MYOMECTOMY (Surgery for Fibroid Removal) - Dr.Aruna Kumari of Cloudnine Hospitals | Doctors' Circle

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Cloudnine Hospitals, Bellandur, Bangalore
Myomectomy means removal of the fibroid which is there apart from the uterus . So the myoma means the fibroid which is the smooth muscle tumor of the uterus we do myomectomy. For the people who are planning for pregnancy who are young female wants to retain their uterus in such scenario only the removal of the fibroid is called myomectomy. So the methods for removal of myomectomy can be laparoscopic or the open surgery. Usually the subserosal fibroids these kind of things they don't present with the much symptoms. They will just have pressure symptoms if it is 10 - 15 centimeter mass but a mass of even 2 centimeter can cause severe symptoms. If it is a submucous. It depends on the location of the fibroid. So myomectomy can be done by laparoscopy open surgery or if thus more of a submucosal component. We do hysteroscopic guided means from the uterine cavity we enter inside the uterine cavity from there the uterine hysteroscopic guided, we do the myomectomy. So usually whenever we are doing the myomectomy the risk ofbleeding can be there so we do arrange blood for the patients we do check their hemoglobin. What is the thing need not the blood arranged for the myomectomy procedure is it's just for the safety. Sometimes if the bleeding is more or any complication occurs we do transfuse the blood . But otherwise need not all myomectomy patients need blood transfusion the myomectomy. One more thing what we need to see is all the specimen whichever is taken out by laparoscopic or by the open method will be sent for the histopathology. Histopathology examination is important for all the fibroids removed because sometimes very rarely less than one percent of the patients the fibroid can be leiomyosarcoma which is the cancerous type of the fibroid so this can lead to later further complications. So all myoma removed will be sent for the histopathology. The route for surgery can be laparoscopic or hysteroscopy or the open procedure it depends basically on the location of the fibroid the root will be chosen and associated medical history of the patient the anaesthetist will decide for the route of procedure also, whether the patient will be able to withhold the laparoscopy. When we dounder GA whether her lung function and cardiac function cooperate for the time of the surgery this all will be multi-disciplinary approach will be done and managed accordingly.
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[jeweljohn]

When does stomach soreness go away after open mymometomy? What food/ measures to take so that it won’t grow back etc ?