Myomectomy Surgery: Purpose, Procedure, Risks, and Treatment

Myomectomy is a specialized surgery that involves the removal of fibroids from the uterus without removing the uterus. It is a significant therapy for those women who experience symptoms like heavy menstrual flow, pelvic pressure, or infertility caused by fibroids. Unlike a hysterectomy, during which the uterus is removed, myomectomy does not interfere with the fertility of women, thus this is the favored choice for those women who want to become pregnant in the future.

At Felix Hospital, we provide expert consultation on complex myomectomy procedures with the finest contemporary facilities and individualized care to achieve the best possible outcome for our patients.

Contact Felix Hospital by calling +91 9667064100 now for a detailed discussion on personalized treatment options tailored for you.

What is Myomectomy Surgery?

Myomectomy is a surgical procedure to remove fibroids from the uterus. Myomectomy is mainly aimed at the removal of fibroids to correct symptoms without a hysterectomy. It is especially suggested for those women who want to preserve fertility or prevent hysterectomy.

Types of Myomectomy Procedures

Myomectomy refers to a surgery performed to remove uterine fibroids in a way that preserves the integrity of the uterus. Depending upon the size, number, and position of fibroids, appropriate techniques are applied to gain the most effective outcome possible. A close observation of multiple varieties of myomectomy procedures along with advantages is given below:
 

1. Abdominal Myomectomy
 

Abdominal myomectomy, or open myomectomy, is cutting the lower abdomen to remove fibroids. It is usually for patients with:
 

• Large fibroids
• Multiple fibroids
• Deeply embedded fibroids

While it offers good exposure to surgeons and is ideal for complicated cases, it has a longer recovery time compared to minimally invasive methods.

2. Laparoscopic Myomectomy
 

Laparoscopic myomectomy is a less invasive procedure in which one creates small cuts in the abdomen through which a very small camera and laparoscopic devices are passed. The benefits of this method are:
 

• Less cutting, less scarring
• Reduced hospital time and quicker recovery
• Less post-operative pain as compared to open surgery

This method is perfect for patients who have smaller or comparatively smaller-sized fibroids not deeply embedded in the uterine wall.
 

3. Robotic-Assisted Myomectomy
 

A myomectomy robot utilizes sophisticated robotic technology to maximize accuracy and control during the operation. The surgery is conducted in a similar way to laparoscopic surgery but with added advantages like:
 

• Improved accuracy of removal of fibroids
• Less opportunity for complications
• Less recovery time with less pain

Robotic myomectomy is an excellent choice for those patients who need soft surgical repair, especially fibroids that are difficult to remove by standard methods.

4. Hysteroscopic Myomectomy
 

Hysteroscopic myomectomy is a non-surgical method to excise fibroids within the uterine cavity. The procedure is done with a hysteroscope, a thin, flexible tube with a camera, passed through the vagina and cervix. The benefits are:
 

• No scars or external cuts
• The brevity of the procedure and quick recovery
• Best for patients with heavy periods because of fibroids

This is most appropriate for patients with submucosal fibroids (fibroids that develop within the uterine cavity).

Which Myomectomy Procedure is Best for You?

The type of myomectomy procedure to use depends on the size, number, and position of fibroids, as well as the overall health of the patient and whether or not future fertility is desired. A consultation with a specialist can assist in determining the most appropriate surgical technique for the best outcome.
 

Benefits of Myomectomy Surgery
 

• Symptom relief from heavy bleeding, pelvic pain, and pressure.
• Sparing fertility for women who desire pregnancy.
• Enhanced quality of life and overall health.

When is Myomectomy Surgery Recommended?

Myomectomy is indicated in women with:

• Heavy or excessive menstrual bleeding.
• Pelvic pressure or pain.
• Infertility or recurrent miscarriage caused by fibroids.

Physicians take into account the size, location, and number of fibroids to decide on the most appropriate course of action.

The Myomectomy Procedure: Step-by-Step

Myomectomy is a surgical procedure to remove uterine fibroids without removal of the uterus. Effective planning, a carefully thought-out surgical technique, and a planned program of rehabilitation assure a successful operation. This is an exhaustive book on what to do before, during, and after surgery.

Pre-Surgery Preparation
 

Before myomectomy, patients undergo some steps necessary to make the surgery safe and successful:

• Medical Tests and Scans: Your doctor will carry out physical tests and imaging procedures like ultrasound or MRI to assess the size, number, and position of fibroids.

• Discussion of Surgery and Risks: Based on the test findings, your doctor will discuss the most suitable method of surgery, risks, and time of recovery.

Preoperative Instructions: We may ask you to discontinue certain medications, adhere to dietary restrictions, or take medications in a scheduled manner to shrink the fibroid size before surgery.

Anesthesia and Surgical Procedure
 

The anesthesia used during surgery depends on the myomectomy procedure and the patient's health:

• Local or General Anesthesia: Intrusive procedures (such as hysteroscopic myomectomy) can utilize local anesthesia, whereas more complicated procedures (such as abdominal myomectomy) are usually done under general anesthesia.
• Fibroid Removal: After administering anesthesia to the patient, the surgeon removes the fibroids using the chosen mode of surgery, either laparoscopic, robotic, hysteroscopic, or open surgery.

