Consult Doctors. FREE.
Real Doctors, Expert Answers
Connect with Facebook Connect with Google For Doctors
By creating an account, you are indicating that you have read and accepted the DoctorxDentist Terms of Use.
Consult Doctors. FREE.
Real Doctors, Expert Answers
By creating an account, you are indicating that you have read and accepted the DoctorxDentist Terms of Use.
Registration Progress
Step 1: Indicate Topics of Interests
Step 2: Follow Relevant Doctors
Complete!
What are your interests?
Please select at least 3 interests.
NEXT
NEXT
Registration Progress
Step 1: Indicate Topics of doctors
Step 2: Follow Relevant Doctors
Complete!
Follow your favourite doctors
We found some doctors you may like. Click continue to follow them.
CONTINUE
CONTINUE
Consult Doctors. FREE.
Real Doctors, Expert Answers
Continue with Facebook Continue with Google

or

OOPS!

SOMETHING WENT WRONG.

PLEASE TRY AGAIN.

OOPS! SOMETHING

WENT WRONG.

PLEASE TRY AGAIN.

Disclaimer: Any answers provided are for general informational purposes only and is not a substitute for professional medical advice. If you think you may have a medical emergency, call your doctor immediately. Always seek the advice of your doctor before starting or changing treatment.

Continue with Facebook Continue with Google

Disclaimer: Any answers provided are for general informational purposes only and is not a substitute for professional medical advice. If you think you may have a medical emergency, call your doctor immediately. Always seek the advice of your doctor before starting or changing treatment.

YOUR QUESTION HAS BEEN

SUCCESSFULLY SUBMITTED.

YOUR QUESTION

HAS BEEN

SUCCESSFULLY

SUBMITTED.

YOUR ANSWER HAS BEEN

SUCCESSFULLY SUBMITTED.

YOUR ANSWER

HAS BEEN

SUCCESSFULLY

SUBMITTED.

YOUR QUOTE REQUEST HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL GET BACK TO YOU SHORTLY!

YOUR QUOTE REQUEST

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS WILL GET

BACK TO YOU SHORTLY!

YOUR THREAD HAS BEEN

SUCCESSFULLY CREATED.

HEAD OVER TO FORUM PAGE NOW

TO JOIN THE DISCUSSION

YOUR THREAD

HAS BEEN

SUCCESSFULLY

CREATED.

HEAD OVER TO THE FORUM PAGE NOW

TO JOIN THE DISCUSSION!

YOUR REVIEW HAS BEEN

SUCCESSFULLY SUBMITTED.

THANK YOU.

YOUR REVIEW

HAS BEEN

SUCCESSFULLY

SUBMITTED.

THANK YOU.

OOPS!

THERE IS SOMETHING

WRONG WITH YOUR EMAIL.

PLEASE TRY AGAIN.

OOPS! THERE IS

SOMETHING WRONG

WITH YOUR EMAIL.

PLEASE TRY AGAIN.

YOUR EMAIL HAS BEEN

SUCCESSFULLY SUBSCRIBED.

THANK YOU.

YOUR EMAIL

HAS BEEN

SUCCESSFULLY

SUBSCRIBED.

THANK YOU.

YOUR CONSULTATION HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL

GET BACK TO YOU SHORTLY.

YOUR CONSULTATION

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS

WILL GET

TO YOU

SHORTLY.

MESSAGES TO

Am I suitable for laparoscopic myomectomy fibroid removal if I have a large fibroid?

I have a fibroid measuring 8.7 by 7.4 by 7.8cm. What type of surgery is recommended for my large fibroid if I choose to get treated? Would I still be a suitable candidate for laparoscopic myomectomy given the size of the fibroid? Thanks. 

The surgical considerations for treatment of fibroid include:

  1. Mode of surgery - Laparoscopic vs Open Surgery
  2. Extent of surgery - Myomectomy (removal of fibroid only) vs Hysterectomy (removal of the entire womb)

The type of surgery recommended for fibroids will depend on a few factors such as:

  • a patient's age
  • prior abdominal surgeries before (including caesearean section)
  • reproduction desire
  • whether your family is completed
  • the size, location and number of fibroids
  • if there are any other symptoms or problems associated with it
  • patient's own medical history and condition

Whether you are suitable for a laparoscopic myomectomy will depend on what you want, your expectations as well as the expertise of your operating surgeon.

In general, a 8.7cm can usually be removed via laparoscopic myomectomy (again, depending on the surgeon). However, you must be aware of the risks vs benefits of a laparoscopic vs open approach and weigh the options yourself before deciding.

The benefits of laparoscopic surgery include much smaller scar and faster recovery time post op. 

However, laparoscopic myomectomy carries the risk of morcellation (surgically cutting the fibroid into smaller pieces to remove through the key hole port). 

The concern with morcellation is the rare risk of potentially spreading abnormal cells around the abdominal cavity if the cells in the fibroid turn out to be bad. 

Again, the main thing is for you to have a detailed discussion with your gynaecologist so that you can weigh your options carefully before making a decision that you are comfortable with.

Regards,

Dr Michelle Chia

0 174 views 3 Feb 2019
Not the question you're looking for? Browse other questions tagged Women's Health Gynaecology or ask your own question now FOR FREE.