Our Summary

This research paper is about a study that compared the outcomes and complications of laparoscopic myomectomy (a surgical procedure to remove fibroids from the uterus) for two different types of fibroids: submucous myomas (fibroids that grow just underneath the uterine lining) and myomas located in other parts of the uterus. The study was done at a hospital affiliated with a university in London and involved 350 patients who had symptomatic uterine fibroids.

The researchers looked at data related to the patients’ demographics, characteristics of the myomas, outcomes after surgery, and immediate complications. The patients’ age, body mass index, and number of births were similar in both groups. The characteristics of the myomas, such as the average size of the largest myoma, the average number of myomas removed, and the average mass of the myomas removed were also similar in both groups.

The study found no significant differences in the outcomes of the surgery between the two groups. This includes the average blood loss, the duration of the surgery, and the length of hospital stay. There were also no complications from the laparoscopic removal of the submucous myomas.

In other words, this study shows that laparoscopic myomectomy for submucous myomas has similar results and immediate complications as the same procedure for other types of myomas. Therefore, this procedure can be considered for patients with large or type 2 submucous myomas.

FAQs

  1. What was the aim of the research study on laparoscopic myomectomy conducted at a university-affiliated hospital in London?
  2. Were there any significant differences in the outcomes or complications of laparoscopic myomectomy for submucous myomas compared to other types of myomas?
  3. Can laparoscopic myomectomy be considered for patients with large or type 2 submucous myomas according to the study’s findings?

Doctor’s Tip

One helpful tip a doctor might tell a patient about myomectomy is to discuss the potential risks and benefits of the procedure. It is important for patients to have a clear understanding of what to expect before undergoing surgery, including the possibility of complications such as infection, bleeding, or damage to surrounding organs. Patients should also be prepared for a period of recovery and follow their doctor’s post-operative instructions closely to ensure a successful outcome.

Suitable For

Patients who are typically recommended for myomectomy include those who have symptomatic uterine fibroids that are causing symptoms such as heavy menstrual bleeding, pelvic pain, and pressure on the bladder or bowel. Additionally, patients who desire to preserve their fertility or who have failed conservative treatments for fibroids may also be recommended for myomectomy. Patients with submucous myomas, especially those that are large or type 2 submucous myomas, may also be good candidates for laparoscopic myomectomy based on the findings of this study. Ultimately, the decision to undergo myomectomy should be made in consultation with a healthcare provider based on the individual patient’s symptoms, medical history, and goals for treatment.

Timeline

Before myomectomy:

  1. Patient experiences symptoms such as heavy menstrual bleeding, pelvic pain, and pressure on the bladder or rectum due to uterine fibroids.
  2. Patient undergoes diagnostic tests such as ultrasound or MRI to confirm the presence and location of the fibroids.
  3. Patient consults with a gynecologist or a specialist to discuss treatment options, including myomectomy.
  4. Patient undergoes pre-operative evaluations and preparations, including blood tests and imaging studies.
  5. Patient receives anesthesia before the surgery.

After myomectomy:

  1. Patient is monitored closely in the recovery room for any immediate complications such as bleeding or infection.
  2. Patient may experience pain and discomfort in the pelvic area post-surgery, which is managed with pain medications.
  3. Patient is discharged from the hospital within a few days and advised on post-operative care and follow-up appointments.
  4. Patient may experience temporary side effects such as fatigue, bloating, and constipation as the body heals.
  5. Patient gradually resumes normal activities and follows up with the healthcare provider to monitor recovery and address any concerns.

What to Ask Your Doctor

Some questions a patient should ask their doctor about myomectomy include:

  1. What are the risks and benefits of undergoing a myomectomy?
  2. What type of myomectomy procedure do you recommend for my specific case?
  3. How will my recovery process look like after the surgery?
  4. Will my fertility be affected by the myomectomy procedure?
  5. Are there any potential complications I should be aware of?
  6. How long will I need to stay in the hospital after the surgery?
  7. Are there any alternative treatments or procedures I should consider?
  8. What is the success rate of myomectomy in treating my specific type of fibroids?
  9. How soon after the surgery can I expect to see improvement in my symptoms?
  10. What is the long-term outlook for my condition after undergoing a myomectomy?

Reference

Authors: Oxley SG, Mallick R, Odejinmi F. Journal: J Minim Invasive Gynecol. 2020 Jan;27(1):155-159. doi: 10.1016/j.jmig.2019.03.015. Epub 2019 Mar 26. PMID: 30926366