Procedures
Laparoscopic Myomectomy

Overview

Laparoscopic myomectomy is a minimally invasive surgical procedure used to remove uterine fibroids—non-cancerous growths that develop in the muscle of the uterus. The procedure is performed through small incisions in the lower abdomen and offers several benefits over traditional open surgery, such as reduced blood loss, shorter hospital stays, and quicker recovery.

What does the procedure involve?

• Small incisions: A few small incisions are made in the lower abdomen to access the uterus.
• Laparoscope: A thin tube with a camera and light is inserted to provide a clear, magnified view of the surgical area.
• Surgical instruments: Specialized instruments are used to remove the fibroids through the small incisions.
• Robotic assistance: In some facilities, robotic-assisted surgery may be used to enhance precision. This is not currently available at Dr Hlabisa’s practice but may be considered in the future.

Benefits of laparoscopic myomectomy

• Minimally invasive, resulting in smaller scars and less postoperative pain
• Reduced blood loss compared to open surgery
• Shorter hospital stay, with many patients going home the same day or the day after
• Faster recovery, often allowing patients to return to normal activities within a few weeks

Who is a suitable candidate?

Laparoscopic myomectomy is often suitable for women who have symptomatic fibroids and want to preserve their uterus for future pregnancy. The size, number, and location of the fibroids—as well as surgical complexity—will determine if this approach is appropriate. A full assessment will be done during consultation.

Possible risks and complications

As with all surgical procedures, laparoscopic myomectomy carries some risks, including:

• Infection
• Excessive bleeding
• Injury to the bladder or bowel
• Adhesion formation (internal scar tissue)
• Conversion to open surgery in rare cases, if technical difficulties or complications arise

Uterine fibroid embolization (UFE)

Dr Hlabisa does not perform uterine fibroid embolization himself. However, if this treatment is appropriate, he will refer you to a qualified interventional radiologist.

This procedure involves the radiologist inserting a small tube into the artery that supplies the fibroid with blood. Tiny particles are then injected to block blood flow to the fibroid, which causes it to shrink over time. The interventional radiologist will manage your care and keep Dr Hlabisa involved as needed.