll have a series of medical checks. These usually include blood tests and swabs to ensure you are fit for the procedure. Strongly advise that you stop smoking at least a day before surgery and for at least 48 hours afterward, as it can significantly slow down your body’s healing process.
It’s also a good idea to arrange for some support at home during your recovery. The hospital stay is typically short, lasting from 1 to 3 days, but full recovery can take around six weeks.
What Happens During Surgery?
Laparoscopic myomectomy is carried out under general anaesthesia, meaning the patient is asleep during the procedure. The surgeon places three to four small incisions in the abdomen, each approximately 1 cm in length. Through these cuts, the surgical instruments and a camera are inserted. The camera projects a live image onto a monitor, which guides the surgeon throughout the operation.
The fibroids are carefully removed by cutting into the womb, and the incision is then repaired with dissolvable stitches. In cases with larger fibroids, a device called a morcellator may be used to break them down into smaller pieces. This makes it much easier to remove them through those small incisions. Sometimes, a special bag is used to safely contain and remove the fibroid tissue.
The surgery itself usually takes 1 to 2 hours, though it can take longer depending on the number and size of the fibroids.
Benefits of the Procedure
The laparoscopic approach offers a number of clear benefits:
- Smaller incisions mean less pain after the operation.
- The risk of infection is reduced.
- There’s a lower risk of blood clots.
- Your hospital stay is shorter.
- Your recovery is faster compared to open surgery.
These advantages are what make laparoscopic myomectomy such a valuable option for so many patients seeking fibroid treatment.
Recovery and Aftercare: What You Need to Know
After the surgery, it’s normal to feel some pain or nausea. This can be managed with prescribed medication. We also encourage you to start moving lightly soon after the surgery to help prevent complications like blood clots or chest infections.
Advice to Follow After Surgery
Rest: You’ll feel tired, especially during the first couple of weeks. Make sure to gradually increase your daily activity.
Vaginal Bleeding: Some light discharge or bleeding may last for a week or two. Use sanitary pads, not tampons.
Stitches: The small cuts are usually sealed with dissolvable stitches or glue. It is important to keep them clean and dry.
Exercise: Gentle walks are good to start with. Activities like swimming or cycling are generally okay after 4–6 weeks.
Diet: A fiber-rich diet and plenty of fluids can help prevent constipation.
Returning to Work: Most patients can go back to work within 4-6 weeks, depending on the job.
Driving: You can usually resume driving after 4–6 weeks, once you feel fully attentive and physically capable.
Housework: Only light activities are recommended for the first two weeks; you can gradually increase this as your recovery progresses.
A Positive Step Forward After Laparoscopic Myomectomy
Patients can usually resume normal activities sooner. Although new fibroids may develop over time, this procedure provides clear symptom relief and helps maintain overall health and well-being.
