Choosing an experienced laparoscopic GYN surgeon has a direct impact on your laparoscopic myomectomy recovery. A myomectomy is a fertility-sparing procedure to remove fibroids, while leaving the uterus intact. Fibroids are non-cancerous tumors that affect up to 80 percent of women by age 50. They affect African American women at higher rates, and often the fibroids are larger, or there are a higher number of them. The location of fibroids can affect fertility. Symptoms include abnormal bleeding, bloating and pelvic pain or pain with sex or going to the bathroom.
It is important when having a fibroid removal procedure to choose a specialist who can remove all of the tumors large and small. This can only be accomplished by being able to touch the fibroids, which is not possible with standard laparoscopic or robotic procedures.
WILL ALL OF THE FIBROIDS BE REMOVED?
THOROUGH REMOVAL OF THE FIBROIDS IS POSSIBLE FOR MANY PATIENTS. HOWEVER, THEY CAN STILL RETURN. NOTE: THE ONLY CURE FOR FIBROIDS IS A HYSTERECTOMY.
Once a patient is through recovery from a myomectomy, menstrual cycles should normalize, and there should be a noticeable difference in the level of pain. After at least 3 months, women can pursue fertility options. It is essential for the uterus to be completely healed before trying to conceive. If the uterus is not completely healed, or not completely repaired during the surgery, placental abruption can occur, creating a dangerous situation for infant and mother.
MY OBGYN RECOMMENDED A HYSTERECTOMY. IS A MYOMECTOMY AN OPTION?
If hysterectomy for fibroids is indicated, it is important to get a second opinion. Age and fertility are the most important factors for these procedures. For some patients, laparoscopic myomectomy may still be an option. The advanced minimally invasive techniques used at CIGC can remove even very large fibroids via myomectomy if the patient is not past fertility. It is not recommended for women who are past fertility to undergo a myomectomy, as it is a more invasive procedure than a hysterectomy.
It is essential that the surgeon has the skill and experience to protect the delicate organs in the pelvic cavity for the safety of the patient.
WHY SHOULDN’T MY OBGYN OR GP PERFORM MY LAPAROSCOPIC MYOMECTOMY?
The skills required to perform a laparoscopic myomectomy procedure are not practiced by generalists, including OBGYNs. An OBGYN practice is primarily focused on obstetrics. Many of these procedures are performed as open surgeries, especially if the patient is suffering from an enlarged uterus or large fibroids.
In 2016, the CIGC specialists performed over 2,000 laparoscopic GYN procedures. To understand the importance of experience with complex conditions, CIGC specialists have:
- removed extremely large fibroids, including one that was 20lbs;
- performed extensive endometriosis excision with resection of pelvic adhesions that essentially freeze the pelvis;
- welcomed women to our practice from around the world, including Jakarta, Indonesia.
CIGC performs high volume laparoscopic surgery at a high level of expertise for some of the most complex GYN conditions that often cannot be treated by other surgeons unless the surgery is performed as an open procedure.
HOW LONG IS THE LAPAROSCOPIC MYOMECTOMY PROCEDURE?
THE AVERAGE LAPAROSCOPIC MYOMECTOMY PROCEDURE AT CIGC IS JUST OVER AN HOUR. SOME PROCEDURES MAY TAKE LONGER.
The advanced-trained CIGC specialists have developed techniques that ensure efficiency in every surgical procedure, including fibroid removal. These techniques control for blood loss and map the pelvic cavity so that visibility is high, and time can be spent removing and repairing.
The less time under anesthesia is better for the patient, but it is important to also perform a thorough procedure. Using these techniques, CIGC specialists can achieve both.
WILL I HAVE TO SPEND DAYS AT THE HOSPITAL?
All procedures performed by CIGC specialists are outpatient. That means patients go home from surgery the same day. There is no hospital stay.
HOW LONG IS THE LAAM MYOMECTOMY RECOVERY?
Fibroid removal with LAAM is performed using just two small incisions, that avoid the abdominal muscle, so the pain from surgery is significantly less than if it were performed as a standard laparoscopic or robotic procedure.
Most women are back to their normal activities within 10-14 days.
BOOK A CONSULTATION
The CIGC state-of-the-art specialists are available at three locations in the DC metro area. Virginia patients can visit the Reston, VA location, and Saturday appointments are available. Maryland offices are located in Rockville, MD and Annapolis, MD.
CIGC is dedicated to providing information and materials for women to help navigate the complicated healthcare system. The CIGC founders, minimally invasive GYN surgical specialists Dr. Paul MacKoul, MD and Dr. Natalya Danilyants, MD, developed their advanced GYN surgical techniques using only two small incisions with patients’ well-being in mind. Dr. Rupen Baxi, MD is a CIGC-trained minimally invasive GYN specialist with extensive fellowship training and a respected speaker and researcher.
Their personalized approach to care helps patients understand their condition and the recommended treatment so that they can have confidence from the very start. Our surgeons have performed over 20,000 GYN procedures and are constantly finding better ways to improve outcomes for patients.