Indications and contraindicationsThis
surgery is indicated for medium to large fibroids, especially if they show active growth, cause pain, or disrupt the menstrual cycle. Surgical intervention is also recommended when planning pregnancy if fibroids hinder conception or carrying the pregnancy to term. Contraindications include severe chronic diseases, infectious processes, and exacerbations of co-existing pathologies.
There are three categories of procedures based on complexity:
- Laparoscopic myomectomy Category 1: Removal of a single, small fibroid with easy access.
- Laparoscopic myomectomy Category 2: Removal of multiple fibroids or those located closer to the abdominal wall.
- Laparoscopic myomectomy Category 3: Interventions for multiple or deeply embedded formations.
The doctor determines the method after diagnosis. Laparoscopic myomectomy in Tashkent at Dr. Steinke Clinic combines a conservative approach, aimed at preserving the reproductive organ and reducing health risks for the woman, with alternative treatment methods.
Advantages of laparoscopic myomectomyThe method relies on access through several small punctures, through which instruments and a
laparoscope – a device with a miniature camera – are inserted. This ensures precision and visual control during the operation.
Key advantages include:
- Minimal invasiveness and rapid rehabilitation.
- Reduced pain and risk of complications.
- Absence of large scars and aesthetic benefits.
- Possibility of performing in a day hospital setting.
- Laparoscopic technique is particularly relevant when it's necessary to preserve uterine function and help the patient return to her usual lifestyle as quickly as possible.
Alternative treatment methodsDepending on the clinical picture, the doctor may suggest other approaches:
- Hysteroscopic myomectomy: Removal of fibroids within the uterine cavity via the vagina without incisions.
- Abdominal myomectomy: Traditional open surgery through an abdominal incision, used for very large fibroids.
- Ultrasound ablation: A non-invasive method of destroying fibroids using focused ultrasound.
- Uterine artery embolization: Stopping blood flow to the fibroid by injecting special substances.
Each method has its indications and limitations. It's important to consider medical aspects, such as the complexity category and the patient's personal wishes. At Dr. Steinke Clinic, specialists select the optimal treatment path considering all factors – from health status to the available price of the service.