Myomectomy (Laparoscopic & abdominal)

Surgery for fibroids depends on their location and best approach.

Laparoscopic Myomectomy

This is a highly specialized procedure that is done by few surgeons in the country. It takes longer than conventional surgery and can be done for selected cases of fibroids.

The main advantage is that of less pain as the incisions are small and you can get back to normal life soon as recovery is quicker.

How is it done?

Under a general anaesthetic 4 small incisions are made in the lower part of the abdomen to insert a telescope and operating instruments. The fibroid is identified, dissected out and removed by slicing into smaller parts. The uterus is closed by sutures or sealed.

Abdominal Myomectomy

This is when fibroids are removed by open surgery and has been done for many years. Fibroids may need to be dissected out –sometimes with difficulty when deeply embedded in the muscle layer.

How is it done?

It is done under a general or spinal anaesthetic. A cut either horizontal or vertical (depending on the size and location of the fibroid/s) is made on the abdomen and the fibroids are cored out from the uterine muscle which is then closed using sutures. With all Myomectomy procedures, there is a risk of haemorrhage and infection.

Recovery is over a period of 3-6 weeks.

The above surgical procedures to remove fibroids are complex but safe. There is no guarantee of restoring fertility potential and there is a small but definite risk of a hysterectomy if there is life threatening haemorrhage.