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Uterus Fibroid Myomectomy

Myoma Uterine Fibroids What is Myoma, Causes, Symptoms and Treatment for Myoma

A fibroid is a benign tumor that mainly consists have muscular tissue and usually grows inside the uterus. Fibroids are also called myomas. Its size ranges widely, from a small tumor the size of a pea to a large tumor almost the size of the uterus. Myomas are classified into three types, depending on the location where they are found. The intramural myoma, a fibroid that grows in the muscular wall of the uterus. This subserosal myoma, a fibroid located just beneath the outside mucosal covering of the uterus. Here the fibroid projects to the.

Outside and occasionally remains connected with the uterus only through a small stalk. The submucosal myoma, a tumor that grows beneath the surface of the uterus lining. Therefore, this type of fibroids can grow into the uterine cavity. The actual causes have development of a fibroid are still unclear. However, it has been documented that fibroids are associated with high levels of estrogen, the female sex hormone. Fibroids can only developed during reproductive years of women. Following menopause, the production of estrogen decreases which will usually cause fibroids to shrink or disappear.

Myomas are more common in nonpregnant and infertile women. In general, fibroids are asymptomatic or associated with just a few complaints if any complaints. If any complaints occur, then the location, size and type of the fibroid are the major factors. Fibroids can affect nearby structures. They can cause compression of the bladder, which may lead to urinary complaints, or may obstruct the intestine, which may result in constipation. Other complaints can be backaches, abdominal problems, menstrual flow disturbances. Fibroids can impede normal childbirth, which may require caesarean delivery. Fibroids relatively more often lead to miscarriages.

Whenever fibroids cause symptoms, they need to be removed or shrinked. Medications sometimes cause fibroid to shrink by blocking the production and secretion of estrogen. In other cases, surgery may be required to remove the fibroid. The type of surgery depends on the location of the fibroid. Sometimes it's possible to remove the fibroid with the help of the tube entered through the vagina and the procedure is called hysteroscopic myomectomy. In other cases, surgery through the abdominal wall may be necessary. In the case of a large fibroid, hysterectomy may be the only solution.

Know the Risks of Your Uterine Fibroid Surgery

Not all patients face the same risks from the same surgeries. And older patients with benign uterine tumors may need to exercise caution before choosing one specific procedure. I'm Rachelle Grossman with your latest health news. Research has found that electromechanical morcellation or EMM surgery to remove benign uterine tumors had little effect on negative outcomes like cancer. However, older patients undergoing this surgery did indeed face a raised cancer risk. A EMM tool is sometimes used during the procedure to break up tissue. It's use has been questioned. Uterine fibroids can cause a variety of symptoms, such as heavy.

LAAM A Safer Minimally Invasive Myomectomy for Fertility at CIGC

When you have patients that come in who are frustrated and you see their exposure to robotics or open surgery, you're thinking to yourself, what can I do to make it better for that patient Well, the LAAM procedure, which is laparoscopicassisted abdominal myomectomy, is a sort of a hybrid between laparoscopy and a very small cut to take out the fibroids. We developed the LAAM procedure because the laparoscopic approach has a lot of limitations. It is unable to remove smaller fibroids and fibroids inside the uterine cavity, and there's also.

Limitation in the ability to reconstruct the uterus properly. Most fibroid removal from the uterus is done by an OBGYN physician as an open surgical procedure. Now, this requires a hospital stay of two to three days with a six to eight week recovery period. Minimally invasive approaches such as robotic or laparoscopic myomectomies can be used to remove fibroids from the uterus, but are usually limited to smaller fibroids on the outside of the uterus. So myomectomy generally means, take out fibroids. In order to do a myomectomy properly, you have to be able to feel where the fibroids are.

Robotic approach can't do that. The doctor is sitting at a console 15 feet away and doesn't even have the ability to feel the uterus or the fibroids. A laparoscopic approach for fibroid removal is sort of the same. The doctor can feel the fibers with metal instrumentation, but with LAAM, we're able to actually put a finger into the uterus, identify where those fibroids are, with a sense of touch or feel, can remove all the fibers in the uterus that are present. The LAAM approach is a small 14 inch.

Incision at the belly button. The other incision is about three centimeters, only about that big, way down on the bikini line. So with those two incisions, you are actually able to take out the fibroids and feel where they are. You're not going to miss smaller fibroids. You're not going to miss fibroids deep in the muscle. That's vital for patients, especially those that are thinking about getting pregnant or have bleeding from fibroids. The reproductive endocrinologist, for example, prefers our approach to robotic or laparoscopic myomectomy, because with those other procedures, smaller fibroids.

Maybe left behind, which will be detrimental to fertility. While it's a very innovative technique, the part that is so incredible about LAAM is that it gives women and an opportunity to conceive by sparing the uterus. Many of these women may have still had that opportunity, but it would have had to have been through an open procedure which would have been far more painful, more time out of work, and LAM is giving them this opportunity through a very small incision and less pain. Power morcellation is never used during a LAAM procedure.

LAAM procedures performed by CIGC surgeons do not use power morcellation for removal of fibroids from the uterus. Power morcellation is not beneficial for the LAAM procedure. It takes longer time to perform, it has more risks, and it can potentially spread cancer if the cancer is already present in the fibroid. Get a second opinion. Talk to other doctors. If your doctor is not doing a LAAM procedure for fibroids, find a doctor that is. CIGC surgeons are the only ones in the metropolitan area doing it. So LAAM is extremely thorough, very safe,.

