Information about uterine fibroids
Minimally Invasive Therapy Unit & Endoscopy Training Centre
University Department of Obstetrics and Gynaecology
Royal Free Hospital
Pond Street
London NW3 2QG, UK


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Treatment summary
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A new website for gynaecologists interested in the surgical management of fibroids is now on line.

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.

Size of fibroids does not matter
Easiest route of surgery to deal with adhesiona and ovarian problems
Subtotal hysterectomy an option
Operating time not too long (compared with laparoscopic hysterectomy)

Major abdominal incision
Complications relatively more frequent
Longer hospital stay
Recovery takes several weeks

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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.