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Uterine fibroids, also known as myomas, are benign tumours that occur most often in women between the ages of 35 and 50, but can form earlier. In most cases, the fibroids are small and not very troublesome, 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 underneath it.

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

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 tumour can lead to the destruction of the uterus.

Experienced surgeons and gynaecologists partnered with Med Assistance Tunisia perform this type of operation 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 the fibroids forever.

What are the indications for myomectomy?

The indications for uterine fibroid surgery are the following clinical manifestations

  • heavy uterine bleeding
  • significant disturbance of the menstrual cycle;
  • the size of the fibroid is greater than 6 cm and the age is greater than 11 weeks;
  • symptoms of anaemia – pale skin, weakness, nausea;
  • frequent painful urination, problems with bowel movements (the node may press on the fundal wall, but rarely);
  • knots on the pedicle
  • development of necrosis associated with impaired blood flow in the uterine fibroid node;
  • co-morbidities, for example, endometriosis and ovarian tumour;
    conception problems and risk of miscarriage.

Preparation for uterine fibroid surgery

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

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 gynaecological 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, on the basis of which a decision is made on the method of the operation).
  • Puncture of the uterine cavity (to rule out oncological processes).
    General clinical blood and urine tests.
  • Blood test.
  • Coagulation or haemostasis test
  • HIV and hepatitis tests.
  • Blood group and Rh factor determination (in case of emergency during the operation, a blood transfusion may be necessary, for which you need to know these indicators)
  • ECG (necessary to assess the performance of the heart before surgery and the use of anaesthesia).

It is recommended that blood tests and smears are taken just before the operation. The ECG should not be older than 14 days. The final list of tests and analyses is only approved by your doctor. At Med Assistance Tunisia, you can have all the necessary pre-operative preparation done in just 1 to 2 days!

What are the different possible techniques for 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 according to the image of the disease.

Myomectomy in Tunisia is one of the most effective methods for removing 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

Myomectomy by hysteroscopy

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 

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 commonly, laparotomy is used for conservative myomectomy. A laparotomy approach to remove leiomyoma nodes is performed in cases of large tumours, multiple myomas or atypical location. A diagnostic hysteroscopy can be performed at the beginning of the operation to exclude deformation of the uterine cavity. Our surgeons have extensive experience in cosmetic surgery in Tunisia of the intimate part of the woman and perform a cosmetic suture on the abdominal part. The operation is performed under general or spinal anaesthesia. The hospital stay 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: 

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, minimising the likelihood of post-operative 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 carried out using a video camera, which is also inserted into the abdominal cavity.

With the help of the instruments introduced, the surgeon removes sub-serous fibroids, also known as intramural fibroids, and the uterine wall is restored.

The myomatous nodes are removed from the abdominal cavity after crushing with a special instrument – a morcellator. All the removed tissue is 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

-make several small incisions, which greatly 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 for 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 gynaecologist selects the most appropriate treatment method for the patient, taking into account the diagnostic results and the individual characteristics of the body.

Post-operative recovery from Myomectomy in Tunisia 

The recovery 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, 7 to 10 days off work are necessary.

Depending on the complexity of the myomectomy operation in Tunisia, the period of hospitalisation 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 gynaecologist 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 at the earliest 1 year after the 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.

The advantages of a myomectomy

Menstruation after a myomectomy is not painful.

Pelvic pain after myomectomy is reduced

What is the cost of myomectomy in Tunisia to remove uterine fibroids?

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 the tumour ;
  • 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), gynaecological examination, analysis of vaginal smears, general and biochemical blood tests, blood coagulation test.

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

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