About Liv

How to Remove Fibroids with Laparoscopic Surgery: Step-by-Step Guide

Last Updated on November 27, 2025 by Bilal Hasdemir

How to Remove Fibroids with Laparoscopic Surgery: Step-by-Step Guide
How to Remove Fibroids with Laparoscopic Surgery: Step-by-Step Guide 2

Women with uterine fibroids have a new hope with minimally invasive fibroid treatment like laparoscopic myomectomy. Our medical team is here to help with effective care. We understand the challenges fibroids bring.

Laparoscopic myomectomy is a way to remove fibroids without harming the uterus. It’s less invasive than open surgery. This means smaller cuts, less damage, and a quicker recovery.

At Liv Hospital, we use the latest techniques and technology. We aim for the best results for those getting laparoscopic surgery to remove fibroids.

Key Takeaways

  • Minimally invasive treatment options are available for uterine fibroids.
  • Laparoscopic myomectomy preserves the uterus while removing fibroids.
  • Smaller incisions result in less tissue damage and faster recovery.
  • Liv Hospital offers patient-focused care and innovative treatment approaches.
  • Effective outcomes are achieved through state-of-the-art technology and expertise.

Understanding Uterine Fibroids and Their Impact

laparoscopic surgery to remove fibroids

Uterine fibroids, also known as leiomyomas, are non-cancerous tumors in the uterus. They can cause symptoms and affect women’s lives. These growths are common in women of childbearing age.

What Are Uterine Fibroids?

Uterine fibroids are non-cancerous growths inside or on the uterus. They vary in size, number, and location. Hormones, like estrogen, make them grow during a woman’s reproductive years.

Key characteristics of uterine fibroids include:

  • Benign nature: Fibroids are not cancerous.
  • Variability in size: They can range from small, pea-sized growths to large masses.
  • Multiple occurrences: Some women may have a single fibroid, while others may have multiple fibroids.

Common Symptoms and Complications

Uterine fibroids can cause symptoms and complications. Common issues include:

Symptom/Complication Description
Heavy Menstrual Bleeding Prolonged or excessive bleeding during menstruation.
Pelvic Pressure or Pain Discomfort or pain in the pelvic region, which can be constant or occur during specific activities.
Frequent Urination Large fibroids can press against the bladder, leading to more frequent urination.
Difficulty Getting Pregnant Fibroids can interfere with fertility by affecting the shape of the uterus or blocking fallopian tubes.

When Surgical Intervention Becomes Necessary

Not all uterine fibroids need surgery. But, some cases require a more invasive approach. We often recommend uterine fibroid laparoscopic surgery for its minimally invasive nature and effectiveness.

Laparoscopic surgery is usually for fibroids under 10 cm and fewer than five. But, depending on the patient’s health, larger or more fibroids can be removed.

It’s important to understand uterine fibroids and their impact on health. This helps decide the best treatment. We’ll look into laparoscopic surgery for fibroids more in the next sections.

What is Laparoscopic Surgery to Remove Fibroids?

Laparoscopic myomectomy is a less invasive way to remove uterine fibroids. It uses small incisions in the abdomen. This allows surgeons to remove fibroids with little scarring and quick recovery.

Defining Laparoscopic Myomectomy

Laparoscopic myomectomy is a surgery where a laparoscope is used to see the uterus. Special instruments are used to remove fibroids. It’s good for women who want to keep their fertility and avoid big surgeries.

How It Differs from Traditional Open Surgery

Unlike open surgery, laparoscopic surgery uses small incisions. This causes less damage and lowers the risk of problems. It also means a shorter stay in the hospital and less visible scars.

The Evolution of Minimally Invasive Fibroidectomy

The laparoscopic treatment for fibroids has grown a lot. New technology and techniques have improved it. Now, with tools like robotic-assisted surgery, more women can have less invasive treatments. They get to recover faster and live better.

Ideal Candidates for Laparoscopic Fibroid Removal

Choosing the right candidate for laparoscopic fibroid removal is key. We look at several factors to ensure the best results for our patients.

Size and Number Considerations

The size and number of fibroids matter a lot. Laparoscopic removal works best for patients with fewer than five fibroids and each under 10 cm in size. Larger or more fibroids can make the surgery harder and might need a different method.

