• Dubai - United Arab Emirates
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Having performed advanced laparoscopic surgery for over 20 years, Dr Charles is one of the most experienced laparoscopic surgeons in the UAE.

He is a specialist in the treatment of fibroids and undertakes almost all fibroid removal surgery by laparoscopic (keyhole) surgery with just an overnight stay in the hospital.

Dr Charles performs almost all benign gynaecological procedures, including myomectomies via laparoscopic (keyhole) surgery as it is associated with less post-operative pain and complications, a quicker recovery and a far superior cosmetic appearance when compared to laparotomy (open surgery).

An alternative method of treating fibroids is via Uterine Artery Embolisation (UAE), whereby the artery supplying blood to the fibroid is blocked, thereby causing death of the fibroid. However Uterine Artery Embolisation (UAE) is associated with a high risk of requiring re-operation (including hysterectomy) at a later date, an increased risk of permanent damage to to the ovaries, an increased risk of uterine infection and very high risk of a infertility and miscarriage.
Therefore, Uterine Artery Embolisation (UAE) should not be performed unless the patient is unfit for surgery.

Laparoscopic myomectomies by an experienced, skilled consultant gynaecologist with low complication rates remain the treatment of choice for fibroid removal.
A Myomectomy is an operation performed under general anesthesia to remove fibroids without removing the uterus (womb).
A fibroid is a solid, benign (non-cancerous) growth or tumour that usually arises in the womb. They are made up of smooth muscle tissue, the same as the womb but in excess. They all vary in size, shape, number and position – ranging from the size of a pea to the size of a melon and there may be more than one present.

Open Myomectomy

This involves removing the fibroids through a big cut in the abdomen. The incision is either across your bikini line or vertical (up and down) your tummy (midline). This incision may be approximately 10cm in length. This will be discussed with your doctor before the operation. The fibroids are removed by making cut/cuts into your womb and the womb sutured back with dissolvable stitches.

Laparoscopic (Keyhole) Myomectomy

This operation is performed through three to four small incisions made in the abdomen. Surgical instruments are inserted through the incisions, and the operation is carried out with the aid of an internal telescope and camera system. The fibroids are removed by making cut/cuts into your womb and the womb is sutured back through the keyhole incisions with dissolvable stitches. The fibroids are removed through one of the incisions with the help of an instrument known as a morcellator. You will have between three to four scars on different parts of your tummy including your belly button. Each of these scars will be between 0.5cm and 1cm long. Both operations can take a few hours to complete depending on how many fibroids you have and their sizes.