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:
- Mode of surgery - Laparoscopic vs Open Surgery
- 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.
Dr Michelle Chia