PANAJI - Myomectomy, the latest laparoscopic technique used for removal of fibroids in uterus among women, could give a chance to women, who have not been able to bear children or had to abort because of the complications of the presence of fibroids in the uterus, to bear children. This new technique was used on a young lady recently for the first time in the Goa Medical College.
Geeta (name changed), a 25-year-old young lady, was referred to the obstetrics and gynaecology department of the Goa Medical College with a history of repeated abortions. She did not have any child and was desperate. She was investigated in GMC and was found to be having a 6-centimetre large fibroid in her uterus.
The patient was operated by laparoscopic technique. This procedure was carried out for the first time in the Goa Medical College by a team led by Dr Manjusha Jindal and consisting of Dr Uddhav and Dr Amit. The patient had no post-operative problems and was discharged from the hospital the next day. This procedure reduces the hospital stay very much and also leads to early recovery and return to work.
According to Dr Jindal though fibroids in uterus are common, they cause lot of complications during child bearing age, starting with excessive bleeding to problems leading to infertility and even repeated abortions (as in this lady’s case) during pregnancy if left untreated. She further said that there are various methods of removing these fibroids, ranging from open surgery to laparoscopic removal. Laparoscopic removal (myomectomy) is the latest technique and is desirable in cases where the lady wants to have children and the myomectomy is done either for infertility or for repeated abortions. In this procedure there is very little chance of post-operative complications. Dr Jindal also said that it was a technically difficult operation but was very beneficial to the patient. Here instead of making a large incision in the abdomen, the whole procedure is performed through a small puncture in the abdomen through which a small telescope is passed and the whole operation is performed through that tube. High precision and skills are needed for this procedure.