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Laparoscopy for Large Fibroids

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?

Yours sincerely,

B

 

B,

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

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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.

3 Comments

  1. joy
    Posted October 13, 2011 at 8:52 am | Permalink

    i have a an intramural fibroid of 5cm and subserous fibroid of 2cm and very much intrested in getting pregnant. my husband and i have been trying to get pregnant for years now. my question is laparoscopy myomectomy right for my case?

  2. Posted November 26, 2011 at 2:38 pm | Permalink

    Intramural fibroids can decrease fertility if they are very close to the uterine lining. The best way to tell is with MRI. Certainly, a 5 cm fibroid can be removed laparoscopically by an experienced laparoscopic surgeon. A 2 cm subserous fibroid will have no impact on fertility, but would also be straight-forward to remove laparoscopically.

    I hope this is helpful,

    Bill Parker, MD

  3. Posted January 20, 2013 at 4:13 pm | Permalink

    Dear Dr. Parker,
    I have been diagnosed with two fibroids: 14.9×11.2×16.8cm subserosal mass arising from uterine funds anterosuperiorly and 1.5cm intramural mass. (Finding from MRI). My doctor suggested laparoscopic removal of both. Do you think a fibroid this size can be removed laparoscopically? I am 32, never been pregnant before and definitely would want to have two kids in near future. How safe is it for future pregnancies?

    Thanks in advance.

    Hi A.D.

    I just removed a fibroid larger than this laparoscopically yesterday, so it is possible. You should consider asking the gynecologist how many laparoscopic myomectomies he/she has done, how many with fibroids this large, how many complications have they had and what were the complications. If you are not happy with the answers, get a second opinion from someone who does laparoscopic myomectomies on a regular basis.

    Bill Parker, MD

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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 Los Angeles, 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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