adam magos

Laparoscopic myomectomy was first described in the late 1970's by the late Kurt Semm, Professor of Obstetrics and Gynaecology in Kiel in northern Germany. He is arguably the most important figures in operative laparoscopy as he developed numerous techniques (e.g. laparoscopic suturing) and instruments (e.g. laparoscopic needle holders, morcellators) which allowed him to perform many operations previously only possible by open surgery (laparotomy). Adaptations of his ideas continue to form the basis of modern endoscopic surgeyr today.

Laparoscopic myomectomy is not suitable for all cases. Briefly, laparoscopic myomectomy would be technically very difficult and time consuming if there are numerous fibroids or if the fibroids are large. For this reason, it is usual to limit the procedure to cases where there are no more than 3 fibroids to remove, and their total diameter is no more than 15 cm. If you fall outside these criteria, open myomectomy will be more appropriate, although it is sometimes possible to shrink the fibroids pharmacologically before surgery to make laparoscopy possible..

Intra-operative bleeding is the major concern with laparoscopic myomectomy (as it is with open myomectomy). We often use tourniquets around the major blood supply to the womb to make the uterus avascular during surgery, thereby reducing the chances of requiring a blood transfusion..

Recovery from laparoscopic myomectomy tends to be a little slower than after most other laparoscopic procedures, and you may have to stay in hospital for up to 3-4 days.