RE: Dr. parker, Dr. glassner or Dr. west

[Guest guest]

I had a laparoscopic myo done on my fibroid that was just under 8 cm. I

think I was really at the limit, 11 or 12 cm is much bigger and the

amount of time taken to cut it into little bits for removal would really

be too long and I doubt whether even a very experienced surgeon would

want to take it on.

>can anyone please give me any feedback on their

>experiences with Dr. West(NY), Glassner(Philly) or

>Dr. (Calif). Can laproscopic myos ever be done on

>intramural fibroids that are as big as 11 or 12 >cm?

[Guest guest]

There are a number of factors that we take into consideration when we

consider laparoscopic myomectomy. Size and number of fibroids, position and

depth of the fibroids within the uterine wall and desire for fertility are

all considerations.

It is actually easier to remove a 10 cm subserosal myoma laparoscopically

than a 5 cm submucosal myoma because there is less uterine muscle to go

through to get to the fibroid and, therefore, less bleeding. More fibroids

take longer to remove and are more technically challenging than just a few

fibroids. While any number of fibroids can be removed abdominally, I usually

limit laparoscopic myomectomy to 5 or 6 fibroids.

Repairing the uterine wall laparoscopically is a bit more technically

difficult than with abdominal surgery. If a woman is interested in fertility

I may recommend abdominal surgery if the fibroids are numerous or deep into

the wall. I can then repair the uterine wall in a way that should withstand

the forces associated with carrying a pregnancy for nine months. If

fertility is not an issue, then there is much less concern about this and

laparoscopic myomectomy can be safely considered.

The " cutting up " part (morcellation) is actually easy now with the new

instruments we have available, so this is rarely a limiting factor. I hope

this is of some help.

Bill , MD

RE: Dr. parker, Dr. glassner or Dr. west

I had a laparoscopic myo done on my fibroid that was just under 8 cm. I

think I was really at the limit, 11 or 12 cm is much bigger and the

amount of time taken to cut it into little bits for removal would really

be too long and I doubt whether even a very experienced surgeon would

want to take it on.

>can anyone please give me any feedback on their

>experiences with Dr. West(NY), Glassner(Philly) or

>Dr. (Calif). Can laproscopic myos ever be done on

>intramural fibroids that are as big as 11 or 12 >cm?

MEETUP! with other local women who have Uterine Fibroids.

http://uterinefibroids.meetup.com