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Gynecology surgery laparoscopic myomectomy images
Gynecology surgery laparoscopic myomectomy images
Gynecology surgery laparoscopic myomectomy images

 

Indications for a myomectomy

  • a solitary myoma with complaints of pijn of bleedings
  • a pedunculated myoma at the outside
  • a myoma of less than 8 cm in the wall

Otherwise alternatives should be considered

  • multiple myoma’s : consider an hysterectomy
  • a submucous myoma : consider an hysteroscopic myomectomy

 

Technique ?

  • Small myomas : incision - excision and
  • laparoscopic suture which is the main difficulty
  • for bigger or multi!ple myoma’s : first clip the uterine artery.
  • hospitalisation¬† 1-2 days

 

Results

  • a removed fibroma has no ecurrences
  • symptoms are gone
  • fertility increases
  • the risk of a miscarriage is lower

What is quality

  • laparoscopy is generally better
  • little blood loss
  • hort duration of surgery
  • adequate laparoscopic suturing
  • little adhesions

The patient should decide

I was 43 because of a late marriage and had a very big uterus. The medical indication was : hysterectomy. I nevertheless opted for a laparoscopic hysterectomy and 18 myoma’s were removed.

Less than 1 year i delivered a boy.  I probably have been lucky.

a general practitioner

 

The gynecologist advises and informs.

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