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Valentine Akande MBBS PhD MRCOG
Consultant Gynaecologist & Advanced Laparoscopic Surgeon


Specialising in:

Fertility & Reproductive Medicine

 

Advanced Laparoscopic Surgery

Gynaecological Ultrasound Scanning

Assessment & Treatment of Fibroids


Please see link to new site for Fibroids & Fertility:
Mr Valentine Akande is a nationally recognised expert in the laparoscopic (key hole) removal of fibroids. This advanced technique known as laparoscopic myomectomy allows very quick recovery and in most cases only one night stay in hospital.

He lectures on this subject and undertakes masterclasses teaching other consultants how to perform this procedure.

Prior to deciding on whether surgery is appropriate for you, an ultrasound examination will be undertaken to assess your womb (uterus), and in some case further tests such as an MRI scan or Hysteroscopy may be required
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What are fibroids

Fibroids are benign growths of the womb muscle and found many women particularly as they grow older. It is not known why fibroids grow in some women and not others. They grow in response to the female hormones, progesterone and oestrogen. A fibroid can be found in three different parts of the womb:

·       within the cavity of the womb known as submucosal

·       within the muscle of the womb known as intramural

·       attached to the outer part of the womb muscle know as subserosal

·       very often there is a combination of the above

 

What symptoms to fibroids cause

Most fibroids do not cause any problems, therefore do not require treatment. In others, the symptoms include, heavy periods, infertility, miscarriage, abdominal swelling, pressure on the bladder and pain.

 

Treatment with medication

There are currently no medicines that will cure fibroids. Medication can be used temporarly to shrink the fibroids and which may improve symptoms until the effects of medication have worn off.

 

Treatment using uterine artery embolisation

This treatment involves blocking the blood supply to the womb. Whilst it is useful in reducing the size of, there remain concerns about the effect the reduction in blood supply to the womb may have on fertility and pregnancy.

 

What is a Myomectomy

Myomectomy simply means having fibroids removed.  Fibroids are bundles of muscle fibres that grow in the womb.  They are almost always benign (non-cancerous). Fibroids increase the size of the womb. Some women have only single fibroid others could have many which could vary in size from 1cm and rarely are over 20cm. Myomectomy is generally performed in women who wish to preserve or  improve their fertility.

 

How is laparoscopic myomectomy preformed

The operation is performed under general anaesthetic and involves passing 3 or 4 small instruments into the abdomen through small (key hole) incisions each around 1-2cm long.  The operation usually takes between 1 - 3 hours depending on how many fibroids are being removed and where in the womb they are.  The incisions will usually be closed with dissolvable stitches.

 




Why have a laparoscopic (key-hole) myomectomy

There are several advantages, which include: a shorter hospital stay, quicker recovery, less pain after the operation, smaller scars on the skin and less blood loss. Occasionally it will not be possible to perform your surgery through a key hole operation and a open operation will be required. This will usually be though an incision along the ‘bikini-line’ like a Caesarean section scar, or rarely along the midline of your abdomen.

 

What are the possible complications associated with having a laparoscopic myomectomy

Removal of fibroids is usually straightforward but can occasionally result in complications. The likelihood would vary according to the complexity of your particular case. These include:

·       Blood vessels can be damaged causing significant bleeding and perhaps needing a blood transfusion.

·       There is a risk of damage to the bowel, bladder, ureter or other pelvic and abdominal organs. Such damage can often be repaired by keyhole surgery but on occasions require your abdomen to be opened through a much larger incision.

·       Scar tissue otherwise known as adhesions can occur after such surgery fibroid surgery.

·       Rarely, a hernia develops under the scar many weeks or months after the operation

·       In exceedingly rare circumstances a hysterectomy may be undertaken but only in situations where there is uncontrollable and excessive bleeding that is life threatening

 

Hospital Admission

On the day of your operation, Mr Akande and a Consultant Anaesthetist will see you.  You will give you information about your operation and ensure you are fit for surgery. You should have nothing to eat for at least six hours before your surgery and you can drink only water up to three hours before.

 

After the operation

When you awake you will have a drip with clear fluid running into your arm. This drip will be removed when you are able to eat and drink again. Depending on the complexity of your operation and how long it has taken you may have a catheter (tube) in your bladder to drain urine. In rare circumstances you blood level may have dropped as a result of the surgery and a blood transfusion may be needed.

 

Discharge home

You will usually be discharged home the day after your surgery. It is usual to be able to get back to normal activities within a week and work within 2 weeks.

 

Giving birth after laparoscopic myomectomy

Mr Akande will advise on what special precautions should be taken if you fall pregnant.  Generally you will be advised that you will need to give birth by caesarean section.



PATIENT INFORMATION LEAFLET on Laparoscopic myomectomy




Contact Us or Make and appointment

Our service is based on level 2 within the new extension at the Spire Bristol Hospital (formerly BUPA Hospital) with excellent facilities for patients and staff.

There are good transport links with on-site car parking available behind the premises for clients. For patients travelling long distances or from overseas, we would be delighted to advise you on local accommodation and sights to see if required. If arriving by train the nearest station is Bristol Temple Meads, if by plane there are good transport links from Bristol international airport.


Address:
Mr Valentine Akande
Spire Bristol Hospital
Redland Hill
Redland
Bristol BS6 6UT
United Kingdom

For information and appointments:
Tel: + 44 117 9269701 or  + 44 7747031393
Email: info@FertilityBristol.com

For appointments only, please ring the clinic receptionist:
Tel: + 44 117 980 4070

 

Privacy policy:

We respect your privacy and maintain the utmost regard for confidentiality. We will not divulge or supply any  information to any other party.


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