Laparoscopic myomectomy

Laparoscopic myomectomy is a removal of the myomatous node by means of laparoscope with little (or no) trauma to the uterus. Usage of the endoscopic technology of new generation makes the operation relatively painless and bloodless. 

Uterine fibroid is a disease characteristic to women of reproductive age (35-50 years) and is a result of hormonal changes. The neoplasm occurs due to the proliferation of smooth muscle tissues (fibroids), their mutated cells (leiomyoma) or connective tissues (fibromyoma) and is considered benign.

Many women do not realize that they have pathology of this kind, because the process can be asymptomatic. Therefore fibroids are often detected during preventive examinations by a gynecologist. Signs of fibroids can be an increased size of the uterus, the presence of seals on its surface, discomfort in the lower abdomen (pressure, pain), severe menstrual bleeding.

A preliminary diagnosis the gynecologist makes during the first visit after examination, palpation and medical history taking. 

In the course of inquiries the following facts and conditions are established:

• complaints about health condition;

• the nature of the menstrual cycle;

• gynecological diseases;

• surgeries;

• pregnancy;

• hereditary background. 

The diagnosis of "fibroids" is confirmed by ultrasound and tests. Only after that the doctor determines the appropriate method of treatment.

Removal of cervical fibroids in the clinic "Oxford Medical Kiev" is carried out by laparoscopic method, in which access to the tumor is obtained through small incisions (punctures) on the anterior abdominal wall.

Peculiarities of the operation:

• one puncture is made in the navel area, the other two-in the abdomen;

• a laparoscope and surgical instruments are inserted through the holes;

• for better access to the uterus, the abdominal cavity is filled with carbon dioxide;

• the duration of the operation is about 2 hours;

• the technique of removing fibroids depends on their size and location.

The operation is carried out under the control of a video camera, which gives a better overview than during a cavity operation. The price of the operation is determined by the stage of the disease, the size and number of nodes.