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Doctor insights on: Laparoscopic Myomectomy Surgery

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Dr. Ihab Ibrahim
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Myomectomy (Definition)

A myomectomy is the procedure when fibroids are removed and the uterus remains. Myomectomies can be done in a variety of ways, depending on the location of the fibroids. Fiboids in the uterine cavity can often be removed hysteroscopically, with no abdominal incision. Depending on size and location, myomectomies can be done laparoscopicaaly, ...Read more


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Hi doctors, was just wondering what is a laparoscopic myomectomy surgery?

Hi doctors, was just wondering what is a laparoscopic myomectomy surgery?

Removal of fibroid: Laparoscopic myomectomy refers to a minimally invasive approach to removal of fibroids and uterine preservation. Generally it requires 3-4 small incisions around your belly button. Recovery is quicker and studies demonstrate efficacy and safety similar to traditional open surgery. ...Read more

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Can laparoscopic myomectomy (traditional or robotic) be done under regional anesthesia? I read it's possible but some drs insist it needs general.

Can laparoscopic myomectomy (traditional or robotic) be done under regional anesthesia? I read it's possible but some drs insist it needs general.

Comfort & Safety: Are key. Surgery involves traction on internal organs that may produce discomfort high up in the abdomen. A regional anesthetic that extends high enough to assure your comfort may also create breathing difficulties for you. Also, the co2 in your abdomen that facilitates surgery may further compromise your breathing. So, most surgeons/anesthesiologists will prefer ga for this procedure. No worries! ...Read more

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Does my OBGYN need an assistant surgeon for regular (non robotic) laparoscopic myomectomy?

Typically one: When doing laparoscopic surgery an assistant is sometimes needed to act as a "third hand" especially when using multiple ports for instruments in certain procedures. The assistant need not be another physician but may be a member of the surgery staff or in a teaching institution, a resident. ...Read more

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I think I'm too young to have a hysterectomy, but I have heavy bleeding and fibroids. What is the difference between a robotic laparoscopic myomectomy and a robotic hysterectomy?

I think I'm too young to have a hysterectomy, but I have heavy bleeding and fibroids. What is the difference between a robotic laparoscopic myomectomy and a robotic hysterectomy?

Pregnancy?: This presentation is common in women with fibroids. Future pregnancy is a consideration which may lead to a recommendation for myomectomy where the fibroids are removed leaving the uterus intact. If pregnancy is not desired, the options include medical therapy, myomectomy or for definitive treatment, hysterectomy where the uterus is removed. Robotc surgery offers shorter recovery, less blood loss. ...Read more

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What would IVF success rates be for a 37 yr old after previous laparoscopic myomectomy and ectopic pregnancy with resulting salpingectomy?

What would IVF success rates be for a 37 yr old after previous laparoscopic myomectomy and ectopic pregnancy with resulting salpingectomy?

Should not matter: Your previous surgeries should not be a factor in an ivf cycle. Success will depend on the experience of the clinic, the skill of the embryologist, quality of the ivf lab and to some extend, whether you are "reproductively young or reproductively old". At 37, you should still have good success rates at an experienced and successful ivf clinic. Good luck. ...Read more

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Doctor advised a myomectomy. Does that mean a laparoscopic surgery isn't an option?

Doctor advised a myomectomy. Does that mean a laparoscopic surgery isn't an option?

Now preferd way: Speak to your doctor, more and more are opting for laparoscopic myomectomy rather than open surgery, speak to your surgeon You have an option for open surgery also. ...Read more

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What's the recovery time for myomectomy fibroid surgery?

Fibroid surgery: Recovery depends on approach of surgery
(minimally invasive, laparoscopy) or open cut. It as well depends on size and number of fibroids.
Recovery may be from 2 to 6 weeks depending on above. ...Read more

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Just wondering if my myomectomy scar will disappear. It's been 3 weeks since I had the surgery?

Just wondering if my myomectomy scar will disappear. It's been 3 weeks since I had the surgery?

It will get better: Most scars will fade significantly. Usually a scar is the thickest and most obvious around six weeks after an operation but that is a general estimate. Scars generally fade with time but they are always there. Sometimes they fade to almost nothing. If you are unsatisfied, there are treatments for scars. See a plastic surgeon for more alternatives. ...Read more

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When can I start to run again after myomectomy surgery?

