What is LAAM?

A surgical procedure that is most often suggested to women of childbearing age is a myomectomy. This technique is used to remove fibroids while leaving the uterus intact and helps preserve or improve the woman’s fertility. 

If you are considering myomectomy surgery, then you likely have been suffering from one or more of the following fibroid-related symptoms:

  • Heavy, prolonged or painful menstrual periods with or without clotting
  • Pelvic pressure and pain, distended and bloated abdomen
  • Moderate to severe menstrual cramps
  • Pain during sex and loss of libido
  • Weak bladder control, frequency in urination due to bladder pressure
  • Inexplicable weight gain
  • An enlarged uterus
  • Anemia (low blood count) that can lead to a lack of energy and fatigue
  • Lower back pain and pain in the back of the legs
  • Constipation
  • Infertility

Women who are offered a myomectomy as a treatment option by their OB/GYN are often instructed to have an open myomectomy procedure. Open myomectomy is an effective fibroid removal procedure, but it requires larger incisions and can cause more complications and longer recovery times than newer, minimally invasive myomectomy surgery techniques.

One of the most advanced minimally invasive myomectomy procedures is LAAM (Laparoscopic Assisted Abdominal Myomectomy).

LAAM procedure uses the best elements of both laparoscopic and open approaches for fibroid removal.

How do you prepare for LAAM?

Follow any specific pre-operative instructions provided by your Viva Eve healthcare provider. These may include fasting for a certain period before the procedure, avoiding certain medications, or cleansing the bowel with laxatives or enemas.

Since LAAM is a surgical procedure that requires general anesthesia, it is important to arrange for transportation to and from the hospital or surgical center. You may also need someone to stay with you for a day or two after the surgery to provide support during the initial recovery period.

Prior to the surgery, make sure your home environment is clean and comfortable. Stock up on essentials such as groceries, medications, and any recommended supplies for post-operative care. Prepare a comfortable recovery area with pillows, blankets, and items you may need.

Why is LAAM superior to other types of myomectomies?

  • Removes both very large and very small fibroids
  • Minimally Invasive
  • Higher fertility rate post-procedure than other types of myomectomies
  • Significantly less pain and fewer complications
  • Lower risk of infection and blood loss
  • Incision scars are small and fade over time
  • A faster return to normal daily activities (2-4 weeks on average)

What can you expect during LAAM?

During this procedure your NYC Fibroid Removal Specialist makes two incisions: one 1.5 to 2 inches long at the bikini line and another half inch incision at the belly button. Sometimes one or two additional incisions are made to help the surgeon better visualize and access parts of the pelvis to successfully complete the procedure. 

The doctors at Viva Eve are experts in every possible fibroid treatment (including LAAM myomectomy NYC) and will be happy to discuss all the medically sound options available. Our board-certified fibroid experts will work with you to choose the treatment path that’s best for you and your unique circumstances. Whether you are looking into starting treatment with us, or are simply seeking a second opinion, we invite you to come in for a consultation. You will always be heard at Viva Eve.

What is the followup and recovery like for LAAM?

Hospital stay: After the LAAM procedure, you will typically spend one to two nights in the hospital for monitoring and initial recovery. The length of the hospital stay may vary depending on the specifics of your surgery and your healthcare provider’s recommendations.

  • Pain management: It is common to experience some pain or discomfort after the LAAM procedure. Your healthcare provider will prescribe pain medications to manage any post-operative pain. 
  • Physical activity: During the initial recovery period, it’s important to rest and allow your body to heal. You will be advised to avoid strenuous activities, heavy lifting, and vigorous exercise for several weeks following the surgery. 
  • Incision care: Keep the incisions clean and dry, and watch for any signs of infection such as increased redness, swelling, or drainage.
  • Dietary considerations: Your healthcare provider may provide dietary guidelines to follow during your recovery. This may include recommendations for a balanced diet, adequate hydration, and avoiding certain foods that can cause bloating or gas. 
  • Follow-up appointments: Your healthcare provider will schedule follow-up appointments to monitor your recovery and assess your progress. These appointments are an opportunity to address any concerns or questions you may have. 
  • Resuming normal activities: The timing for resuming normal activities, including work and exercise, will depend on your individual recovery and your healthcare provider’s recommendations. Most patients are able to resume normal activities in about 4 weeks after the procedure.

It’s important to follow your Viva Eve healthcare provider’s specific instructions for recovery after a LAAM procedure. Every individual’s recovery process is unique, and your healthcare provider will provide you with personalized guidance based on your specific circumstances. 

What are the potential costs for LAAM?

It is important to check with your healthcare provider and your insurance provider to understand the potential costs involved in your specific situation. Costs can vary significantly depending on factors such as geographical location, the complexity of the procedure, and your insurance coverage. Make sure to inquire about any out-of-pocket expenses, deductible amounts, co-pays, and whether the procedure is covered by your insurance plan.

Overview of Types of Myomectomies

LAAM ProcedureLaparoscopic MyomectomyRobotic MyomectomyOpen Myomectomy
LENGTH OF PROCEDURE1 – 1.5 hoursUp to 2 hoursUp to 4 hoursUp to 5 hours
HOSPITAL STAY0 – 1 Days11 Day141 Day4,11Up to 3 Days4,11
RECOVERY TIME10–14 Days1Up to 3 Weeks7,17Up to 3 Weeks12Up to 8 Weeks10,15,16

The doctors at Viva Eve are experts in every possible fibroid treatment (including LAAM myomectomy NYC) and will be happy to discuss all the medically sound options available. Our board-certified fibroid experts will work with you to choose the treatment path that’s best for you and your unique circumstances. Whether you are looking into starting treatment with us, or are simply seeking a second opinion, we invite you to come in for a consultation. You will always be heard at Viva Eve.

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