Myomas are diseases that we see frequently among women and are considered benign tumors. It develops from the uterine muscles and we decide whether to operate the myoma or not depending on its location, size and pressure complaints. Although 5 out of 10 women have myomas in general, 1 out of 5 women has myoma characteristics that will require surgery.
Which myomas should be operated on?
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Size is 5cm. If it is above the uterine lining
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If it is located close to the uterine lining and creates excessive bleeding
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If it puts pressure on the bladder and rectum and causes complaints of urination and constipation.
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If it causes infertility or difficulty getting pregnant, causes miscarriages and pregnancy losses by distorting the anatomy of the uterus or preventing the uterine lining from being nourished even though it is small
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If it grows rapidly during follow-up and causes pain, we decide on surgery.
What are the Risks of Laparoscopic Myomectomy?
Laparoscopic myomectomy is open. It does not carry an increased risk compared to myoma surgeries performed using the surgical technique. Both surgical techniques carry similar risks in terms of both intraoperative bleeding and possible postoperative risks.
What is the Laparoscopic Myoma Surgery Technique?
Laparoscopic myoma In surgeries, the myoma and the capsule surrounding the myoma are removed and, if necessary, sutures are applied laparoscopically to restore the uterine muscles and the removed myoma or myomas are taken out of the abdomen with special laparoscopic special tools without damaging the intra-abdominal organs and after bleeding control is achieved. Then the surgery is completed. The operation time may last between 45 minutes and 2.5 hours, depending on the location of the myomas and whether or not sutures are required for the uterine muscles after the myoma is removed. You can return home after staying in the hospital for 1 night after the operation.
Which patients can have laparoscopic myoma surgery?
Laparoscopy method can be chosen in the majority of our patients who need surgery due to myoma. The most important point in this regard is the person who can perform laparoscopic myoma surgery. This should be done by an experienced laparoscopist. In addition, the number, size and location of myomas are important points in deciding on this operation.
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The size must be less than 9-10 centimeters
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Myomas , there should not be more than 4
To summarize, whether there is a chance for patients who need surgery due to myoma to have this surgery with laparoscopic closed method, again female patients experienced in laparoscopy. And they should share the information with obstetricians. If conditions are suitable, laparoscopy should be preferred.
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