Surgery details related questions

[Guest guest]

Hello,

I am in the process of determine my surgery for fribroids removal, 3

of them, largest one is around 8cm.

It has been an extremely hard journey to determine

The TYPE OF SURGERY, open surgery vs. laproscopic surgery.

I was told that the 8cm fibroid is very closely against the uterus

lining (within the uterus muscle wall). Therefore,most doctor told

me that in order to do a good wall repairing, The open surgery is

recommended over Laproscopic one since I want to have a child in the

near future. However, I have found one doctor whose surgery only

focused on laproscopic method told me that the Uterus wall repairing

for laproscopic method is just as good as open surgery. According to

him the suturing skill of a doctor determines the wall repairing not

the Surgery method.

Does any one know or have any study results on this subject?????

AS you all know that laproscopic surgery is much easy for a patient

in terms recovery and surgery risk. If in my situation laproscopic

surgery is just as good as open surgery, I want to avoid to have the

open surgery. As anyone went through may know how scare it is to

think of it.

I need your help if you have the information to share.

Thanks very much!

[Guest guest]

Here are a few resources that might help with your decision:

Gynecologic Myomectomy

http://www.emedicine.com/med/topic3319.htm

Great Debate: Laparoscopic Myomectomy is a Safe Procedure

http://www.obgyn.net/hysteroscopy/hysteroscopy.asp?page=/hysteroscopy/articles/g\

reatdebate_0699

If the link above doesn't work, try this one:

http://tinyurl.com/2j4qo

One study found that the rate of fibroid recurrence was higher when fibroids

were removed laparoscopically.

Recurrence of leiyomomata after myomectomy

http://humupd.oupjournals.org/cgi/reprint/6/6/595.pdf

Myomectomy (from Carla Dionne's site):

http://www.uterinefibroids.com/c_myo.htm

I think that the pain and discomfort of an abdominal myomectomy are worth it

when you want to preserve your fertility. I'd much rather take time to heal

from an abdominal myomectomy than face the increased risk that I might be

unable to conceive or unable to avoid a uterine rupture after having a

laparoscopic myomectomy.

Cheryl

You wrote:

> Hello,

>

> I am in the process of determine my surgery for fribroids removal, 3

> of them, largest one is around 8cm.

>

> It has been an extremely hard journey to determine

> The TYPE OF SURGERY, open surgery vs. laproscopic surgery.

>

[Guest guest]

hi,

I have heard that there are really skilled doctors on laparoscopy, the pioneers

of this method. he would tell you if there was a problem about repairing the

uterus.

the most scary thing about laparotomy is the long term complicatios such as

adhesions. laparoscopy is advantigous in every way.

you should trust a doctor and do whatever he agrees.