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Laparoscopic Myomectomy, Robotic Myomectomy or Abdominal Myomectomy – Which Doctor Should I Choose?

Hello Dr. Parker,

I was doing some research online and came across your website and looking at Laparoscopic and Robotic Myomectomy. But I have few questions for you, hope you would be able to answer it for me.

I am 27 years old and found out about the Fibroid when I just turned 26. The nurse, doctors, radiologist, everyone were surprised that for a young person like me has Fibroids.  And I do not have a family history of Fibroids either. Since, then I have been doing Ultrasound and regular checkup every 6 month with my doctor.  I have 2 big fibroids, one on the top of the Uterus and another behind or on the wall of the Uterus.  Since I am so young, there are so many complications, I have to think before choosing the Option.

Last week, my doctor told me, both fibroid have grown to the size of not quite as Soft ball but larger than BaseBall. And recommended I have the Laporoscopy Myomectomy done, as soon as I can.  Since, the bigger, it gets, harder and complicate for surgery.   This week, I went for second opinion and the doctor recommended/told me da Vinci myomectomy. I read a lot about it online too. But I am really confused now and scared too because I have never had any surgery before. Both has its advantage and disadvantages, I was wondering if you have suggestion for me. I called my regular doctor and told about da Vinci Myomectomy, she told me I am not the candidate for that since my fibroids are big. I have the surgery date scheduled in few weeks, I am getting more and more scared and worried, as to what I should do. What would be the good decision for me, since I plan on getting pregnant in the next few years when I am married?

I appreciate your time and opinion. Hope to get a reply from you.
Thanks,
A.

A,

Is the first doctor recommending a laparoscopic myomectomy (telescope through the navel) or an abdominal myomectomy (bikini incision)?   Laparoscopic myomectomy and robotic myomectomy are very similar and both have a faster recovery than abdominal myomectomy. It sounds like your doctor does not perform either laparoscopic or robotic myomectomy and is nervous about the size of the fibroids. The important thing with either of these procedures is to find a gynecologist who has a lot of experience and skill doing the procedure.

Bill Parker, MD

Thank you for the reply.   My regular doctor does the laparoscopic myomectomy. Because my fibroids are big, she can’t do the laparoscopic myomectomy. She said she has done many myomectomies, however I should ask more questions.

The procedure she will be performing on me is “myomectomy per Laparotomy” which is the abdominal myomectomy. I think I am going to do more research. And also waiting to find out, how often my doctor performs this procedures and complication, successes etc. I think she already has given answers to a part of these questions.

Thanks,  A.

A.

You should also ask the other doctor how many da Vinci (robotic) myomectomies they have done, how many for women with fibroids the size of yours, how many have gotten pregnant, how many complications they have had.  This is a relatively new procedure and some doctors are just learning.  You do not want them practicing on you!

Bill Parker, MD

For more information about laparoscopic and robotic myomectomy please see:

http://www.fibroidsecondopinion.com/laparoscopic-myomectomy/

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Disclaimer: The ideas, procedures and suggestions contained on this web site are not intended as a substitute for consulting with your physician. All matters regarding your health require medical supervision.

One Comment

  1. JULIE
    Posted August 12, 2009 at 12:32 pm | Permalink

    I had a Robotic Assisted laparoscopic Myomectomy. My fibroid was the size of a cantelope. It can be done as long as you have a really good surgeon.

Fibroid Doctor William H. Parker

Dr. William H. Parker is a board-certified Fellow in the American College of Obstetricians and Gynecologists. Dr. Parker is an internationally recognized expert in fibroid surgery and research. Based in San Diego, California, he is considered one of the best fibroid surgeons for abdominal and laparoscopic myomectomy in the United States and abroad. He has been chosen for Best Doctors in America and Top Doctors every year beginning in the late 90's.

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