The mission of Prof. Dr Rehana Aamer Khan is to help women use non-invasive, minimally invasive procedures to treat fibroids that negatively impact their quality of life while avoiding unnecessary surgery, hospitalization, and complications. The National Hospital Lahore has extensive experience providing the highest quality of care to each patient while avoiding large incisions and keeping patients on an outpatient basis for faster recovery.
First, understand myomectomy, a surgical procedure to remove uterine fibroids (also called leiomyomas) and common noncancerous growths in the uterus. Myomectomy surgery is performed through advanced technologies that offer tiny incisions, fewer scars, and quick recovery. Moreover, all the staff is amiable and well-trained professionals, so patients are always greeted with a smile and can answer any questions.
With advanced treatment options like Laparoscopic and Robotic Surgeries for fibroids, Prof. Dr Rehana Aamer Khan is trying to help women treat fibroids in the best way possible that negatively impacts their quality of life.
What are Fibroids?
Fibroids are benign (noncancerous) tumors of the uterus that can cause uncomfortable symptoms, including:
- Abnormal bleeding,
- Abdominal and pelvic pain,
- Painful intercourse,
- Fertility,
- Pregnancy complications,
- Gastrointestinal and urinary symptoms.
There are many options for treating fibroids. One option is myomectomy: a surgical procedure that removes fibroids while preserving healthy uterine tissue.
This procedure is usually performed using laparoscopy or robotic-assisted techniques. Both methods involve small incisions in the abdomen. This method results in less pain and blood loss, fewer adhesions (scar tissue), and faster recovery than traditional "open" abdominal myomectomy.
Types of Fibroid Treatment (Myomectomy)
Myomectomy is an effective way to improve the symptoms of pain caused by fibroids. The benefits of myomectomy include:
Protects healthy tissue, including the uterus and ovaries. Multiple fibroids, including large fibroids, can be removed during laparoscopic or robotic myomectomy. Prof. Dr Rehana Aamer Khan will thoroughly examine and review your MRI with you to plan your myomectomy.
Hysteroscopic myomectomy can be performed for fibroids that are significantly swollen in the uterine cavity. This type of fibroid is usually removed before pregnancy. Sometimes, a myomectomy may be necessary depending on the size or number of fibroids.
In the National Hospital Lahore, you will experience a complete check-up to determine your suitability for laparoscopic or robotic myomectomy.
Precautions for Fibroids
Myomectomy is very effective for relieving pelvic pain, pressure, and abnormal uterine bleeding caused by fibroids. Robotic and laparoscopic myomectomy are considered safe procedures. Nevertheless, any surgery has the possibility of complications and risks. Some of the potential risks of myomectomy, although uncommon, include:
- Anesthesia reaction
- Bleeding requiring blood transfusion
- Infection, which can be treated with antibiotics
- Damage to other organs in the abdomen
- Blood clots after surgery
Switching from laparoscopic or robotic surgery to open surgery is also unlikely.
You may need a cesarean section if you are considering pregnancy after a myomectomy, depending on the location and how the myomectomy was performed previously.
Other risks depend on your medical condition; make sure to consult any concerns with Prof. Dr Rehana Aamer Khan before surgery.
Misconceptions About Myomectomy
Fibroids Recurrence:
Myomectomy does not cure fibroids. Fibroids may come back after surgery. Fibroids that doctors don`t detect during surgery or that haven`t been completely removed can eventually grow and cause symptoms. New fibroids may also develop, which may or may not require treatment.
Fibroids and infertility:
Some women with fertility problems may have fibroids. Depending on the type and location of the fibroids, fibroids may not always need to be removed to improve fertility.
Fibroids Treatment (Myomectomy) Options In Lahore
Robotic myomectomy and laparoscopic myomectomy are two similar minimally invasive myomectomy procedures. Both involve small incisions in the abdomen, and the procedure steps and results are identical. For both types of surgery, you should be able to go home the same day after surgery.
Laparoscopic Myomectomy:
Laparoscopic myomectomy is a minimally invasive myomectomy. The fibroids are imaged using a thin light-emitting endoscope (laparoscope) with a camera on end during this procedure. Tiny instruments are inserted through an incision in the pelvis to remove the fibroids.
Robotic Myomectomy:
Robotic myomectomy is similar to laparoscopic myomectomy, except that the surgeon sits at a console away from the patient to control robotic surgical tools. The surgeon controls the robot`s movements stably and precisely. This allows surgeons to access tight spaces more efficiently and gain a better surgical field of vision than traditional laparoscopic surgery.
For some surgeons, a robotic approach may help remove hard-to-reach fibroids using a laparoscopic approach. All surgeons in the National Hospital Lahore are experts in these two minimally invasive gynecological procedures.
What happens during a myomectomy?
If you are thinking about a myomectomy, you need to discuss any of your queries with Prof. Dr Rehana Aamer Khan in detail so that she has a comprehensive report of your condition.
Your doctor may recommend the following to reduce the risks of myomectomy:
- Iron supplementation to correct iron deficiency anemia
- Medications to correct anemia
- Drugs that shrink fibroids
On record, you will be under general anesthesia before surgery. Our expert surgeon will make three to four small incisions in the lower abdomen. Then place the laparoscope, a thin, lighted tube with a camera on one end, through one of the incisions. Gadgets will be placed at other incision sites and used to perform surgery. If the surgery is performed robotically, the surgeon will use a robotic arm to control the instruments remotely.
Your surgeon may need to cut the fibroids into small pieces, protect them in a bag, and remove them through a small incision in the abdominal wall. The surgeon may need to make a larger incision in your abdomen if it`s too large.
Laparoscopic and robotic myomectomy is usually performed as an outpatient procedure. You may leave the hospital a few hours after surgery.
What happens during recovery?
In the first few weeks after surgery, some women experience mild cramping, pain, and light vaginal bleeding for one to two weeks. Your doctor may give you pain medication to treat your discomfort.
You should start walking the day after surgery, and you can return to normal activities and work within two to three weeks. Do not insert anything into your vagina for two weeks; this includes sexual intercourse and tampons.
It would be best if you did not do any heavy lifting or strenuous exercise until the wound is fully healed. We will tell you when you can resume these activities.
Recovery complications to watch out for:
If pain is not controlled with pain medication, call your doctor if you have heavy bleeding in addition to your period, fever, nausea/vomiting, diarrhea, or difficulty or pain urinating.
Follow-up Care:
We will schedule a follow-up session to check on your health two weeks after surgery, plus further follow-up visits based on your recovery speed. Prof. Dr Rehana Aamer Khan`s staff and doctors are always available to answer any questions or concerns you may have.
Why choose Prof. Dr Rehana Aamer Khan for Laparoscopic or Robotic Myomectomy?
Because you want the best fibroids treatment in Lahore, Prof. Dr Rehana Aamer Khan (MBBS, FCPS) is a trained laparoscopic surgeon from Sharjah and Robotic training from Belgium. Her treatment options range from medication to surgery, so choose the best for you.
The Prof. Dr Rehana Aamer Khan team prides itself on providing our patients with the latest treatment options and personalized care. Knowing and listening to our patients, we understand their needs and most challenging symptoms.
Our surgeons team at National Hospital Lahore includes highly trained surgeons specializing in Laparoscopic/Robotic myomectomy. We discussed the risks and benefits of this procedure extensively with interested patients. Our experts carefully evaluate each patient to determine their suitability for laparoscopic or robotic myomectomy.