Laparoscopic Uterine Fibroids – You Must Know About It!

What is Laparoscopic Uterine Fibroids surgery?

Uterine fibroids are nothing but a type of tumor that grows in women’s uterus. These tumors are generally are of benign nature and are not life-threatening type of tumor. An advanced surgery is per4fromed to eliminate the tumor that grows on the walls of uterus, which when not prevented in earlier days will start become rubbery and hard mass which is quite different from the natural surroundings of the tissue cells is called laparoscopic Uterine fibroids surgery. This surgery is performed to treat both the scenarios in which the growth of the tumor is either singular or in group of different shapes and sizes. The tissue which is treated with this minimally invasive surgery is the most usual sort of benign abnormal cell growth which is experienced by almost every woman in their life-time.


Why do you need the laparoscopy surgery for uterine fibroids?

There are some cases in which this tumor does not show any signs and left treated, but here are some of the conditions which can be the cause that one should consider for laparoscopy surgery fro uterine fibroid removal, which includes:

  • Abnormally prolonged menstrual periods
  • Bladder functional difficulty
  • Constipation or difficult bowel movement
  • Excessive bleeding during menstrual periods
  • Frequent urination
  • Pressure felt in the pelvis
  • Pain in the leg or back
  • Pain in the pelvic region

Which specialist should you consult if you have any of the signs and symptoms?

If you are facing any symptoms of uterine fibroid, here is a list of expert, which you can consult for primary consultation and recommendation for further treatment:

  • Gynecologist
  • Family medicine physician
  • Nurse practitioner
  • Internist
  • Physician assistant

Among these specialist gynecologist will further assist you with diagnosis and treatment of uterine fibroids.

What are the screening tests and investigations before the surgery?

Before undergoing any kind of surgery there are some basic medical tests that an expert should do, to understand the problem more effectively and then he will become able to suggest the best method to treat the condition. In case of uterine fibroid here are some of the tests that an individual need to undergone before recommended for laparoscopy surgery:

  • The history of your symptoms and your menstrual periods
  • The results of a pelvic exam
  • Pelvic ultrasound or hysterosonogram (to diagnose multiple fibroids)
  • Complete blood count (CBC) to check for anemia
  • Laparoscopy (to locate the fibroids before removal surgery)

What is the procedure for laparoscopy surgery for uterine fibroids?

Laparoscopy is basically called as minimally invasive surgical procedures. In case when you are looking for the laparoscopy uterine fibroid surgery, you will get some options in surgery which includes Myolysis and Uterine artery embolization, but here we are discussing the most utilized and the most effective type of uterine fibroid removal surgery, which is:

Laparoscopic (robotic) myomectomy – In this surgery the surgeon needs to eliminate the tumor or the fibroids along with leaving the uterus intact. This surgery the instrument is used with a proper robotic arm assistance, which is put via a cut made during surgery in the abdomen region in order to remove the uterine fibroids. This surgery method is the most dexterous and more accurate than any other minimally invasive surgery procedure to remove fibroid from uterus.

What are the known complications of the surgery?

As this surgery is on minimal invasive type, which makes this surgery more effective than other surgeries. Though there are some complications associated with surgery, which includes:

  • Childbirth complications
  • Excessive blood loss
  • Rare chance of hysterectomy
  • Scar tissue

 What are the dietary and physical activity requirements before and after surgery?

Once the surgery is performed effectively, here are some of the things that an individual need to follow, to get the best outcome from the surgery. Here are a set of things to consider, which includes:

  • NSAIDs (Nonsteroidal anti-inflammatory drugs) to get relieve from pain and menstrual cramps
  • Utilize heating pad to lower abdomen or take a hot water bath to which helps in improved blood flow
  • Use a pillow under your knees to relieve the pain
  • Instead of tampons utilize pads
  • Do some physical activities recommended by surgeon to reduce pain and to improve blood flow

Ultrasound versus Laparoscopy Endometriosis – Which one is the best?


Both ultrasound and laparoscopy endometriosis differ a lot in many ways, when the former deals with capturing the picture inside the pelvic areas that gives an idea of deciding upon the course of action, while the latter only deals with the surgery of the ailment, which is often decided upon the former option. In a sense, the former is diagnosis tool, while the latter option deals with actual treatment procedure meant to make the patient free from the ailment. This is therefore the basic difference between the two, while other differences are being discussed in the following paragraphs:

Digital Image by Sean Locke Digital Planet Design

What is Ultrasound ?

It can be called as a procedure, which records the ultrasound waves as these are seen getting reflected from anatomic structures. The healthcare professional records the echoes using a machine that are digitalized and then converted into a 2D image of the examined area.

What is Laparoscopy Endometriosis?

It is a surgical endoscopic procedure, which helps in making the patient free from the condition called endometriosis, which is actually a layer of cells that gets collected over the uterus. Using laparoscopic method helps in getting a clear view about the pelvic structure and thus helps in carrying out the surgery. With this option, you do not have to rely over ultrasound as the surgeon is able to have the view of the same over the monitor.

Preparing for Ultrasound

You do not need much of the preparation rather it is simply requires partial bladder filling.

