Laparoscopic Myomectomy

Cost*: 280,000 THB

This package is valid until June 30, 2022

Laparoscopic Myomectomy

Laparoscopic Myomectomy is the removal of uterine fibroids while leaving the uterus intact. It is the main treatment option for patients who would still like to conceive or prefer not to have a hysterectomy by minimally invasive procedure where small incisions are made in the abdomen over the area where the fibroid is. A camera and surgical instruments are inserted through these incisions to visualize the uterus and act.

Symptoms of uterine fibroids vary depending on their type, size, and position in the uterus. They are most commonly found in women between the ages of 30 to 50 who are still menstruating. Women who begin menstruation before the age of 12 are more likely to develop uterine fibroids. No connection has been found between birth control pills or hormone replacement therapy prescribed for menopause and uterine fibroids. Certain medical conditions, such as high blood pressure, may increase the risk of uterine fibroids by 24% when compared with women who have normal blood pressure.

  1. The most common symptom of uterine fibroids is period that is heavier than normal and lasts longer than normal.
  2. You may be palpable or may even be visible if it is large, resembling an early pregnancy, even though you might be menstruating.
  3. You may have urinary incontinence or frequent urination, especially when you lie flat.
  4. You may be constipated or feel pressure in your abdomen.
  5. Feeling of fullness in the abdomen due to a fast-growing fibroid that may become malignant (Cancerous).
  6. Some women experience painful sexual intercourse, but this symptom is uncommon.
  7. Infertility.
  8. Easy miscarriage.

  1. Physical examination, both external and internal.
  2. Abdominal or transvaginal ultrasound.
  3. Computed tomography (CT) or magnetic resonance imaging (MRI).
  4. Hysteroscopy.
  5. Laparoscopy.
  6. Hysterosalpingography.
  1.  If the fibroid is small, the doctor may recommend monitoring it or using medication and follow up with ultrasound as well as assess any vaginal bleeding associated with the growth The doctor may also test you for anemia. You will likely see your obstetrician/gynecologist (OB/GYN) every three to six months.
  2. If the fibroid causes excessive bleeding, medication may be prescribed to reduce the amount of blood that is lost.
  3. Myomectomy.
  4. Hysterectomy to remove the uterus (only in severe cases where the patient no longer wishes to have children).
Preparing for the Procedure
Once you and your doctor have decided that hysterectomy is the appropriate choice for you, the surgery will be scheduled. Before the day of the surgery, you will receive instructions regarding preparing for surgery as follows:
  1. Arrive at the hospital at least four hours before the procedure.
  2. Avoid food and water for at least eight hours before the procedure or as recommended by the doctor to prevent aspiration while under general anesthesia. Be sure to get enough sleep the night before the procedure.
  3. Do not wear any make-up or paint your nails before coming to the hospital. This allows the medical staff to better assess your circulation visually during and after the surgery.
  4. Do not bring any jewelry or valuables to the hospital to prevent any loss. Removable dentures and contact lenses have to be removed before entering the operating room.
  5. The doctor will assess your readiness for the surgery by ordering blood tests as well as chest x-ray and electrocardiogram (EKG) before the day of the procedure. If any results are abnormal or if you have existing medical conditions you may be referred to an internal medicine doctor for consultation regarding your readiness for the procedure.
  6. The doctor will give you recommendations regarding medication that you are currently taking. Some may need to be stopped for a period before surgery, such as blood-thinning medication, aspirin, and certain supplements that can cause excessive bleeding. The doctor will determine which medication to discontinue and which you can still take up until time of surgery, usually with a small sip of water.
  7. A friend or family member must be at the hospital with you while you are in surgery and should stay with you while you are admitted at the hospital.
Terms & Conditions
  • The eligible patient who can apply this package is patient without underlying disease or its controllable  and  attending physician • considered appropriate to this package.
  • The high risk patient who cannot apply this package is the patient who has high risk of Total 

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