Laparoscopic laser myomectomy

Summary

The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on laparoscopic laser myomectomy.

 

Further recommendations have been made as part of the clinical guideline on heavy menstrual bleeding published in January 2007. Clinical and cost-effectiveness evidence was reviewed in the development of this guideline which has led to this more specific recommendation. The IP guidance on Laparoscopic laser myomectomy disease remains current, and should be read in conjunction with the clinical guideline.

Description

This procedure is used to treat uterine fibroids (leiomyomas).

Fibroids are benign tumours of the uterine muscle. They are very common. They may cause pain, heavy menstrual bleeding (menorrhagia) and reduced fertility.

Hysterectomy is the standard treatment for women with fibroids whose symptoms have not resolved with medical treatment. Laparoscopic myomectomy is the destruction of fibroids via a laparoscope passed through a small incision in the abdomen and then through the wall of the uterus. The fibroids may be destroyed with a laser or electrocautery.

OPCS4.6 Code(s):

Q09.2 Open myomectomy

Y75.2 Laparoscopic approach to abdominal cavity NEC

Y08.4 Laser destruction of lesion of organ NOC

The NHS Classifications Service has advised NICE that currently these are the most suitable OPCS-4 codes to describe this procedure. The OPCS-4 classification is designed to categorise procedures for analysis and it is not always possible to identify a procedure uniquely.

_{The NHS Classifications Service of NHS Connecting for Health is the central definitive source for clinical coding guidance and determines the coding standards associated with the classifications (OPCS-4 and ICD-10) to be used across the NHS.   The NHS Classifications Service and NICE work collaboratively to ensure the most appropriate classification codes are provided.  www.connectingforhealth.co.uk/clinicalcoding}

Details

Contact details:

Links:

	IPG23 Laparoscopic laser myomectomy: guidance	26 November 2003
	IPG23 Laparoscopic laser myomectomy: guidance (web format)	08 February 2011
	IPG23 Laparoscopic laser myomectomy: understanding NICE guidance	26 November 2003
	IPG23 Myomectomi laser laparosgopig: deall canllawiau NICE	06 May 2009
	IPG23 Laparoscopic laser myomectomy: distribution list	26 November 2003
	Consent - procedures for which the benefits and risks are uncertain	27 November 2003
	Interventional procedures consultation document - laparoscopic laser myomectomy	23 June 2003
	Overview of laparoscopic laser myomectomy	23 June 2003