Depends...: This is a good question for your surgeon as it depends on how the myomectomy was done. Was it done by Laparoscopy? Laparotomy? Hysteroscopy? If it was done by hysteroscopy, the restrictions are only for a few days. For Laparotomy, you could be restricted as long as 6 weeks. Laparoscopy would be somewhere in-between. Ask your surgeon. Best wishes! ...Read more

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What is o.R. Permit? I was told to sign paper before myomectomy surgery.

Consent form: I believe they are referring to consent document which you sign to verify that your surgeon reviewed the disease process, treatment options, description of the procedure and risks of procedure. ...Read more

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19th Aug will be a month I had myomectomy. When is it likely I start menstruating? I am. Worried because I started active sex four days after surgery.

Post myomectomy: If you are not on medication such as Lupron, (leuprolide) your period should come at its usual time. Usually after myomectomy, pelvic rest is recommends for about 4-6 weeks. ...Read more

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Can a bikin myomectomy surgery be performed with this measurement 9.2x8.4x11.4cm and 2 small fibroids 5.5?

Yes: A lower abdominal bikini incision can be performed. Laparoscopic myomectomy too can be performed avoiding the larger cut and a long stay in the hospital. Talk to your md about the possibility. ...Read more

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For gyn dr.'s. When is the best time to do myomectomy surgery? For example month, season and what time, day, evening or noon? Thanks

No right answer: This is a fairly uncomplicated and straightforward surgery. I don't think any doctor will tell you that a time of month or season is better than any other. If you are bleeding or trying to conceive or are just plain tired of fibroids, the best time is asap! ...Read more

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When can I start working out after my open myomectomy?? I'm 23 and my surgery was on the 10th of July. How strenuous can my workouts be?

When can I start working out after my open myomectomy?? I'm 23 and my surgery was on the 10th of July. How strenuous can my workouts be?

Ok to resume activit: Most physicians recommend 4-6 weeks for full recovery after which you can resume activities including exercises. I think you are safe to resume your exercises. Listen to your body, if something doesn't feel right, slow down or stop. If it persists, see your doctor.
best wishes
Dr M ...Read more

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When can I start working out after my open myomectomy?? I'm 23 and my surgery was on the 10th of July. How strenuous can my workouts be?

When can I start working out after my open myomectomy?? I'm 23 and my surgery was on the 10th of July. How strenuous can my workouts be?

Surgeon: Your healing should be solid enough to exercise fully by now, but just to be on the safe side, call the SURGEON who performed your procedure as he/she would be best qualified to advise you. ...Read more

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I had my myomectomy surgery one month ago when should I get my period?

I had my myomectomy surgery one month ago when should I get my period?

Soon: A big surgery like myomectomy can throw off your periods for 4-8 weeks. Give it a little more time, but if it doesn't come you need to see your gyn that did the surgery. ...Read more

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How do I prepare for a myomectomy surgery? In terms of blood (hb), shrinking fibroids.

How do I prepare for a myomectomy surgery? In terms of blood (hb), shrinking fibroids.

Surgery blood loss: Although myomectomy has the potential to lose significant amounts of blood, most do not. Usually, the patient's are already anemic from earlier heavy menstrual periods and on supplemental iron rx. In a competent surgeon's hands, blood loss is usually less than 500 cc's and does not require transfusion but you need to follow your surgeon's pre-operative instructions. ...Read more

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Does a myomectomy change the dynamics of period? I had no discharge at all after surgery. My cycle began 2 days later and lasted 2 days instead of 5.

Sometimes: Your surgery with myomectomy depended either it involved as sub-mucous fibroid likely to affected your period for sometimes especially if have more then one or two removed. Generally serous or pendulous fibroids less likely to affect your periods unless you are affected by general factors for surgery overall eg anesthesia, medicines and stress etc. Watch for 3 months will be a good rule to assess ...Read more

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My Dr did a HSG before & after my myomectomy (same day) then was told my tubes are closed is this just swelling because of surgery or serious issue?

My Dr did a HSG before & after my myomectomy (same day) then was told my tubes are closed is this just swelling because of surgery or serious issue?

Can't say: This could be either. It depends in part on whether they were blocked before the procedure or only after. Discuss this with your doctor. ...Read more

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