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Doctor insights on: Surgery For Fibroid Tumors

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Transsphenoidal surgery or craniotomy for pituitary adenoma?

Transsphenoidal surgery or craniotomy for pituitary adenoma?

First Option: Transsphenoidal approach has become the surgery of choice for pituitary adenomas. ...Read more

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Dr. Evan Altman
9 doctors shared insights

Fibroids (Definition)

Uterine fibroids are the most common pelvic tumor in women. 1 of every 3 women of child-bearing age have these tumors and up to 80% of african-american women have fibroids. They are often asymptomatic but they can also cause significant symptoms. It is the most common cause of heavy menstrual bleeding. Pelvic pain and increased urinary frequency ...Read more


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Is abdominal myomectomy an effective treatment for uterine fibroid tumors?

Is abdominal myomectomy an effective treatment for uterine fibroid tumors?

No: I would highly recommend removing them laparoscopically (minimally invasive approach). Although this method is more difficult to perform, for the patients, there will be great benefit (cosmetically small pleasing scars, 2 week recovery, less pain, quicker return to work). Please do your homework and find a skilled laparoscopic surgeon. The differences are night and day! ...Read more

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A recent scan shows I have ovarian cyst and fibroid tumors. Can one surgical procedure take care of the cyst and fibroid tumors?

A recent scan shows I have ovarian cyst and fibroid tumors. Can one surgical procedure take care of the cyst and fibroid tumors?

Yes: A laparoscopic procedure could likely take care of both procedures, depending on size and location of fibroid, in addition to skill of surgeon. Otherwise, they could also make a cut in the abdomen, like for a cesarean, and remove both as well that way. Again, all of this depends on the size and location of the cyst and fibroid. If the fibroid is in uterine lining, then a hysteroscopy better. ...Read more

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Are there new brain tumor surgery options, like robotic surgery or radiation surgery, etc..?

Are there new brain tumor surgery options, like robotic surgery or radiation surgery, etc..?

Gamma knife: One of the not so new options is the use of gamma knife. Multiple sources of radiation are focused on the lesion, thus minimizing the damage to surrounding normal tissues. ...Read more

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Which is better: transsphenoidal surgery or craniotomy for pituitary macroadenoma?

Which is better: transsphenoidal surgery or craniotomy for pituitary macroadenoma?

Depends: Transsphenoidal approach has been standard for years as it avoids brain retraction and optic nerve manipulation. In larger tumors with more of a suprasellar location (think in the brain), a craniotomy is occasionally required to reach the whole tumor. ...Read more

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Is surgery necessary for gallbladder polyps?

Is surgery necessary for gallbladder polyps?

Size matters: Larger polyps over 1 cm in size should be considered for surgery. Also depends if there any abdominal symptoms, realizing that surgery only for tiny poylps may not result in much symptom relief either. ...Read more

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Is surgery needed for gallbladder polyps?

Is surgery needed for gallbladder polyps?

Depends on size: Depends on the size of the polyps on ultrasound. Discuss with your doctor. ...Read more

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Is brain cancer surgery a routine operation for neurosurgeons?

Is brain cancer surgery a routine operation for neurosurgeons?

No: Some neurosurgeons are very experienced in the surgery of a brain tumor and some are not. You as the patient need to know this in advance of having that surgeon work on you for treatment of a brain tumor. ...Read more

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Which is better for pituitary macroadenoma: transsphenoidal surgery or craniotomy?

Which is better for pituitary macroadenoma: transsphenoidal surgery or craniotomy?

Depends: Assuming it is an operative mass: this really depends on what the tumor looks like on imaging. Most of these masses can be done via transphenoidal approach with microscope or endoscope. Rarely it gets so large and if the patients medical condition is ok can be done via combined transphenoidal and craniotomy. Patients recover from transphenoidal surgery more quickly than craniotomy. ...Read more

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Subsequent to surgery for removing an ovarian cyst, endometorioma?

Subsequent to surgery for removing an ovarian cyst, endometorioma?

Unrelated: If you are having continued symptoms after ovarian cyst removal you should see your surgeon. Another cyst may have developed. ...Read more

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Hysteroscopic resection of fibroids removal for pregnancy. Does it improve fertility after removal of small or large uterine fiborids? in all women.

Hysteroscopic resection of fibroids removal for pregnancy.  Does it improve fertility after removal of small or large uterine fiborids? in all women.

