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A new website for gynaecologists interested in the surgical management of fibroids is now on line. www.fibroidsurgery.org
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.
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
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.
is usually done under general anaesthesia, but hospital
stay is usually short.
gynaecology, indications for diagnostic laparoscopy
include the investigation of pelvic pain and subfertility.