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Myomectomy
- Days In Hospital 3 days
- Outside Hospital Stay 7 days
- Success Rate 85%
Minimum Cost
$ 1500
Maximum Cost.
$ 3000
Overview of Myomectomy in India
Myomectomy is an operation to surgically remove Fibroids As they grow larger, they may create symptoms for the patient, such as Pain, Discomfort, Excessive Bleeding, and so forth; At that point the procedure Also would relieve those symptoms by removing any Fibroids. For Women of Child-Bearing Age or Women who do not have their Family already, Myomectomy would be considered as the Best Choice. The Symptoms are Immediate following the operation. However, in Young Women, it is possible that the Fibroids may Regrow Following the Myomectomy procedure. The Re-Growth of Uterine Fibroids after the initial treatment of the uterine fibroids will need to be treated again.
If a woman has multiple fibroids in her uterus, the chance of recurrence is more likely than if she had just one fibroid removed during a myomectomy. Myomectomies are associated with complications, as is true for other surgical procedures, and they need to be adequately treated to avoid delaying recovery. After a myomectomy, the uterine wall may be left so weak that it can make it difficult to conceive; therefore, three to six months should be allowed for recovery before trying to have children.
What is a Myomectomy?
A procedure called a myomectomy (surgical removal of fibroids), focuses on removing fibroids (also referred to as uterine leiomyomas) from the uterus, unlike a hysterectomy, which removes the entire uterus, and therefore is an important option for women who intend to keep their uterus so they may become pregnant in the future or for some other personal reason.
Depending on the size, number, and position of the fibroids, myomectomy can be conducted using many different methods. The principal aim is to alleviate symptoms such as excessive bleeding, pelvic pain, or infertility, while maintaining the structure and function of the uterus.
What Is A Myomectomy Surgery?
A myomectomy is a surgical process used to remove uterine fibroids, also known as leiomyomas, from your uterus. Uterine fibroids are made up of both connective and muscle tissues. Some fibroids grow inside of the uterus and fibroids that are outside of it too. Usually, fibroids are not harmful (i.e., benign) to a woman’s health. There can be as few as one fibroid or as many as several, and they can be of different sizes. Once the surgeon removes the fibroids, the remaining tissue in the uterus will allow the patient to become pregnant at some point in the future.
A myomectomy can be performed instead of doing a hysterectomy. Hysterectomy involves the complete removal of the woman’s uterus and cervix as well as the removal of any fibroids found there.
Types of Myomectomy:
The type of surgical technique used to remove fibroids is based upon the size, number and location of given fibroid(s). The myomectomy (removal of fibroid(s)) can be performed using two primary surgical methods: namely, the open surgical approach or the minimally invasive surgical methods. The open surgical method usually requires making a larger incision and is typically best suited for huge fibroid(s) or for patients who have many fibroid(s) (multiples). The minimally invasive surgical method allows for fewer or smaller incisions, resulting in quicker healing times, less postoperative pain and fewer complications in the form of scarring.
Open Myomectomy (Abdominal Myomectomy)
This is the classic, most invasive way to remove fibroids. The surgeon cuts a big, single opening in your lower belly—kind of like a C-section—to get straight to the uterus. Doctors usually pick this method if you’ve got a lot of fibroids or really big ones that just won’t come out with less invasive techniques. Since the cut is larger, it’s a major surgery, and recovery takes longer—think four to six weeks. You’ll probably feel more pain and end up with a bigger scar than you would with other options.
Minimally Invasive Myomectomy
All operations that require fewer incisions or no incisions at all fall under this broad category. More minor scars, less pain, and a quicker recovery are the main advantages. Based on the location and size of the fibroids, three different types of operations fall under this category.
Laparoscopic Myomectomy
In keyhole surgery, multiple small incisions are made in the abdomen by a surgeon, with a scope and smaller instruments being utilised in place of standard instruments for performing the procedure. This type of procedure (Keyhole Surgery) is generally used if you only have 1-2 smaller fibroids rather than an excessive number, as opposed to using open abdominal techniques for the removal of larger or greater quantities (open surgery). Generally speaking, patients who undergo keyhole surgery tend to have a more rapid recovery (commonly 2–4 weeks) compared with patients who have undergone open surgery.
Robotic Myomectomy
A robotic myomectomy is a type of fibroid removal surgery. In a robotic myomectomy, the surgeon has the assistance of a robotic device to help with the fibroid removal. The robotic device consists of robotic arms that allow the surgeon to precisely use the surgical instruments. The same benefits of traditional laparoscopic procedures will apply, including the ability to recover quickly and have very little scarring. Robotic technology can also be beneficial for advanced and complicated cases.
Hysteroscopic Myomectomy
The least invasive way to remove fibroids is through the vagina and cervix using a thin, lighted instrument that the doctor will insert through those passages to give him access to the inside of your uterus. The procedure is directed explicitly toward fibroids on the inner surface of the uterus. This method has one very attractive feature: Recovery time is relatively short, taking typically only a few days.
Procedure:
The Surgical Journey: Before, During, and After Myomectomy
Patients and their families feel more prepared and confident when they know what to expect at each step. Preparation before the treatment, the day of the procedure, and post-operative recuperation are usually the three main stages of the journey.
