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Uterine Fibroids Etiology and What they are?

Uterine fibroids are benign tumors that originate in the uterine muscular

tissue and can attain different sizes, contours, and consistency. Moreover,

they may be localized in many areas in the uterus as well as in the pelvis

and abdomen if they have a stalk. Uterine fibroids by virtue of their

localization and size may cause a variety of symptoms from severe

pelvic and abdominal pain to heavy uterine bleeding. Their size may range

from half an inch to above several inches, which usually is associated

with significant pain. If they are exerting pressure on vital structures

and their neurological component it may lead to a significant, positional

pain. One of the most undetected and unanticipated pain caused by

uterine fibroids is back pain. It is caused by pressure coming from a solid,

large uterine fibroids originating from the either posterior or fundal aspect

of the uterus.

At our offices located in Chicago, we provide comprehensive, diligent, and up-to-date gynecological and surgical services to women of all ages. We utilize the latest technology to enable our patients the best possible treatment outcomes including daVinci Myomectomy Surgery,
daVinci Hysterectomy and nonsurgical Fibroids Management. Our team has made a life mission of successfully treating all women in our practice throughout many stages of their lives. We believe that every woman should “feel good” every day and work closely with every patient to ensure these results.



How to Treat Uterine Fibroids?

Given the variety of sizes, shapes, and symptoms caused by uterine fibroids, their treatment is tailored according to symptoms and patients' complaints. This includes a conservative and more advanced, surgical approach. The following conservative options as considered: oral birth control pills, injectable hormonal agents ( Depo Provera), IUD MIENA with progestin activity, and other hormonal options.

The more advanced options include Surgical procedures aiming to remove or decrease the volume of the fibroid tissue

The type of procedure is discussed after appropriate histological and imaging results are available. Frequently, both pelvic ultrasound and pelvic MRI are performed in order to be able to determine the most beneficial treatment for the patient.

daVinci Myomectomy

daVinci Myomectomy Surgery, the Removal of uterine fibroids using the daVinci robotic technology became a well-established surgical approach given the precision, flexibility, and dexterity of the robotic platform. Multiple uterine fibroids can be resected utilizing small diameter instruments placed via small incisions in the abdominal wall. Following a resection of all fibroids the uterine wall has to be reconstructed which requires complex suturing. The robotic platform is an excellent tool to perform the most precise and complex suturing in the pelvic and abdominal areas.


Benefits of daVinci Surgery for Myomectomy

The daVinci Technology relies on a robotically- enabled system which gives the surgeon the option to operate with extraordinary precision secondary to many advanced technological characteristics which include the following:
A 3D HD view inside your body
Wristed instruments that bend and rotate far greater than the human hand up to 540 degrees
Enhanced vision, precision, and control since the image is 10 x magnified

The da Vinci Myomectomy ( Fibroid Resection ) offers the following potential benefits compared to open surgery:
*Shorter hospital stay
*Less blood loss and less chance for transfusion
*Less likelihood of post-operative complications including infection and bleeding

The da Vinci Myomectomy offers the following potential benefits when compared with traditional laparoscopic surgery:
*Less blood loss4
*Better access to more intricate areas in the pelvic area
*More accurate visualization of the operative field
*Enables more complicated procedures since the surgeon does not get tired as much as by using laparoscopic instruments

In addition to a minimally invasive approach, uterine fibroids can be also removed utilizing an open procedure, also called a laparotomy. This technique is used when the uterine size is excessive or multiple fibroids need to be removed. 

Above, please  find the various locations of uterine fibroids which to a significant extend determine many symptoms caused by fibroids.

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