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Myomectomy in Tunisia: The treatment of uterine fibroids

Uterine fibroids, also called myomas, are benign tumors that most often appear in women between the ages of 35 and 50, but can form earlier. In most cases, the fibroids are small and not very bothersome, but sometimes the fibroids can grow, causing problems. The pathology can be located on the wall of the uterus, on the surface of the mucous membrane and under it.

The treatment of uterine fibroids is a specialty of intimate surgery in Tunisia prescribed by a gynecologist depending on the characteristics of the patient’s body, the size of the tumor and the clinical picture of its development. Today, the most reliable way to treat uterine fibroids is to remove the tumor.

Fibroid removal is prescribed to preserve the uterus during the reproductive period. Removal of the uterus is recommended for women outside the reproductive period. The development of a tumor can lead to the destruction of the uterus.

Experienced surgeons and gynecologists partnered with Med Assistance Tunisia perform this type of surgery to remove uterine fibroids as precisely and painlessly as possible. Our specialists select the most effective treatment method for patients, which preserves the ability to have children and get rid of fibroids forever.

The indications for uterine fibroid surgery are the following clinical manifestations:

*heavy uterine bleeding;
*Significant disturbances of the menstrual cycle;
*The size of the fibroid is greater than 6 cm and the age is greater than 11 weeks;
*symptoms of anemia – pale complexion, weakness, nausea;
*frequent painful urination, stool problems (the node may press on the fundal wall, but rarely)
*nodes on the pedicle
*development of necrosis associated with impaired blood flow in the uterine fibroid node;
*comorbidities, e.g., endometriosis and ovarian tumor
*conception problems and risk of miscarriage.

Before being hospitalized for an operation, you must undergo mandatory medical tests, a list of which will be given to you by a specialist. After receiving the test results, the attending physician will set the exact date of hospitalization.

As a rule, the list of services included in the pre-operative preparation is as follows:

*Cytological analysis of smears (analysis showing the presence of “malignant” cells, on the basis of which a decision is made on the need for surgery).
*Smear analysis for flora (basic gynecological analysis, showing the presence of inflammatory and infectious inflammation).
*Ultrasound of the pelvic organs (the main study that allows you to determine the size and location of the formation, based on this study, a decision is made on the method of the operation).
*Puncture of the uterine cavity (to exclude oncological processes).
*General clinical blood and urine tests.
*Blood analysis.
*Coagulation or hemostasis test
*Tests for HIV and hepatitis.
*Determination of blood group and Rh factor (in case of emergency during the operation, a blood transfusion may be necessary, for this you must know these indicators)
*ECG (necessary to assess the performance of the heart before surgery and the use of anesthesia).

It is recommended to do blood tests and smears just the day before the operation. The ECG should not be older than 14 days. The final list of tests and analyses is approved only by your attending physician. At Med Assistance Tunisia, you can have all the necessary preoperative preparation done in only 1 to 2 days!

What are the different possible techniques of myomectomy in Tunisia?

There are several techniques to perform a myomectomy in Tunisia to remove uterine fibroids. The most appropriate is chosen by the surgeon depending on the image of the disease.

Myomectomy in Tunisia is one of the most effective methods to remove uterine fibroids, allowing you to get rid of the myoma and preserve fertility. 

There are several types of myomectomy in Tunisia to remove uterine fibroids.

Myomectomie en Tunisie - Ablation des fibromes

This technique of Myomectomy in Tunisia is an operation performed by introducing an operating hysteroscope into the uterine cavity through the vagina.- a camera with a loop, with which the node of the myoma is excised. As a rule, this technique is possible if the tumor is located in the submucosal layer (node growth in the uterine cavity). Rehabilitation will take place in a short time, after 3 months you can try to conceive, the cost of the operation is most affordable.

Despite some differences, myomectomy operations in Tunisia are technically very similar. Before the start of the myomectomy in Tunisia, the patient receives an anesthetic (myomectomy in Tunisia is performed under general anesthesia). The duration of the procedure depends on the number and size of the myomatous nodes.

With the techniques used, the absence of bleeding, in turn, allows you to isolate the node without trauma to the surrounding tissues and to reliably suture the wound on the uterus in conditions of good visualization. 

After the operation, the patient will have to spend some time in the hospital. And after the hysteroscopic procedure, it will be possible to go home in 1-2 days.

The doctor prescribes painkillers, antibiotics and, in some cases, hemostats (drugs that increase blood clotting). An ultrasound is performed before discharge.

The removal of benign tumors is one of the most common surgical tasks in the field of gynecology. Myomectomy in Tunisia is a safe operation when performed by an experienced surgeon using modern equipment. Med Assistance Tunisia employs the best specialists with extensive experience in various gynecological operations. You can make an appointment with the clinic’s doctor by phone or via a special form on our website.

