Hysterectomy can be avoided

To get rid of fibroids, doctors can only remove the entire uterus along with myoma nodes. But this can be avoided. Surprisingly, the doctors did myomectomy, surgical removal of tumors only from the 1800s. What we might call the traditional myomectomy, with time becomes more and more advanced technology. Each year, approximately 18,000 performed such operations possible, because so many women are looking to replace hysterectomy.
A traditional myomectomy is that the doctor makes incisions in the abdomen and uterus. The tumors are cut, the incision is closed. "This abdominal surgery, and as in any case extensive surgery there is a danger of infection, the reaction to the anesthesia and blood loss, resulting in blood transfusion may be necessary" warns Dr. Burton. When myomectomy blood loss may be even greater than for hysterectomy, although the recovery period is the same for about four to six weeks.
Around 25 per cent of cases within five years fibroids grow back or remaining small nodes that were missed during an operation, or is it a new formation that developed after surgery. "And then we have to repeat myomectomy or hysterectomy still do, adds Dr. Schwartz, who is a member of the American corporation of Obstetricians and Gynecologists and is part of a group of experts on hysterectomy. The larger tumors were removed at the beginning, the more likely that there will be new. "
Since myomectomy incision on the uterus, it may happen that adhesions and scars complicate the course of pregnancy, or have problems conceiving. Fortunately, these complications are rare. And women who miomatoz does not bear a child, the operation, as a rule, is of great benefit.

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If you have a very small fibrous formation, you can offer one of the newer treatments that greatly reduce the time of healing, and almost do not give complications. The choice of method depends on the location of tumors. Therefore, there is no method that would suit any woman.
"Fibroids projecting into the uterine cavity, for example, are typically removed using a hysteroscope, a telescopic instrument that is inserted into the uterus through the vagina and allows you to visually observe the inside of it, says Dr. Schwartz. The hysteroscope may be provided with a laser, which burns the tumor or resectoscope, a tool which is used to remove tumor electric current.
Small units, which are located on the outer surface of the uterus, can often be removed using a laparoscope, an instrument that is inserted through a tiny incision near the navel. A laparoscope is also integrated with a laser or other device for cauterization, "says Dr. Schwartz.
And hysteroscopy and laparoscopy are performed on an outpatient basis that is their great advantage. The operation is the same as the traditional myomectomy, but in this case it is not necessary to spend money on the maintenance of the hospital. "Within a few days after the operation can be felt small pains spasmodic character, says Dr. Schwartz, but his health is quickly restored." Women usually return to work in less than a week. The disadvantage of this method is that with such a small surgical intervention tumor can grow back; you may need to repeat the process, or do a hysterectomy.