[MUSIC PLAYING] I was diagnosed with fibroids, and really had some aggressive fibroids. I found out that several of them were extremely large. I had quite a few of them that were in my uterus. So it was really a sad time for me. I was young. I wanted to have children in the future. I was nowhere near that point in my life, like in the relationship, or ready to have children. So it was just kind of disappointing to know that there would be something that might be a stumbling block for that dream to happen.
Neangela came to me thinking that she was going to have to have a hysterectomy. And she had never had children. I offered her opportunities to preserve her uterus by doing a robotic myomectomy in order to take out the large fibroids and still maintain her fertility.
I feel great. I feel like I have my miracle baby, you know? This was a baby that everybody else thought that I wanted to have. But I feel like I have a bond with Dr. Snow, because this is the baby that we hoped for, and that she had confidence that I would be able to have.
In minimally invasive surgery, I performed the procedure through tiny incisions. This allows a patient to get back to their normal activities much more quickly and with much less pain.
Coming to an appointment and feeling like, you know what? She's going to take care of me, and hope's still alive.
Each patient is an individual. I look at each situation and determine what medical treatment is going to be right for that patient. Sometimes, it's surgery. Sometimes, it's medication. I'm able to talk to that patient about exactly what's going to be right for them. Seeing Neangela fulfill her dreams reminds me of why I'm a doctor.
Fibroids are common, non-cancerous uterine growths that can cause heavy menstrual bleeding, pelvic pain and an enlarged abdomen. Not all fibroids require hysterectomy (removal of the uterus) to alleviate these symptoms. One alternative is to remove the fibroids while leaving the uterus in place, called myomectomy.
Based on the location and size of the fibroids, myomectomies can be performed using robotic surgery, laparoscopy or hysteroscopy. These minimally invasive approaches do not require the large incision used in traditional fibroid surgeries and result in a more rapid recovery. Most patients return to their usual activities within two weeks.
Robotic and laparoscopic myomectomy is performed through tiny incisions (less than half an inch) in the abdomen. Sophisticated surgical instruments are inserted through the small incisions to remove the fibroids and repair the uterus.
Hysteroscopic myomectomy is performed by placing a small telescope (a hysteroscope) through the vagina and cervix into the uterus without any cutting or incisions. Fibroids that reside within the center of the uterus can be visualized and removed while preserving the form and function of the uterus, allowing for future pregnancy. Hysteroscopic myomectomy is performed as an outpatient procedure and most patients will return to their usual activities the next day.