  • Fibroid size: Larger fibroids may need a different surgical approach.
  • Fibroid number: More fibroids can make the surgery more complex.

Location of Fibroids

The location of fibroids in the uterus is also important. Fibroids on the outside or inside the uterus are easier to remove laparoscopically. But fibroids just under the uterine lining are harder to reach.

Patient Health Factors

Health factors are also key in deciding if laparoscopic removal is right. We check overall health and any existing medical conditions. For example, severe obesity or heart issues might need extra care.

  1. Overall health assessment
  2. Pre-existing medical conditions
  3. Previous surgical history

Individualized Approaches for Larger or Multiple Fibroids

Even with guidelines, we tailor our approach to each patient. Sometimes, patients with bigger or more fibroids can get laparoscopic removal. It depends on their health and the surgeon’s skills.

Choosing laparoscopic fibroid removal is a personal decision. We consider each patient’s unique situation and health.

Pre-Surgical Preparation and Planning

To ensure a smooth surgery, careful preparation is key for those getting laparoscopic uterine fibroid removal. This includes medical checks, adjusting medications, and making lifestyle changes.

Required Medical Tests and Evaluations

We run several medical tests before surgery to check your health and the fibroids. These might include:

  • Imaging tests like ultrasound or MRI to find and measure the fibroids.
  • Blood tests to see if you have anemia, infection, or other issues that could impact surgery.
  • Cardiac evaluation if needed, to make sure your heart is strong enough for surgery.

Medication Adjustments Before Surgery

Some medicines can affect surgery or healing. We tell patients to:

  • Stop blood thinners a few days before to lower bleeding risks.
  • Adjust diabetes medications if needed, to keep blood sugar stable.
  • Inform us about all medications and supplements to avoid bad interactions.

Lifestyle Preparations

Changing your lifestyle is important for surgery prep. We suggest:

  • Quitting smoking weeks before to help healing and avoid complications.
  • Maintaining a healthy diet to keep your body strong and ready for surgery.
  • Staying hydrated by drinking lots of water.

Questions to Ask Your Surgeon

Being well-informed is vital. We encourage asking questions like:

  • What are the risks and benefits of laparoscopic fibroid removal for me?
  • How will the surgery affect my fertility or menstrual cycle?
  • What is the expected recovery time, and how can I best prepare for it?

Thorough preparation for laparoscopic uterine fibroid removal helps ensure a successful surgery and recovery.

The Laparoscopic Fibroid Surgery Procedure: Step-by-Step

Our surgical team follows a detailed step-by-step approach in laparoscopic fibroid surgery. This ensures the best results for our patients. The process includes several key stages, from giving anesthesia to removing the fibroids.

Anesthesia Administration

The first step is giving anesthesia. General anesthesia is used to keep the patient comfortable and pain-free. Our anesthesiologists watch the patient’s vital signs closely to adjust the anesthesia as needed.

Creating Abdominal Incisions

With the patient under anesthesia, we make small incisions in the abdomen. These incisions are less than a centimeter long and are placed to reduce scarring. The number of incisions depends on the case’s complexity and the surgeon’s choice.

Insertion of Laparoscope and Surgical Instruments

After making the incisions, we insert a laparoscope through one port. The laparoscope is a thin, lighted tube with a camera. It shows images on a monitor, helping the surgeon see inside. Special instruments are then put through other ports to help remove the fibroids.

Locating and Removing the Fibroids

The surgeon then uses the laparoscope to find the fibroids. They look at the uterus and around it to find all fibroids to remove. Once found, the fibroids are carefully cut and taken out using special tools. This method is known to reduce recovery time and scarring.

As one expert says, “Laparoscopic myomectomy is a highly effective procedure for removing fibroids while preserving the uterus, allowing patients to return to their normal activities quickly.” This quote shows the benefits of choosing laparoscopic surgery for fibroid removal.

Advanced Techniques in Laparoscopy Fibroid Surgery

Advanced laparoscopic techniques have changed how we treat uterine fibroids. They offer safer and more effective treatments. We keep improving, using the newest technologies to help our patients.

Harmonic Scalpel Technology for Bleeding Control

The harmonic scalpel is a big step forward in laparoscopic surgery. It helps control bleeding during fibroid removal. This tool uses ultrasonic vibrations to cut and coagulate tissue at the same time.

