Fibroid removal is a surgical procedure to remove uterine fibroids, common noncancerous growths that appear in the uterus. Uterine fibroids usually develop during childbearing years, but they can occur at any age.

The main procedure during fibroid removal is to take out symptoms causing fibroids and reconstruct the uterus. who undergo any fibroid surgery normally report improvement in fibroid symptoms, including decreased heavy menstrual bleeding and pelvic pressure.

Fibroid Removal Surgery Types

Uterine myomectomy

Uterine myomectomy (UME) is a surgical technique for fibroid removal to remove the uterus and ovaries. This kind of fibroid removal surgery is often considered the most effective form of removal. While it can be removed for various reasons, it is usually performed when the uterus is fibroids-like and is blocking the flow of urine, or is a result of .

Fibroid removal

Myomectomy is also a surgical technique that allows for the uterine cavity to be reduced to the size of the vagina. The goal of the surgeon during the myomectomy is to take out symptom-causing fibroids and reconstruct the uterus. Unlike a hysterectomy, which removes the entire uterus, myomectomy removes only the fibroids and leaves the uterus.

Women that undergo uterus myomectomy report improvement in fibroids symptoms, including decreased heavy menstrual bleeding and pelvic pressure. The endometrial lining is then removed, causing infertility. Uterine myomectomy allows for surgical removal of the uterus and ovaries, because of its advantages over other techniques such as hysterectomy and tubal ligation.

Laparoscopic surgery

This fibroid removal surgery technique is the latest method of removing the uterus and ovaries. It involves opening the abdominal wall and using laparoscopy to remove the uterus and ovaries. This technique involves an incision from the navel to the pelvic bone. In laparoscopic UME, only a small amount of tissue is removed.

Bariatric surgery

This is the most common type of fibroid removal surgery procedure. This procedure is designed to reduce the size of the stomach, thereby reducing the size of the intestines. It reduces the size of the abdomen and the intestines and therefore causes less weight gain.

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Laparoscopic Laparotomy

These combine 2 general surgical approaches to ovary and tube removal: laparotomy and laparoscopy. Laparotomy involves a large incision in the lower abdomen. It involves a longer recovery, more postoperative pain, a longer hospital stay, and more potential complications than laparoscopy.

If a woman is also having her uterus removed (hysterectomy) the surgeon can do that during the same procedure and through the same incision. These methods of fibroid removal are considered to be the safest and the most effective. It is similar to laparoscopic surgery except for the fact that it does not involve a large incision. The abdomen is only cut open to about the level of the navel. Read: Surgical Removal of Ovaries and Tubes

Bariatric surgery

This fibroid removal surgery technique entails a special way of dieting and exercise to put the body in the right shape. Surgery is used only for the loss of excess fat, not for birth control. However, it is recommended for obese women to have this kind of surgery to prevent further weight gain.

Laparoscopic Pouch

This procedure is used for the reduction of the size of the intestine. This technique involves placing a special pouch that has a transverse slot in the centre. This fibroid removal surgery process takes a long time to complete, sometimes for a month.

As a result of continued improvements in laparoscopic techniques of fibroid removal and the refinement of instruments, laparoscopic surgery has emulated practically every open abdominal surgical procedure. The feasibility and safety of laparoscopic ileoanal pouch surgery have been reported in several subsequent small series from the specialist centres.

Diagnostic Laparoscopy

This surgical technique is a more invasive version of laparoscopy. A small camera is placed under the skin, which then allows the surgeon to see the internal organs of the body. The procedure of diagnostic laparoscopy is usually done in the hospital or outpatient surgical centre under general anaesthesia (while you are asleep and pain-free).

The fibroid removal surgery is performed in the following way

  • The surgeon will make a small cut (incision) below the belly button.
  • A needle or hollow tube called a trocar is inserted into the incision. Carbon dioxide gas is passed into the abdomen through the needle or tube. The gas helps expand the area, giving the surgeon more room to work, and helps the surgeon see the organs more clearly.
  • A tiny video camera (laparoscope) is then placed through the trocar and is used to see the inside of your pelvis and abdomen. More small cuts may be made if other instruments are needed to get a better view of certain organs.
  • If you are having gynecologic laparoscopy, the dye may be injected into your cervix so the surgeon can view the fallopian tubes.
  • After the exam, the gas, laparoscope, and instruments are removed, and the cuts are closed. You will have bandages over those areas. Read: How to Prepare for the Test
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Hysterectomy

This is another fibroid removal surgery that involves the removal of the uterus and ovaries. It is usually performed by a gynaecologist, a hysterectomy may be total (removing the body, fundus, and cervix of the uterus; often called “complete”) or partial (removal of the uterine body while leaving the cervix intact; also called “supracervical”).

The removal of the uterus will render the woman to be unable to bear (as does the removal of ovaries and fallopian tubes) and has surgical risks as well as long-term effects, Although this technique is used as the last option, it can sometimes be very expensive. In addition, it involves a great deal of pain.

Tubal ligation

This procedure is the act of tying a woman’s fallopian tubes. This process prevents an egg from travelling from the ovaries through the fallopian tubes and blocks sperm from travelling up the fallopian tubes to the egg. The procedure does not affect the menstrual cycle.

fibroid removal

The surgical operation can be done at any time, including after childbirth or in combination with another abdominal surgery, such as a C-section. Most tubal ligation procedures cannot be reversed. If the reversal is attempted, it requires major surgery and isn’t always effective. Some people claim it is usually performed after hysterectomy or when a woman is no longer ovulating.

Hymenectomy

This is a fibroid removal surgical procedure where an opening is created in the hymen. It is often used when a person has a hymen that is abnormally thick, septate, or otherwise obstructing the flow of menstruation (imperforate hymen).1 When the hymen only has a small opening (a micro perforate hymen), the surgery can be used to alleviate pain and discomfort.

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The hymen is a membrane near the opening of the vagina. When it forms normally, it is thin and can be easily “broken.” To facilitate normal menstruation, an opening needs to be created in the hymen before someone gets their first period.

In most cases during this fibroid removal surgery, an opening will naturally be made in the hymen through one of several normal activities in a young person’s life. Using a tampon, masturbating, and vaginal intercourse are the most frequent ways the hymen is “broken.” In other cases, high-intensity physical activities like exercise or athletics may contribute to breaking the hymen. Read: The Risk and Contraindications of Hymenectomy

In most cases, people who become pregnant and give birth after having a Hymenectomy may have complications, so it is important to let the doctor know if you are planning to become pregnant. You should also make sure the obstetric health care team who will be caring for you during your pregnancy know that you had a Hymenectomy.

Rarely, more severe cases (such as those complicated by conditions of the urinary tract or that result from trauma) may require additional surgery. Most people who were unable to have sex, use a tampon, or menstruate before having a Hymenectomy are relieved when these activities become a regular, painless part of their lives.

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