Depends on location: if the fibroids is significantly distorting the endometrial cavity, it will be of benefit (assuming all other factors are normal). Fibroids outside of the endometrial cavity or that are pedunculated, may not reduce your chances of getting pregnant and may not be neccessary to remove them. Speak to your GYN who can discuss this further with you . Best wishes ...Read more

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Can a breast tumor be removed in outpatient surgery center?

Can a breast tumor be removed in outpatient surgery center?

Yes: Most breast conserving surgery can be done as an outpatient. Most mastectomy patients with no reconstruction or an implant/expander reconstruction, stay overnight and can go home the next day. With a tissue reconstruction, there is usually a 2-3 day hospital stay. ...Read more

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Are there alternatives to surgical removal for complex ovarian cysts?

Are there alternatives to surgical removal for complex ovarian cysts?

See below: Treatment of ovarian cysts depend on size, symptoms and appearance on ultraound. Options include watchful waiting, birth control pills or surgery. Your doctor may recommend surgery if the cyst does not appear as a functional cyst (in this case a complex cyst) or if it has been growign or persisting over a few menstrual cycles or cause significant pain or other symptoms. ...Read more

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Is pituitary tumor surgery risky?

Is pituitary tumor surgery risky?

Yes: Yes. This gland sits in a bony bowl behind and between the eye balls. Find a specialized center and a neurosurgeon that treats these commonly. ...Read more

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Is radiation be used to treat uterine cancer? After a hysterectomy, will i still need radiation treatments for uterine cancer? .

Is radiation be used to treat uterine cancer? After a hysterectomy, will i still need radiation treatments for uterine cancer?

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Possible: You should discuss with your oncologist and gynecologist but what steps are required after hysterectomy depend on how advanced the cancer is when it is discovered. If it is confined to the uterus often a hysterectomy is all that is needed. If it is spread outside the uterus other treatments may be needed. ...Read more

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What are the ovarian cyst removal surgery risks?

What are the ovarian cyst removal surgery risks?

Many but rare: Surgery for an ovarian cyst today is very safe and complications are rare. As with any operation risks related to ansthesia, blood loss, damage to surrounding structures and infection do happen -but are uncommon. Some loss of ovarian tissue is common but usually not consequential. ...Read more

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Can a breast tumor be removed in outpatient surgery?

Can a breast tumor be removed in outpatient surgery?

Yes: First a biopsy should be performed using a needle. Once a diagnosis is made, either benign or cancerous, surgery can be performed at a hospital or outpatient surgery center. You doctor will determine the appropriate place. ...Read more

Dr. Craig Lum Dr. Lum
1 doctor agreed:
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27 yrs old unmarried.Recently, laparoscopic surgery done (removing large 8cm uterus fibroid).After surgery, how many days bleeding goes on?

Dr. Craig Lum Dr. Lum
1 doctor agreed:
27 yrs old unmarried.Recently, laparoscopic surgery done (removing large 8cm uterus fibroid).After surgery, how many days bleeding goes on?

Bleeding(answer 1): First of all and probably most important is where exactly is the bleeding at? Next is for how long has the bleeding been taking place? Then, how much bleeding is there? If it is at the skin incisions, for just a day, and just spots of blood on your dressing, then I wouldn't worry too much. Just keep your routine follow up appointment. If it is from your vagina or skin incision, for just a day or ...Read more

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I'm scheduled for robotic total hysterectomy with pelvic lymph node dissection for uterine cancer. What;s the recovery time?

I'm scheduled for robotic total hysterectomy with pelvic lymph node dissection for uterine cancer.  What;s the recovery time?

Quick : Robotic surgery allows rapid recovery. You will need to confirm the plan with your surgeon. Most likely you will stay overnight in the hospital. People usually take 2-6 weeks before returning to work ...Read more

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Had midfoot fusion surgery in june w/ complications. Should this be considered in my options of lupron (leuprolide) vs surgery for possible endometriosis.?

Had midfoot fusion surgery in june w/ complications. Should this be considered in my options of lupron (leuprolide) vs surgery for possible endometriosis.?

Your question makes-: -no sense. Lupron (leuprolide) is used 2 Rx endometriosis. What does a hind foot fusion have 2 do with the rest of your question? One is orthopedic & the other is GYNECOLOGY. I see no relationship between them. Please try again. ...Read more

Dr. Tiffanie Noonan
3 doctors shared insights

Fibroid (Definition)

A leiomyomata(fibroid) is a smooth muscle growth in the uterus that is rubbery, binds the female hormone estrogen and can grow to "epic" proportions causing distortion of the uterus. They cause bleeding, and burning pain( aka "fireball tumor") as ...Read more