Post-Surgical Recovery
 

The recovery time will depend on the type of myomectomy that the patient has undergone:
 

• Minimally Invasive Surgeries (Laparoscopic & Hysteroscopic Myomectomy): Quicker healing and patients can return to their normal activities within a few weeks.
• Open Abdominal Myomectomy: It takes longer to recover, usually 4 to 6 weeks, because of the larger incision and healing process.
   

Post-Surgery Care

• Pain Control: Analgesics are prescribed to keep one comfortable during convalescence.
• Activity Limitations: Heavy physical exercise, strenuous activity, or sexual intercourse is avoided for some time.
• Follow-Up Visits: Follow-up visits allow monitoring of the healing process and complications.

Risks and Complications of Myomectomy Surgery

Myomectomy is safe in most cases, but risks and complications can be:
 

• Infection or bleeding.
• Damage to nearby organs.
• Scarring or adhesions.
• Risk of recurrence of fibroids.

Low risk at Felix Hospital with expert surgeons and sophisticated technology.

Recovery and Aftercare
 

• Recovery Time: 2–6 weeks, depending on the surgery.
   
• Post-Surgery Instructions: Rest, no heavy lifting, and follow-up.
   
• Follow-up: Watch out for complications or signs of fibroid return.

Cost of Myomectomy Surgery

Myomectomy surgery cost is based on:
 

• Type of surgery (abdominal, laparoscopic, robotic, or hysteroscopic).
• Hospital facilities and experience of the surgeon.
• General cost range in India: ₹50,000 to ₹2,50,000.

We provide quality without compromising on prices at Felix Hospital. We also provide insurance coverage and accept flexible payment plans*.

Meet the Best Gynecologists at Felix Hospitals

Felix Hospital has a highly professional and experienced team of gynecologists dealing with various specialties of women's health. All our experts are dedicated to delivering the best quality care so that all patients get highly individualized treatment directed toward their specific needs. Our top gynecological team includes:
 

• Dr. Charu Yadav
   
• Dr. Sangeeta Sharma
   
• Dr. Pragati Jain
   
• Dr. Swati Thakur

If you are looking for advanced surgical care, preservation of fertility, or minimally invasive procedures, our specialist gynecologists are there to walk you through each step of the process. 
 

Book a consultation with our expert gynecologists at Felix Hospital today. Let us help you find the best treatment option for your needs.

Conclusion

Myomectomy surgery is a life-altering procedure for women with uterine fibroids, allowing for excellent symptom relief from complaints like heavy menstruation, pelvic pain, and pressure. Other than symptom relief, it is also fertility-saving, making it the best option for women who want to hold on to their reproductive health. With the full information of surgical technology and techniques, such as laparoscopic and robot-assisted myomectomy, patients can now look forward to quicker recovery rates and less likelihood of complications. If you are looking for a myomectomy, then you must approach the specialists at Felix Hospital, where you will be treated with individualized care, the latest facilities, and top-notch medical treatment that suits your requirements.

FAQs on Myomectomy Surgery 

1. How do I know if I'm a candidate for myomectomy surgery?
Ans: Myomectomy is normally recommended in females who come with signs like heavy menstrual bleeding, pelvic pain, or infertility due to fibroids. A thorough evaluation, like ultrasounds or MRIs, will confirm your suitability for this surgery.

2. Can myomectomy surgery guarantee that my fibroids will never return?
Ans: Although myomectomy successfully eliminates fibroids, there is always a possibility of recurrence in the long term when new fibroids form. Your gynecologist will advise you on the most effective preventive measures and postoperative management.

3. What are the benefits of robotic-assisted myomectomy compared to traditional surgery?
Ans: Robotic-assisted myomectomy provides accuracy and minimally invasive surgery that can result in faster recovery times, less scarring, and fewer complications compared to traditional open surgery.

4. Is myomectomy surgery safe in women who have multiple fibroids?
Ans: Yes, myomectomy can be performed in women who have more than one fibroid, although the type of surgery can be dependent on how and where the fibroids are situated and also how big they are. Your gynecologist will evaluate you and decide the best surgery that will suit your condition.

5. Can I get pregnant after a myomectomy?
Ans: Myomectomy is a procedure that spares fertility, and most women can become pregnant following surgery. Success with pregnancy, however, is contingent on the size of the fibroids, their location, and their general reproductive status.

6. When may I return to normal activities after myomectomy surgery?
Ans: Recovery time will also differ based on the complexity of the surgery. For laparoscopic surgeries, you can return to normal activities within 2-4 weeks, but in more complex cases such as abdominal myomectomy, recovery might take 6 weeks.

7. What can I anticipate when following up after myomectomy surgery?
Ans: You will be monitored in follow-up visits after surgery to check on your healing, address any complications, and take care of any questions about fibroid recurrence or planning a pregnancy. Follow-up visits reassure you that the healing process is going along normally.