Fibroids are non-cancerous growth seen in the uterus, composed of smooth muscle and fibrous connective tissue.
At least 20 percent of women at their reproductive age would have clinically detectable uterine leiomyomas/ fibroids.
SYMPTOMS OF FIBROID UTERUS
Management of uterine leiomyoma
No long-term medical treatment has been reported. The surgical approach is still deserved as the best method to treat symptomatic fibroid.
The surgical treatment includes:
Myomectomy is the surgical removal of fibroids through hysteroscopy/ laparoscopy or open procedure. The surgical approach depends on the size and location of the fibroid.
Telescopes are introduced into the abdominal cavity using a 5-10mm incision. Myoma located on the uterus is noted. Steps are taken to decrease the blood supply to the fibroid.
The fibroid is separated from the uterus. The cut surface is sutured. The fibroid is removed from the abdomen in a piecemeal with a power motor (morcellator) and sent for histopathological examination.
Hysteroscopic myomectomy is done using an instrument called a resectoscope. The resectoscope is passed into the uterus through the vagina and cervix. The resectoscope has an electric loop that operates in a fluid media which distends the uterus and shares the fibroid bit by bit.
Hysterectomy/removal of the uterus is performed for patients over the age of 40 years. The approach for hysterectomy is by laparoscopy abdominal or vaginal with advances in the field of laparoscopy.
The duration of stay for laparoscope myomectomy and a laparoscopic hysterectomy would be 2-3 days. Whereas for hysteroscopic myomectomy admission for 1-2 days. There will be no restrictions on physical activity. The patient will be allowed to walk and eat as soon as she recovers from anesthesia. The patient might require the rest of 3-6 days. She can get back to the routine lifestyle once she feels comfortable. She avoids strenuous and physical exercises for 6 weeks.
POSSIBLE COMPLICATIONS OF MYOMECTOMY INCLUDE