Dear Dr. Parker,
Thank you very much for the information you provide on your website. It is the single most useful resource I have come across.
The surgeon I have seen has suggested laparoscopic removal of a 12cm fibroid. I am preparing for a second appointment and my question is: why is there a ‘cut-off point’ for how large a fidroid a surgeon will remove laparoscopically?
Each surgeon will have his/her level of expertise and experience which will determine the largest size and the number of fibroids they are comfortable removing. You might consider asking the doctor: how many women have you operated on with fibroids as large as mine? How many times have you needed to change to abdominal surgery in those cases? How many of the women have required blood transfusion? How many times have you had to perform a hysterectomy for those cases?
You should be able to get an idea of experience and expertise with these questions.
I hope this is helpful,
Bill Parker, MD