When it comes to laparoscopic myomectomy vs. abdominal myomectomy, the laparoscopic procedure is best because it’s minimally invasive. Even for a partial hysterectomy, a laparoscopic robotic hysterectomy reduces many hysterectomy complications. Laparoscopic hysterectomy scares are minimized, and sex after hysterectomy can return to normal.
Laparoscopic Myomectomy / Hysterectomy Procedure
If you’re considering a hysterectomy or partial hysterectomy because of uterine fibroids, the laparoscope method may be ideal for your specific case. A laparoscope is a slender telescope that is inserted through your navel to view the pelvic and abdominal organs. If your fibroids are on the outside of the uterine wall, this is one of the best methods for accessing them without an abdominal, or open, myomectomy. In general, the process is simple:
- Two or three half-inch incisions are made just below your pubic hairline.
- Your gynecologist in Queens, NYC then inserts the instruments to perform the surgery.
Laparoscopic myomectomy can also be performed to check for laparoscopic hysterectomy cancers. In the process of performing the myomectomy, your doctor can perform a visual exam of your uterus. If cancer is present, he can then proceed to the next step of treatment. It’s not always recommended for laparoscopic procedures to be used, however, if cancer is suspected or present, as cutting the cancerous tissue may spread the laparoscopic hysterectomy cancer cells internally.
Benefits of Laparoscopic Myomectomy vs. Abdominal Myomectomy
When you’re experiencing the side effects of uterine fibroids, finding relief is essential. The excessive menstrual bleeding, pelvic pressure and pain and possible infertility issues impact your quality of life. Removal of these fibroids can be done in various ways, but laparascopic myomectomy vs. abdominal myomectomy provides considerable benefits, such as:
- Reduction in scarring
- Less potential blood loss
- A shorter recovery time
- Less risk of infection
The more minimally invasive methods are always preferable to reduce myomectomy and hysterectomy complications. Other benefits include:
- Small incisions, which result in small scars and a faster recovery time
- A procedure that usually can be done on an outpatient basis
- Lower risk of bacterial contamination and infection
- Less damage or potential injury to your intestines, so they begin working again right after surgery, eliminating the required one-to-two-day fasting of normal abdominal surgery
- One of the least invasive procedures, which still delivers the desired results
- Satisfaction with sex after hysterectomy or myomectomy because you’re no longer suffering the symptoms of fibroids or other debilitating symptoms
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This procedure requires considerable skill and training. If you have hopes of pregnancy after this procedure, your OB/GYN surgeon has to ensure correct and sturdy suturing of your uterus. Depending on the size and number of fibroids, the process can take anywhere from one to three hours.
Robotic hysterectomy or myomectomy use a laparoscope, robotic arms and a video screen. The surgeon sits comfortably, a few feet from you, and directs the surgery with computer-aided precision. Again, considerable skill is needed, but the benefits of the robotic hysterectomy method are tighter and more secure suturing.
Concerns Regarding Laparoscopic Myomectomy or Hysterectomy
There are some limitations and concerns regarding using the laparoscopic method. Since it’s best to be informed and know about hysterectomy complications before your procedure, know the risks. For example:
- The number of fibroids should be considered. Removal is not necessarily an issue, but suturing multiple locations on your uterus is a very delicate skill. A high number of fibroids could limit the feasibility of using this method.
- The position of fibroids should also be reviewed carefully. Those outside the uterine wall, usually attached by a stalk, are easiest to remove with this method, while those more deeply embedded or near your fallopian tubes or major blood vessels are more difficult, possibly requiring a more traditional abdominal myomectomy.
- If fertility is an issue, the strength of the repair of your uterine wall is very important. If you’re not concerned with fertility or a hysterectomy or partial hysterectomy is being performed, laparoscopic or robotic hysterectomy becomes a more feasible option.
- If the fibroids are exceptionally large or if hysterectomy cancer is suspected, this method is not usually recommended.
- As with any surgery, this procedure can produce laparoscopic hysterectomy scars, although these are much smaller and better hidden than in abdominal surgery.
- If there are many fibroids, smaller ones may be missed using the laparoscopic technique.
Concerns regarding the procedure include cost, since the process takes longer than an abdominal hysterectomy. The skill level of the surgeon is also a factor to be considered, or considerable damage can occur. While laparoscopic-assisted vaginal hysterectomy debuted in the 1990s, the laparoscopic hysterectomy procedure is much newer; the first cases were performed in 2005. Ask your gynecologist in Queens, NYC about his training and skill. Experienced surgeons have performed 25 to 50 laparoscopic procedures.
Laparoscopic Hysterectomy Benefits
A myomectomy is the only surgical method that removes fibroids while attempting to keep your uterus intact for pregnancy. Hysterectomy is usually not required in these cases. If there are an unusual number or size of fibroids — or if you do not wish to become pregnant in the future — a hysterectomy or partial hysterectomy is possible laparoscopically.
Reducing your recovery time is the biggest benefit of laparoscopic or robotic hysterectomy. Small incisions and a two-week recovery time can’t be matched when you compare laparoscopic myomectomy vs. abdominal myomectomy. Open myomectomy or hysterectomy procedures often require larger incisions and up to two-months of downtime. Other benefits include:
- Almost any woman is eligible for laparoscopic hysterectomy, regardless of fibroid size, numbers, or history of C-sections.
- Recovery time is significantly lowered.
- Scar tissue is greatly reduced.
While it’s estimated that 20 to 50 percent of women have some form of fibroid tissue, today you can do something about them to ease your symptoms and potentially regain your fertility. Visit a top gynecologist in Queens for a consultation.
As a best in class gynecologist in Queens, Dr. James Gohar provides highly personalized and comprehensive care. His philosophy regarding the doctor/patient relationship is based on trust and has earned him one of the most respected reputations in Queens NY.
For more information about the Laparoscopic Myomectomy, Hysterectomy procedure, treatment options or to schedule a consultation with the (gynecologist) OBGYN doctor, the best rated Laparoscopic Myomectomy, Hysterectomy specialist, Dr. James Gohar, please contact our Queens office.
Gynecologist Dr. James Gohar (OBGYN Doctor)
Forest Hills Medical Services
108-16 63rd Rd
Forest Hills, NY 11375
☎ (718) 897-5331