Laparotomy myomectomy is an operation in which a surgical incision is made in the abdominal wall to access the abdominal organs. It is a traditional surgical technique, sometimes necessary in a number of cases when minimally invasive techniques are not sufficient.

Most often, laparotomy is used for conservative myomectomy. A laparotomy approach to remove leiomyoma nodes is performed in cases of large tumors, multiple myomas, or atypical locations. A diagnostic hysteroscopy can be performed at the beginning of the operation to exclude the deformation of the uterine cavity. Having a great experience in cosmetic surgery in Tunisia of the intimate part of the woman, our surgeons perform a cosmetic suture on the abdominal part. The operation is performed under general or spinal anesthesia. The hospitalization lasts 1 day.

The recovery period after a laparotomy myomectomy is the longest, however, in some cases, it is the only one possible because it is the only way to eradicate all fibroids.

Laparoscopic myomectomy is performed when subserous fibroids are attached to the uterine muscle.

Laparoscopic surgery refers to organ preservation surgery, which means the preservation of a woman’s reproductive function.

Laparoscopy is a modern surgical method in which operations on the internal genitalia are performed through small incisions (usually 0.5 to 1.5 cm) in the abdominal wall. Laparoscopic access is a minimally invasive method of surgery, leading to a rapid recovery of patients, minimizing the likelihood of postoperative complications.

The operation is performed through several small incisions, where special instruments are inserted. Previously, the abdominal cavity was filled with sterile gas, which allowed the internal organs to move away from each other. The examination is performed using a video camera, which is also inserted into the abdominal cavity.

Using the introduced instruments, the surgeon removes subserous fibroids, also called intramural fibroids, the wall of the uterus is restored.

The myomatous nodes are removed from the abdominal cavity after crushing with a special instrument – a morcellator. All removed tissues should be sent for examination.

After examination and cleaning of the abdominal cavity, checking for bleeding, the instruments are removed. Gas is removed from the abdominal cavity. 

The main advantages of the laparoscopic method for removing uterine fibroids are

-carry out several small incisions, which significantly reduces the recovery period of the patient’s body, as well as eliminating scar formation;

– Pain after myomectomy is minimal in the postoperative period;

– Low probability of bacterial and infectious infection of the operation area, because during the procedure the abdominal cavity is not opened;

Contraindications to laparoscopic myomectomy are fibroids larger than 10-12 cm, several fibroids

All the above methods of myomectomy in Tunisia are used at Med Assistance Tunisia. A gynecologist selects the most appropriate treatment method for the patient, taking into account the diagnostic results and the individual characteristics of the body.

The recovery time after a myomectomy in Tunisia depends mainly on the size and number of fibroids.

Hospitalization varies depending on the general condition of the patient after surgery. After a myomectomy, a 7 to 10 day leave from work is necessary.

Depending on the complexity of the myomectomy operation in Tunisia, the period of hospitalization and recovery may differ, but most often the limitation is associated with physical activity and sexual activity during the first month. Anti-inflammatory and antibiotic treatment may also be prescribed. 

After a myomectomy in Tunisia, regular follow-up by a gynecologist is necessary. An ultrasound is usually necessary before consulting your doctor.

It is recommended to start sexual activity at the earliest 3 to 5 weeks after the operation, to exclude the possibility of injury. 

Myomectomy and pregnancy

 It is advisable to give your body time to heal after myomectomy before planning a pregnancy. Pregnancy should be planned no earlier than 1 year after surgery. However, more precise information can only be provided by the treating physician, depending on the characteristics of the body and the recovery period for each specific patient.

Menstruation after myomectomy is not very painful.

Pelvic pain after myomectomy is reduced

It is not always possible to answer the question about the cost of myomectomy in Tunisia to remove uterine fibroids. As a general rule, the price of a myomectomy in Tunisia depends on several factors, as well as the stage of the disease and the patient’s history.

The cost of myomectomy in Tunisia is based on several criteria:

The technique of removing the fibroids;
The location of the fibroids in the uterus;
the size of the fibroids
the patient’s state of health

You can ask for the prices of myomectomy in Tunisia for the removal of uterine fibroids at Med Assistance after studying your case.

Myomectomy is contraindicated for:

suspicion of malignant nature of tumor ;
no reduction in the size of the fibroids after a previous hormonal treatment
the presence of infections;
Blood clotting problem

Myomectomy in Tunisia is prescribed only after a complete examination of the patient’s body, including ultrasound, hysteroscopy (examination of the uterine cavity using a special device), gynecological examination, analysis of vaginal smears, general blood tests and biochemical tests, blood coagulation test.

If a malignant tumor is suspected, a consultation with an oncologist and a biopsy may be necessary.

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