Preparing for Laparoscopy Endometriosis

Since it is a surgical procedure, you would need a better preparation for the same, which include not having liquid or solid food for not more than 8 hours before surgery. Need physical exam before the surgery along with having blood tests, urinalysis, preoperative medication, laxatives before the procedure, vaginal irrigations before surgery and anesthesia.

Ultrasound Procedure

Here the patient is applied a transducer over the skin over the area in order to examine along with getting the display of the images over the monitor about the pelvic area structure. The surface of traducer is covered with special gel for getting better effects.

Laparoscopy Endometriosis Procedure

First of the surgeon is seen creating a bladder catheterization with 10 mm stab within the umbilicus followed by inserting needle over the peritoneal cavity followed by two liters of gas inside the abdomen along with inserting the trocar and cannula, which is replaced by a laparoscope to get the view about the pelvic area that is treated by the surgeon.

Ultrasound – side effects

When it comes to side effects of ultrasound, you hardly find any for obvious reasons as there is hardly any surgical procedure involved.

Laparoscopy Endometriosis 

In this procedure, you may experience postoperative pain too often by the patient along with witnessing the postoperative abdominal distension and doing a small permanent scars keeping

Ultrasound Complications

Unlike any side effects there is no complications attached to the ultrasound, which is for obvious reasons.

Laparoscopy Endometriosis

When it comes to this procedure, you can find a number of complications, which include vaginal bleeding, uterine perforation due to the uterine cannula insertion, tubo-ovarian abscess and other pelvic infections. Besides, one can even witness issues like wall abscesses, internal bleeding, peritonitis, urinary infections and subcutaneous emphysema to name a few.

Ultrasound Contraindications

There is hardly any contraindication after the ultrasound test for the obvious reasons.

Laparoscopy Endometriosis Contraindications

One may witness contraindications after this procedure, which can be found in the form of previous abdominal surgery, pelvic infections, many cardiac and pulmonary diseases, obesity, diaphragmatic hernia and gestation.


You can therefore find how the way the two procedures like ultrasound and laparoscopic endometriosis differ to each other.

Endometriosis – Get to know the facts about it!


Endometriosis is one of the common disorders wherein you can find the tissue is seen lining the inside of the uterus called endometrium that grows in the outer surface of the uterus. Endometriosis often involves over your bowel, ovaries or over the tissue lining on your pelvis. Rarely, you will find the endometrial tissue spreading beyond the pelvic region. This condition can thicken, bleeds and breaks down with every menstrual cycle. This condition can cause issues like pain at times it can be severe especially during the menstrual period. One can develop fertility issues, which can be sorted out using certain treatments.

endometriosis-womb-diagramCauses of Endometriosis

Though there is no exact cause is known for the problem of endometriosis yet you can find some common causes of the same as under:

  • Retrograde menstruation: This brings in the menstrual blood comprising of endometrial cells, which flows back via the fallopian tubes and inside the pelvic cavity rather out of the body.
  • Embryonic cell growth: The cells lining over the abdominal and pelvic cavities are seen coming from the embryonic cells, which become one of the causes to this problem.
  • Surgical scar implantation: This surgery also becomes one of the key causes to this problem as attached to a surgical incision. The other causes include endometrial cells transport and Immune system disorder.
  • Stages or Types of Endometriosis
  • The stages pertaining to issues like Endometriosis have the following stages as enlisted below:
  • Typical: is found in a form of black spots over white fibrous areas and this varies in size ranging from one to two centimetre in diameter and thus falls under the first stage.
  • Cystic Ovarian: It carries cysts that are larger than 45 cm that grow along as much reaching to 15 cm along with covering the ovary.
  • Deep: in this stage you can find solid tumours ranging 5-6 cm in diameters.

Risk Factors for Endometriosis

There are number of risk factors, which deal with endometriosis:

  • Permanent infertility
  • Bring in other issues
  • Pelvic infection
  • Abnormal uterine

Recognizing the Symptoms of Endometriosis

There are seven symptoms and signs pertaining to endometriosis, which include the following:

  • Get Painful periods wherein you will feel pelvic pain leading to cramping for a couple for days in the period including abdominal pain at the lower back area.
  • You feel the pain while having sex during the process of intercourse
  • You feel pain during the urination or while the bowel movements.
  • You experience the issue of excessive bleeding
  • Infertility including both permanent and temporary
  • Besides this condition also bring in a number of other symptoms, which include fatigue, constipation, diarrhea, nausea, and bloating one experiences in menstrual periods.

Potential Complications of Endometriosis

The endometriosis includes the two major complications, which are as under and has to be understood properly:

Infertility: One of the key complications to this problem includes endometriosis is impaired fertility. A good amount of women are seen facing this problem while getting pregnant. For pregnancy, one needs an egg at least to inside the ovary and thus move via the neighbour fallopian tube. With this issue, you can find the tube getting obstructed and thus keep the sperm and egg from coming closer. However, with this condition can even hamper the fertility issue.

Ovarian Cancer: The other major complications one can face with the issue of endometriosis include the menace of ovarian cancer. Though there are certain studies that claim that this can be the more likely complication one can face, but certain studies this complication to be lesser one. In other words, if any women face this problem of endometriosis then it is certainly not a good news and hence should be treated on an urgent basis.