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Information about uterine fibroids
Minimally Invasive Therapy Unit & Endoscopy Training Centre
University Department of Obstetrics and Gynaecology
Royal Free Hospital
Pond Street
Hampstead
London NW3 2QG, UK |
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Abdominal hysterectomy
Abdominal hysterectomy is the most commonly performed
type of hysterectomy in most countries.
Certainly, if the fibroids are very large
or if you are thought to have a lot of
adhesions in your pelvis, then abdominal
hysterectomy is generally the only option.
Just as with myomectomy, however, there
is a good chance that surgery can be done
through a "bikini" type
incision even in difficult cases.
Hospital
stay averages 5 to 7 days and normal
activities are generally deferred for
4-6 weeks. This does not mean that
you are bed bound, only that you are
advised to avoid heavy physical work
for that time.
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PROS
Fibroid size does not matter
Most easy route to deal with adhesions or ovarian problems
Subtotal hysterectomy relatively simple
Surgery faster than laparoscopic hysterectomy |
CONS
Major abdominal incision
Complications more frequent than with vaginal or laparoscopic hysterectomy
Longer hospital stay
Recovery takes several weeks |
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MEDICAL NOTES
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Diagnostic
laparoscopy
A laparoscope is a narrow telescope which is introduced
into the abdomin through a small incision. It provides
the surgeon with an excellent view of the peritoneal
cavity, and can be used both for diagnosis and treatment.
Laparoscopy
is usually done under general anaesthesia, but hospital
stay is usually short.
In
gynaecology, indications for diagnostic laparoscopy
include the investigation of pelvic pain and subfertility. |
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