Dr. Paul MacKoul MD Makes Minimally Invasive Fibroid Removal Possible Helenes Story

I have been suffering from fibroids and endometriosis for over 20 years, and I had very intense pain, back problems, lower stomach problems, headaches from being so anemic. And it controlled my life. I think my first procedure was probably '95. And so since '95, I've been going through different procedures with different doctors, and nothing worked. I would do the surgery, and I would be fine for a month or two. And then I would say the longest I've ever been OK was for three months, and then bam here it comes again.

One of the doctors that I went into, he told me that the best advice that he could give me was to just go ahead and have a hysterectomy. And then he started laughing and said that that was his best advice for the day. And then I told him, thanks, but no thanks. And I walked out. I had a cyst rupture on my right ovary. And I ended up in the emergency room where I had to do surgeries to remove my appendix, because it kind of fused my appendix and my fallopian tube together.

After I got out of that surgery, my GYN at the time, she told me, I want you to go and see Dr. MacKoul. She said, this is the only doctor the only doctor that I want you to see. I went in to see Dr. MacKoul. He was pleasant, and he took the time out to explain to me what was going on and do all his little drawings. Dr. MacKoul recommended a LAAM myomectomy, because I wanted to retain my uterus. He told me if I had any questions just to call him,.

And he would explain anything that I didn't quite understand. Then he actually came and sat with me before I actually was taken in for the surgery. And he went over again what we're going to be doing, and then he told my family to just trust him. I was in good hands. I did not come across a specialist until I actually met Dr. MacKoul. Not only did he tell me what my problem was, not only did he tell me what mistakes had been done with my surgeries prior.

That caused my endometriosis to get worse but he fixed the problem. I haven't had any pain no back problems, no stomach problems, no headaches. I finally decided it was time for me to do what I wanted to do. Three months later, my dad had asked me, would I go with him to Africa. And I told him, sure, and so we went to Africa for a month. This was something that I would not have done prior to having the surgery. The energy that I didn't feel I had before to be able to do.

My master's, now I'm working on my master's. I have the energy where I'm doing my master's, working, and also helping my niece with her homework, and now having to travel with her to go to her different events. I wish I had met Dr. MacKoul before. I wish I had heard about him before I went through all those other procedures. But looking back, with everything that I went through, I'm always telling other people about Dr. MacKoul. He is a true specialist. He is the only specialist I would recommend.

Patient Story Robotic Uterine Fibroid Embolization with Magellan

Ivana I love to walk. It really feels great. I'm a teacher. Sometimes I work with the preschoolers or first grade, and you want to kind of be on their level, when you're sitting down. So I wasn't able to sit down a lot of times. And I noticed a lot of bloating. My body just wasn't functioning the way that it normally was. Last year the doctor noticed that I had fibroids that were the size of lemons. I was in pain a lot. I couldn't wear anything that buttoned. It literally looked like I was nine months pregnant. I was embarrassed. I sought.

Medical advice from my OBGYN about other options other than a hysterectomy. And he referred me to Dr. Bagla. Dr. Bagla Ivana, when she sought us out to have uterine fibroid embolization and it was performed robotically, she was ecstatic and knew that she was undergoing a procedure that would offer her a chance to really change her life. With traditional surgery, such as hysterectomy or myomectomy, there is an open incision, and most women are not ecstatic about having a large incision in the lower part of their abdomen, the scar, the potential.

For bleeding, or infections. With fibroid embolization as a whole, that procedure can be performed minimally invasively on an outpatient basis sometimes, and just through a simple needle hole. What's unique about the Magellan System is its ability to get to both right and left uterine artery, which is critical for the procedure. It offers support for our microcatheter to then deliver the embolic material right into the correct place within the uterus. Ivana The puncture that he made with the Magellan Robotics System, literally it was a little bandaid. And I remember, I had trouble finding where the incision was. Now I'm breathing.

Sawsan Assanie, MD Tutorial Profile

Gtgt There's been a lot of tradition in my family. My father was actually a general OBGYN, and so I grew up in a family that gynecology and obstetrics was the routine. I think I went into OBGYN for very different reasons than my father, and have kind of developed my career specific to my particular interests. But the basis for it has always been a passion, particularly for women's health. My primary focus, or the way that I like to see patients is to make sure to see each individual patient as a unique person what are her specific needs,.

What are her specific goals and to make sure that she's very well informed about all of the options that are available to her, whether they're medical or surgical. And so I really like to tailor my treatment plan particularly to that patient's needs, and what seems to be best appropriate for her. My focus is in minimally invasive gynecologic surgery, as well as I see a lot of patients with endometriosis, and chronic pelvic pain. I have specific training in advanced gynecologic surgery, particularly laparoscopic surgery, and robotic surgery, and I've tailored my practice to see patients with uterine fibroids,.

Myomectomy uterine incision

The uterine incisions to make myomectomy usually should be done by metrocautery or scalpel, and the principle type and site of incision on the uterus is as much as possible on the anterior aspect of the uterus and as much as possible all the myomas should be removed through a single incision words on screen ovary uterine incision fundus of the uterus made on the anterior aspect of the uterus. So while doing the incision on the uterus there might be bleeders coming from the myometrium but once we reach into the myoma, the myoma will be appearing quite.

How to cure uterine fibroids without surgery

Hello, I'm doctor Gillian Johnson As a former fibroids sufferer what I want to tell you is You don't have to suffer. Fibroids and fibroids symptoms can be cured WITHOUT surgery or a hysterectomy. I had two uterine fibroids, and you may know how painful is. After several unsuccessful medications, my gynecologist wanted me to undergo surgery. But another doctor suggested me to follow a new holisticdrugfree method, accessible on the web. In just 5 weeks fibroids shrunk drastically. No more pain, no more irregular periods, no more bladder pressure. The following ultrasounds shown that both of these fibroid were completely gone.

Myomectomy Surgery For Fibroid Uterus

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