IS LAPAROSCOPIC HYSTERECTOMY SAFE? WHAT TO DO IF I HAVE A LARGE UTERUS?
Q: I have read that laparoscopic hysterectomy causes cancer and this scares me! I have large fibroids and my doctor told me that I have to have a large incision because my uterus is so large and at this point there is no alternative since power morcellation of large fibroids is so dangerous. Is this true?
A: No, that is absolutely not true. "Uncontained" power morcellation of a large uterus is not safe due to the small chance of malignant cells being spread. But there is a safe alternative that will save you from suffering through the recovery after a large incision. That is "contained" morcellation in a bag. This prevents any pieces of the uterus or fluid from the uterus from escaping into the body. There are a few skilled laparoscopic surgeons across the country who have mastered this technically difficult technique, and Dr. Wilson is among one of those. We expect that in the near future the FDA will ban "uncontained" morcellation, which will only leave 2 alternatives to surgeons; to make a large incision or learn morcellation in a bag.
Q: What about uterine artery embolization?
A: This technique can shrink the uterus with varying degrees of success, but it does nothing to reduce the risk of cancer cells in a fibroid. The only way to remove cancer cells is surgery.