Dr. Loo Kwong Sheng is the best gynecologist in Kuala Lumpur Malaysia. He is currently working at Gleneagles Hospital Medini Johor. With a rich experience of 16 years, he has expertise in female reproductive problems, menstrual issues, Gynae issues, etc. Dr. Loo Kwong Sheng has completed his MD from University Sans Malaysia in 2005 after which in 2012 he received MRCOG from Royal College Obstetricians and Gynaecologists, United Kingdom.
He has expertise in various treatments of female reproductive problems like hysteroscopy, colporrhaphy, cervical polyp removal, myomectomy, endometrial ablation, etc.
Myomectomy
Fibroids are benign or non-cancerous spherical growth in the uterus. These fibroids can be of different types like, pedunculated, submucosal, subserosal, and intramural fibroids. These different types of fibroids are associated with different symptoms like heavy blood flow during periods, bleeding between periods, lower back pain.
Myomectomy is a surgical procedure to surgically remove these fibroids. Unlike hysterectomy, it does not remove the whole uterus but only the fibroids. Symptomatic fibroids are surgically removed to relieve the patient from the symptoms they are facing. Hence, the surgeon’s ultimate goal is to remove the symptomatic fibroids and reconstruct the uterus.
Reasons For Undergoing Myomectomy
The doctor may recommend myomectomy for fibroids that are causing interference with normal body functions. A patient who approaches the gynecologist may be recommended to undergo myomectomy for reasons like interfering with fertility, planning to bear a child, etc.
Preparation Before Surgery
Before the surgery doctors advise to fast, which is one needs to stop eating and drinking before the number of hours can be different and hence, follow the recommendations of your doctor. In case of a medication routine, consult your doctor before stopping/changing it.
The type of anesthesia which will be used during the treatment depends on the type of myomectomy:
- General anesthesia is used in the case of laparoscopic and abdominal myomectomy. In general anesthesia, the patient is asleep with a tube placed in their throat.
- Monitored anesthesia care is used during hysteroscopic myomectomy as it is less invasive and requires less anesthesia.
Types Of Myomectomy
There can be 3 types of myomectomy that can be performed depending upon the size and location of the fibroids in the uterus. These types can be:
- Abdominal Myomectomy: It requires an incision in the lower abdomen and after the removal of the fibroids from the uterus wall, they are sewn back. The blood loss during the surgery often requires a blood transfusion.
- Laparoscopic Myomectomy: Only certain types of fibroids can be removed with laparoscopic surgery. Large fibroids which are deeply embedded in the wall of the uterus require abdominal myomectomy.
- Hysteroscopic Myomectomy: Submucosal fibroids can be removed from Hysteroscopic Myomectomy.
After The Surgery:
Specific diet and restrictions in physical activities are advised by the doctor after the patient is discharged. Patients may experience vaginal spotting for few days to wee depending upon the type of myomectomy.
Results:
As a result of the surgery patient can experience the following improvements:
- Improved symptoms: Patient gets relieved of the interfering symptoms like less pain during periods or improvement in bleeding.
- Resolved fertility: Patients have improved fertility after the surgery and may attempt conception a few months after the surgery giving the uterus time to heal.
Takeaway
Post-surgery patients are advised to take rest for which period depends on the type of myomectomy. They are recommended specific diet that needs to be followed strictly post-surgery. Keep following the recommendation strictly to heal faster. For more information, you can contact Dr. Loo Kwong Sheng experienced gynecologist and obstetrician at Gleneagles Hospital Medini Johor, Kuala Lumpur Malaysia.
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