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If the patient has a fibroid tumor removed using laparoscopy, the gynecologist will make tiny incisions. A small camera inserted into one of the incisions magnifies the region on a TV screen. This guides the gynecologist to the fibroids where surgical instruments are used remove the fibroids.
If the patient has fibroids removed using a hysteroscope, there are no external cuts. A long, thin lighted tube is inserted into the uterus through the vagina and cervix. The gynecologist removes fibroids using a tool inserted through the hysteroscope.
In the laparoscopic procedure, four tiny incisions are made – one in the navel and three additional sites in the lower abdomen for insertion of the instruments.
Patients will normally be able to go home the same day, but in some cases, there may be an overnight stay.
Most patients are fully recovered in one to two weeks. If a patient has a physically demanding job that requires lifting or pushing heavy objects, check with the doctor before returning to work.
The gynecologist may recommend an open procedure due to the size of the fibroids or history of prior surgery that has left scar tissue, making visualization of organs with the camera more difficult. If the fibroids are extremely large, the physician may recommend an open procedure.
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