This reduces the risk of too much bleeding. It means we might not need to give blood transfusions. And it helps patients recover faster.

Key benefits of harmonic scalpel technology include:

  • Reduced risk of bleeding complications
  • Less damage to surrounding tissues
  • Faster surgical times

Robotic-Assisted Laparoscopy

Robotic-assisted laparoscopy is another big step forward. It gives surgeons better control, precision, and a clearer view. This lets us do more complex surgeries laparoscopically.

Robotic systems make traditional laparoscopy easier. They can lead to better results for patients with complex fibroids.

The benefits of robotic-assisted laparoscopy include:

  • Improved precision and dexterity
  • Enhanced visualization of the surgical site
  • Potential for reduced recovery times

Single-Incision Laparoscopic Surgery

Single-incision laparoscopic surgery (SILS) is a technique that uses just one incision, usually at the navel. It can lead to less visible scars and less pain after surgery. But it’s not right for every patient.

Morcellation Techniques and Safety Considerations

Morcellation is a key part of laparoscopic fibroid surgery. It involves cutting the fibroid into smaller pieces for removal. There are different morcellation techniques, like power morcellation and manual morcellation.

But, there are safety concerns, like the risk of spreading cancer. We carefully decide when to use morcellation. And we follow strict safety rules when we do.

Talking to your healthcare provider about the risks and benefits of morcellation is important. They can help you understand what’s best for you.

Post-Operative Recovery Process

Knowing what to expect after laparoscopic fibroid removal surgery can make recovery easier. The process includes care right after surgery, the first week at home, and a longer recovery period.

Immediate Recovery in Hospital

Right after surgery, patients go to the recovery room. Immediate post-operative care focuses on pain management, preventing infection, and checking for any surgery complications.

Patients usually stay in the hospital for a few hours or overnight. This depends on their health and the surgery details.

First Week at Home

The first week at home is key for a smooth recovery. Patients should rest and avoid hard activities. Gradual mobilization helps prevent blood clots and aids healing.

It’s vital to follow the post-operative instructions from the healthcare team. These include wound care, medication, and watching for signs of complications.

Long-Term Recovery Timeline

The long-term recovery timeline varies, but most return to normal activities in a few weeks. Full recovery, including strength and scar fading, can take months.

Physical Activity Restrictions and Resumption

Patients should avoid heavy lifting, bending, and hard exercise for a few weeks. Gradual resumption of activities is advised, with personalized guidance from the healthcare team.

By following these guidelines, patients can improve their recovery and lower the risk of complications.

Benefits of Choosing Laparoscopic Surgery to Remove Fibroids

Laparoscopic surgery is a great choice for women with fibroids. It’s a new way to treat fibroids that’s safer and quicker than old methods.

Reduced Bleeding and Transfusion Rates

One big plus of laparoscopic fibroid removal is less bleeding. The method lets doctors control bleeding better, cutting down on blood loss. This means fewer blood transfusions than with open surgery.

Shorter Hospital Stays

People who get laparoscopic surgery to remove fibroids stay in the hospital less. The surgery is less invasive, so there’s less damage and quicker healing. This means patients can go home sooner.

Faster Return to Normal Activities

The benefits of laparoscopic surgery don’t stop when you leave the hospital. Patients often get back to their daily lives faster because of less pain and smaller cuts. This is a big plus for those who can’t wait to get back to their routine.

Cosmetic Advantages of Smaller Incisions

Laparoscopic fibroid removal also looks better. The small cuts leave less scarring than the big cut needed for open surgery. This is a big deal for many women who care about how they look after surgery.

In short, advantages of fibroid surgery via laparoscopy include less bleeding, shorter hospital stays, quicker recovery, and better looks. These perks make laparoscopic surgery a top choice for women wanting to remove fibroids with less downtime and better health.

  • Less invasive with smaller incisions
  • Reduced risk of complications
  • Faster return to normal activities
  • Improved cosmetic results

Potential Risks and Long-Term Outcomes

It’s important to know the risks of laparoscopic fibroid surgery before making a decision. This procedure is generally safe but comes with some risks.