Pre-Operative Preparation
- Medical Check-Up: Medical examination is done to verify that a patient is fit and fit to undergo surgery. This will involve a physical exam, and the scan such as U.S. should have a clear view of the fibroids. Blood tests are also done to investigate on the possibility of any health problems that may cause the surgery. As an example, blood tests may diagnose anemia (the low number of red blood cells in the body) and determine the blood type of the patient in case he or she requires a blood transfusion.
- Drug Modifications: The medical staff gives particular guidelines on the types of drugs to modify or discontinue before the operation to reduce the chance of bleeding.
- Lifestyle Advice: Doctors usually advise the patients to quit smoking because it might slow the process.
- Fasting Instructions: There are specifications involved in fasting, which patients are required to adhere to in terms of the timing when to cease meals and beverages before the surgery.
- Practical Planning: It is prudent that the patients seek assistance with their household chores, childcare and transportation during some time period upon going back home.
On the Day of the Procedure
- Hospital Admission: Following a patient's admission, the medical staff conducts last-minute examinations and preparations.
- Anaesthesia: To keep the patient relaxed and sleepy throughout the entire process, the anaesthesiology team gives a general anaesthetic.
- Procedure: The myomectomy is carried out by the surgeon. The plan that is negotiated with the physician determines the particular method (open, laparoscopic, robotic, or hysteroscopic). The size and quantity of fibroids determine how long the procedure takes.
- Initial Recovery: Following the procedure, the patient is brought to a recovery room where a nurse keeps a careful eye on them while they come out of anaesthesia. After that, the patient is transferred to a hospital room.
Post-Operative Care and Recovery
- Pain: A certain amount of pain and suffering is normal and physicians treat it with prescription drugs.
- Early Mobilisation: The medical team promotes the concept of rising and walking as soon as they feel safe and this is normally in 24 hours. It is a very important measure that must be taken to avoid complications and to contribute to the acceleration of recovery.
- Activity Restrictions: Specifications are given as to activity avoidance. This involves no heavy lifting, excessive exercise, or wearing of tampons or having intercourse during a given period to enable the uterus to heal.
- Rehabilitation: Physical therapy is not a must in all cases of myomectomy, but light exercise can be advised to ensure a patient receives back strength and mobility.
- Follow-up Visits: They will be followed up with regular follow-up visits to review the healing process.
Best Doctors in India
Cost of Myomectomy in India
In India, the price range for a myomectomy procedure is between $1100 and $2000. The type of technique selected for myomectomy treatment may have an impact on the cost. The hospital's amenities and the surgeons' level of expertise may also have an effect.
Top Hospitals in India
Indications of Myomectomy:
Examples of indications for myomectomy are as follows:
- Fibroids that cause symptoms
- To retain the potential for fertility
- Submucosal fibroids
- Intramural fibroids
- Subserosal fibroids
- Fibroids that deform the shape of the uterus(s)
- Fibroids that might lead to difficulties during pregnancy
Risk Factors:
The type of operation, the size and quantity of the fibroids, and the patient's general health can all affect the risks associated with myomectomy (fibroid removal surgery). The following are the primary dangers of a myomectomy:
Common Surgical Risks
Blood Loss: Fibroids pull in a lot of blood, so it’s pretty common to see heavy bleeding during surgery. This is one of the main risks. Sometimes, if you lose a lot of blood, you might need a transfusion. To help prevent this, doctors use special meds or certain techniques to slow down the blood flow to the uterus while they operate.
Infection: Like with any surgery, there’s a chance you could get an infection—either where they cut or inside the uterus itself. If that happens, antibiotics usually clear it up.
Scar Tissue (Adhesions): After surgery, scar tissue can build up on the uterus or even around organs nearby, like the bowels or bladder. Sometimes this leads to pelvic pain, or in rare cases, a bowel blockage. Surgeries that use smaller cuts, like minimally invasive ones, usually keep this risk lower than open surgery.
Damage to Nearby Organs: It doesn’t happen often, but there’s a small chance of accidentally hurting organs close by, like your bladder or intestines—especially if the fibroids are really big or sitting right next to these organs.
Risks Related to Future Pregnancy
Rupture of the uterus: Since the surgery of removing myometria (fibroid) requires some incisions in the wall of the uterus, it may weaken the uterus. This poses a serious risk that is very rare but it can happen in a future pregnancy or labour, which is known as uterine rupture. To avoid this, physicians will usually advise such patients, who received a myomectomy, to deliver all future babies through Cesarean delivery (C-section). This is most likely to occur in open and laparoscopic procedures into the uterine muscle.
Recurrence of Fibroids: A myomectomy (removal of fibroids surgery) eliminates the fibroids that exist during the surgery; it does not eliminate the development of new fibroids. Younger patients and patients with numerous fibroids have a greater probability of developing new fibroids.
Other Potential Complications
Conversion to a Hysterectomy: To preserve the patient's health, the surgeon may occasionally need to remove the entire uterus (perform a hysterectomy) if excessive bleeding or another serious problem arises during the procedure.
Anaesthesia Risks: The anaesthesiologist will go over the possibility of inadequate responses with the patient in advance, just like with any procedure needing general anaesthesia.