Not all women with fibroids want their uterus removed. Myomectomy is often the preferred option for those who want to preserve fertility or just want to keep their uterus. When done laparoscopically, it combines the benefits of keyhole surgery with the removal of fibroids.
What is a myomectomy?
It’s a procedure that only removes the fibroids and leaves the uterus intact. This is not a hysterectomy, which is the removal of the entire uterus.
When should it be given?
Doctors often think about it in these situations:
- Severe bleeding that has not responded to drugs
- Pelvic pain or pressure that disrupts daily activities
- Fibroids pressing on the bladder or bowel
- Fibroids and difficulty getting pregnant or recurrent miscarriages
- A desire to keep the uterus strongly
Very small fibroids that do not cause any symptoms do not usually need surgery.
What does the laparoscopic technique involve?
The operation is performed under general anesthetics. Small incisions are made in the abdomen. The surgeon removes the fibroids and stitches the uterine wall back together. The removed tissue is pulled out in small pieces through a protected channel.
If you are considering laparoscopic myomectomy in Indore, you need to talk about the number and position of your fibroids as these factors determine whether keyhole surgery is the safest option for you.
Advantages.
Patients usually have less bleeding, smaller scars, less pain, and faster healing than with open surgery. Many are sent home within a day or two.
What you need to know
In some women the fibroids may grow back and therefore follow-up scans are useful. If you are planning a pregnancy, your doctor will advise on how long to wait after surgery, often a few months, so that the uterus heals well. If the fibroid extended deep into the wall of the uterus, a cesarean delivery may be advised in future.
Questions to ask your surgeon
- How many laparoscopic myomectomies have you done?
- How long should recovery take?
- How will this affect my chances of getting pregnant?
- What are the other options?
Truthful answers give you the confidence to decide. If you are considering fibroid surgery in Indore, the best approach is to choose one based on your age, symptoms and family goals, clearly explained by a doctor you trust.