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Myomectomy In India

What is Myomectomy?

Myomectomy is also known as ‘fibroidectomy’ and is the surgical procedure to remove the non-cancerous fibroids growing in the uterus. These fibroids are benign abnormal tissue growths seen in women before menopause.

Myomectomy

This procedure is only used to remove the fibroids and differs from a hysterectomy that involves removing the uterus completely.

What are the types of Myomectomy?

A myomectomy can be performed using several different surgical techniques which depend upon the location, size and the number of fibroids in the uterus. The surgeon’s experience and preference are also important factors in deciding the type of surgical technique ideal for your individual case.

These techniques are performed either after administering a spinal (local) anesthesia or a general anesthesia.

There are three main ways to perform a myomectomy:

1. Laparotomy

This is the more traditional method of doing a myomectomy that involves a complete abdominal incision (horizontal or vertical). As soon as the peritoneal (abdominal) cavity is opened the uterus is cut and the fibroids are removed through excision directly. This is considered an ideal technique to remove larger sized lesions (fibroids). More incisions might be required to remove multiple numbers of lesions. These incisions are stitched close after the excisions are completed.

2. Laparoscopy

This surgery is a minimally invasive type of procedure that is performed using a laparoscope (thin and flexible surgical tube). This laparoscope uses very small (keyhole) incisions in the abdomen using a video camera attached to the laparoscope to view the uterus. Morcellators are used to degenerate large-sized fibroids so they can be removed through the keyhole incisions.

A laparoscopic myomectomy is seen to have a decreased morbidity rate as well as faster recovery from the surgery. This method is ideal for removal of smaller fibroids (3-10 cms)

3. Hysteroscopy

A fibroid located in such a way that it protrudes into the endometrial cavity is ideally removed with a hysteroscopy technique. This surgery uses an endoscope (minimally invasive surgical device) to remove the fibroids from the uterus. Read About Endoscopic Surgery

The surgeon inserts the endoscope through the cervix after expanding the uterine cavity with carbon dioxide or sterile fluids. Once the endoscope reveals the location of the fibroid growths an operative hysteroscope is used to enter the cavity carrying specialized surgical instruments in order to remove the lesions (fibroids).

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Laparoscopic Myomectomy surgery

A laproscopic myomectomy is advantageous than an abdominal myomectomy as it is performed with the help of smaller-sized (keyhole) incisions as compared to the more conventional method of surgery. This is an ideal surgical method for removing small to medium sized fibroids.

This surgery is usually performed as an out-patient procedure under a general anesthesia. This surgery takes around 2-3 hours depending on the size, number and location of the fibroids in the uterus. The recovery from a laparoscopic takes lesser time and the patient is normally allowed to go home within the same day or after an overnight stay under observation at the hospital. A woman can return to normal daily activities after around 10-14 days post-laparoscopic surgery.

The surgery is performed using a laparoscope which is a thin and flexible fiber-optic tube with an attached light source and video camera. This laparoscope need very small (keyhole) incisions to be inserted into the uterus through the abdominal wall. The laparoscopic camera transmits live video feed of the uterus onto a video monitor. The surgeon makes 2-3 small incisions under the pubic hairline to insert similar laparoscopes but with tiny surgical instruments attached to them to remove the fibroids. The surgeon uses the laparoscope to stitch close the incisions made in the uterus as well after the fibroids are removed.

This minimally invasive surgical method is useful in removing protruding fibroids that are attached to the outside of the uterus wall with a stalk as well as subserous (closer to the uterus wall) fibroids.

Need for Laparoscopic Myomectomy surgery

A laparoscopic myomectomy is needed when the symptoms start to trouble and interfere with normal daily activities. These are a few reasons to choose myomectomy over a hysteroscopy:

  • Plans for bearing children post fibroid removal surgery
  • Fibroids are suspected for interfering in conceiving or causing infertility
  • If you wish to keep your uterus intact
  • If you wish to have fibroids removed in a quicker and minimally invasive manner

Symptoms of Uterine Fibroids

Women who suffer from uterine fibroids show these common signs and symptoms:

  • Excessive menstrual bleeding
  • Extended menstrual periods (7+ days of menstruating)
  • Pelvic pain
  • Pelvic pressure
  • Frequent urination
  • Urination difficulty
  • Constipation
  • Leg pains
  • Backache

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Pre-operative diagnosis for a Laparoscopic Myomectomy surgery

In case you are experiencing the signs and symptoms of uterine fibroids the doctor will initially perform a physical exam to search for irregularities in the uterus shape that may suggest the presence of fibroid growths.

There are a number of additional tests that are performed to determine the location, size and number of fibroids in the uterus, such as:

Ultrasound

The sound waves in an ultrasound diagnosis give a picture of the soft tissues of the uterus. This procedure is performed either through a transducer (external ultrasound device) or trans-abdominal or a trans-vaginal device that is inserted through the vagina.

Laboratory tests

In case of abnormal vaginal bleeding the doctor may suggest certain tests to determine the causes for it through a CBC (complete blood count) test top check for signs of anemia or to check for thyroidal disorders.

MRI (magnetic resonance imaging)

This imaging test is helpful in determining the location and the size of the fibroids in the uterus as well as in checking for various types of tumors and their appropriate treatments.

Hysterosonography

This is also known as a SIS (saline infusion sonogram) and uses a sterile saline solution to expand the uterine cavity to get a better view of the endometrium and the uterine cavity. This test is especially useful in cases that have heavy menstrual bleeding.

Hysterosalpingography

This test uses a dye to highlight the fallopian tubes and the uterine cavity in an x-ray image.

Hysteroscopy

This test is performed by inserting a small surgical telescope with a light into your cervix and on to your uterus. A saline solution is then inserted into the uterus to expand the uterine cavity in order to let the doctor get a clear view of the openings of the fallopian tubes and uterus.

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Connect with IndianMedTrip for a Myomectomy in India

IndianMedTrip are the frontrunners in the medical tourism sector in India. IndianMedTrip is well connected to a large network of hospitals and clinics that are spread across all major cities of India. These hospitals are equipped with the best and most modern surgical instruments to ensure that the patients get the most efficient treatment. The vastly experienced doctors and surgeons and well trained in managing all types of myomectomy procedures. IndianMedTrip has an added advantage of being the only medical tourism consultant firm in India with the lowest cost for a myomectomy surgery.

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