Description

Deep fibroids that extend into the cavity of the uterus (submucous myomas) are the most difficult to remove laparoscopically. The advantage of laparoscopic surgery is that one large incision is replaced by several smaller ones. If a regular incision is made, recovery is usually faster, but this can vary. Risks of laparoscopic myomectomy include: Excessive blood loss. Many women already have anemia due to heavy menstruation, so they are at greater risk of complications due to blood loss. ... Scarring. ... Pregnancy or childbirth complications. ... A rare chance of requiring a hysterectomy. ... A rare chance of developing a cancer. Uterine fibroids are the most common benign tumor in women of reproductive age. Literature reports prevalence rates ranging from 20 to 50%, based on postmortem studies.[1] Prevalence varies with age, with an increase in the late reproductive period. Current trends suggest that women with a higher incidence of fibroids tend to delay pregnancy to a later age. Indeed, uterine fibroids are found in a small, but significant, number of infertile women. If a causal relationship between fibroids and infertility can be established, treatment to enhance fertility is indicated. However, the impact of fibroids on infertility remains controversial.