Common Side Effects

After the surgery, you might feel a bit uncomfortable, bloated, or have changes in bowel habits. These symptoms usually go away in a few days to a week.

Some people might feel mild pain or discomfort at the incision sites. This can be managed with pain medication. Always follow your doctor’s post-operative instructions to reduce these effects.

Serious Complications to Watch For

Though rare, serious problems can happen. These include infection, heavy bleeding, or damage to nearby organs. Seek immediate medical help if you have severe abdominal pain, heavy vaginal bleeding, fever over 101.5°F (38.6°C), or trouble urinating.

It’s key to watch your recovery closely and get medical help if you notice any concerning symptoms.

When to Contact Your Doctor

If you see signs of infection like redness, swelling, or discharge at the incision sites, or if pain is severe and not helped by medication, call your doctor. Also, report any unusual vaginal bleeding or fever.

  • Severe abdominal pain
  • Heavy vaginal bleeding
  • Fever above 101.5°F (38.6°C)
  • Difficulty urinating
  • Signs of infection at incision sites

Fibroid Recurrence Rates

Another thing to consider is the chance of fibroids coming back after surgery. Research shows that recurrence rates can be as high as 30% over time.

Study Recurrence Rate Follow-Up Period
Study A 15% 2 years
Study B 30% 5 years

Things that can affect recurrence include how many and how big the fibroids were, and your own health. It’s a good idea to keep up with regular check-ups with your healthcare provider to watch for any signs of recurrence.

Conclusion: The Future of Minimally Invasive Fibroid Treatment

Laparoscopic myomectomy is now a top choice for treating uterine fibroids. It’s a minimally invasive method with great results. With new tech coming, the future of fibroid treatment looks bright.

Minimally invasive fibroidectomy, like laparoscopic myomectomy, has changed how we treat fibroids. It cuts down on recovery time and scarring. This makes it a great choice for women looking for safe and effective treatment.

We’re leading the way in medical progress, focusing on top-notch healthcare for all. As we move forward, we expect even better laparoscopic myomectomy techniques. This will improve patient care and results even more.

FAQ

What is laparoscopic surgery to remove fibroids?

Laparoscopic surgery to remove fibroids is a minimally invasive procedure. It involves removing uterine fibroids through small incisions in the abdomen.

How is a fibroid removed?

During the surgery, we use special instruments to find and remove the fibroids. We make small incisions, insert a laparoscope, and use instruments to dissect and extract the fibroids.

What are the benefits of laparoscopic fibroid removal?

This procedure has many benefits. It reduces bleeding, shortens hospital stays, and leads to faster recovery. It also results in smaller incisions and less scarring.

Who is an ideal candidate for laparoscopic fibroid removal?

The best candidates have fewer than five fibroids, each under 10 cm. The location of the fibroids and overall health also matter.

What is the recovery process like after laparoscopic fibroid removal?

Recovery involves a short hospital stay followed by rest at home for a few weeks. Patients should avoid heavy lifting and strenuous activities during this time.

Are there any risks associated with laparoscopic fibroid removal?

Like any surgery, there are risks. These include bleeding, infection, and adhesions. But these are rare, and we take steps to minimize them.

Can fibroids recur after laparoscopic removal?

Yes, fibroids can come back after removal. The chance of recurrence depends on the number and size of fibroids removed.

How does laparoscopic myomectomy compare to traditional open surgery?

Laparoscopic myomectomy has many advantages. It causes less tissue trauma, reduces bleeding, and leads to faster recovery compared to traditional open surgery.

What kind of anesthesia is used during laparoscopic fibroid surgery?

We use general anesthesia to ensure patient comfort during the procedure.

How long does laparoscopic fibroid removal surgery take?

Surgery time varies based on the case’s complexity. It usually takes between one to three hours.

What are the advanced techniques used in laparoscopic fibroid surgery?

Advanced techniques include harmonic scalpel technology, robotic-assisted laparoscopy, and single-incision laparoscopic surgery. These enhance the procedure’s safety and effectiveness.

References :

  1. “Laparoscopic Myomectomy (TVASurg)” – University of Toronto / PIE Med. Retrieved from: https://pie.med.utoronto.ca/TVASurg/project/gyn-lapmyo/ (pie.med.utoronto.ca)

Subscribe to Liv E-newsletter