Laparoscopic Myomectomy: Types, symptoms & Recovery Tips

Types of Laparascopic Myomectomy:

A laparoscopic myomectomy is a surgical procedure used to remove uterine fibroids, also known as myomas or leiomyomas. The surgery is non-invasive. Uterine fibroids are non-cancerous growths that develop in the muscular wall of the uterus. Laparoscopic myomectomy is performed using small incisions in the abdomen through which a laparoscope (a thin, flexible tube with a camera and light) and other surgical instruments are inserted.
here are several types of laparoscopic myomectomy procedures, each with its own specific techniques and approaches. Some common types include:
This involves making several small incisions in the abdomen, through which a laparoscope and other surgical instruments are inserted. The surgeon visualizes the fibroids on a monitor and removes them from the uterus while preserving surrounding healthy tissue.
In this procedure, the surgeon uses a robotic system to control the surgical instruments. The surgeon sits at a console and operates the robotic arms, which provide enhanced dexterity and precision. Robotic-assisted laparoscopic myomectomy may be advantageous for complex cases or when the fibroids are located in challenging positions.
SILM involves making only one small incision, usually near the belly button, through which all surgical instruments are inserted. This technique aims to minimize scarring and reduce recovery time compared to traditional laparoscopic myomectomy.
This procedure combines laparoscopy with hysteroscopy, another minimally invasive technique. Hysteroscopy involves inserting a thin, lighted telescope (hysteroscope) through the vagina and cervix into the uterus. Fibroids located within the uterine cavity or close to the inner lining of the uterus can be removed using this approach.  
In this procedure, radiofrequency energy is used to destroy fibroid tissue. A special device is inserted through small incisions in the abdomen and guided to the fibroids using laparoscopic visualization.

Symptoms of Laparascopic Myomectomy:

The symptoms experienced after a laparoscopic myomectomy can vary from person to person and depend on factors such as the size and number of fibroids removed, the patient’s overall health, and the surgical technique used. However, common symptoms following laparoscopic myomectomy may include:
Mild to moderate abdominal discomfort or pain is common after surgery. This pain can usually be managed with pain medications prescribed by the surgeon.
Feeling tired or weak is normal after surgery as the body heals. Adequate rest and proper nutrition can help alleviate fatigue.
Some vaginal bleeding or spotting may occur after the procedure. This is typically minimal and resolves within a few days to a week.
Some patients may experience nausea or vomiting after surgery, often due to the effects of anesthesia or pain medications.
Some patients may experience urinary frequency, urgency, or difficulty urinating after surgery. These symptoms usually improve as the body heals.

Recovery Tips for Laparascopic Myomectomy:

Recovery from a laparoscopic myomectomy can vary depending on factors such as the individual’s overall health, the extent of the surgery, and any complications that may arise.
Recovery from laparoscopic myomectomy involves following post-operative instructions carefully, including wound care, medication management, and activity restrictions as advised by your surgeon. Take prescribed pain medication to manage discomfort and allow your body ample time to rest and heal, avoiding strenuous activities and heavy lifting.
Eva IVF and Women’s Centre, has performed more than 1000 laparascopy procedures to remove fibroids.