Myomectomy

Myomectomy for Fibroids Surgery in Chembur, Mumbai

Myomectomy is a surgical procedure for the removal of fibroids from the uterus. It is a preferred fibroid treatment for women who wish to get pregnant. After the successful completion of the procedure, the chances of pregnancy may increase, but are not guaranteed.

What do we need to know about myomectomy?

Myomectomy is a procedure for removing uterine fibroids also known as leiomyomas. These are common noncancerous growths that occur in the uterus. Uterine fibroids normally occur during childbearing years, but they can develop at any age.

During myomectomy, a surgeon is required to remove fibroids that are causing symptoms and reconstruct the uterus. In other words, there is no need to remove the uterus.

To know more, contact a gynecology doctor near you or visit a gynecology hospital near you.

What are the symptoms that can lead to myomectomy?

• Pelvic pain
• Heavy periods
• Frequent urination

Why is myomectomy conducted?

Myomectomy helps in preserving the uterus while removing the unwanted fibroids. Here is why the procedure is conducted:

• To cure anemia that is not relieved by medicinal treatment
• If fibroids have changed the wall of the uterus, this can cause infertility. Hence, myomectomy to increase the chances of pregnancy
• Cures pain or pressure not relieved by medicinal treatment

When do you need to see a doctor?

If you have any of the symptoms mentioned above, consult a doctor.

You can request an appointment at Apollo Spectra Hospitals, Chembur, Mumbai.

Call 1860 500 2244 to book an appointment.

What are the different types of myomectomy?

A myomectomy can be executed in multiple ways based on the number, size and location of fibroids. Here are some of the procedures conducted by myomectomy doctors in Mumbai. 

Myomectomy of the abdomen

You're put under general anesthesia for the surgery. But, first, your surgeon makes a lower incision on your uterus. It can be accomplished in several ways:

• A horizontal, 3- or 4-inch incision across your pubic bone - such incisions cause less pain and leave a smaller scar, but they may not be large enough to remove large fibroids.
• A vertical incision from the bottom to the top of your pubic bone, which is rarely used nowadays but can help with bigger fibroids and minimize bleeding.
•  Following the uterine incision, your surgeon will remove the fibroids.

Myomectomy via laparoscopy

Your surgeon will make four small incisions while you are under general anesthesia, and each one will be approximately 1⁄2 inch in your lower abdomen. Your tummy is filled with carbon dioxide gas to let the surgeon visualize your belly.

A laparoscope will subsequently be placed in one of the incisions. In other incisions, tiny instruments will be implanted.

If the operation is performed robotically, your surgeon will remotely manipulate the instruments with a robot arm.

Your surgeon may break down the fibroids into tiny pieces to remove them. Your doctor may change to abdominal myomectomy if they are too large and make a bigger incision in your abdomen.

The tools are removed, the gas is released, and your incisions are closed. Most women who undergo this surgery stay at the hospital for a night.

Hysteroscopic myomectomy

During this operation, you are administered a local anesthetic or are placed under general anesthesia.

What are the risks?

• Infection in fallopian tubes, uterus or ovaries may occur.
• Scar tissue may appear due to the removal of fibroids in uterine muscles.
• Infertility may result from uterine incision scarring.
• There can be injuries to the bowel or bladder.
• Uterine scars may open during delivery or late pregnancy.

Conclusion

Women who have undergone laparoscopic myomectomy have an increased chance of getting pregnant. However, it is recommended that you wait for three to six months before trying for pregnancy to ensure that the uterus is properly healed.