Hysteroscopic Myomectomy for Fibroids

Laparoscopic Myomectomy

Advanced Fibroid Removal Surgery at Zenith Hospital, Nagpur

What is Laparoscopic Myomectomy?

Myomectomy is a surgical procedure to remove uterine fibroids while preserving the uterus. When performed using a laparoscope, it is called Laparoscopic Myomectomy. This procedure is ideal for women who want relief from fibroid-related symptoms but wish to retain their uterus for future fertility.

Why is Myomectomy Done?

Fibroids can lead to:

Heavy or irregular menstrual bleeding
Pelvic pain or pressure
Urinary incontinence
Infertility or difficulty in conception
Pregnancy-related complications

In such cases, removing fibroids can improve health and fertility outcomes.

Types of Myomectomy Techniques

Laparoscopic Myomectomy
- Performed through 3–4 small incisions in the lower abdomen.
- Fibroids are removed, and the uterus is repaired.
- Done under general anesthesia.
- Recovery time: 2–3 weeks.
Abdominal Myomectomy
- Traditional open surgery with a larger abdominal incision.
- Recovery time: 4–6 weeks.
Hysteroscopic Myomectomy
- Performed with a hysteroscope through the vagina and cervix.
- Best for small or submucosal fibroids.
- Recovery time: 1–2 weeks.

How is Laparoscopic Myomectomy Performed?

General anesthesia is given.
Small incisions (0.5–1 cm) are made in the abdomen.
The abdomen is filled with CO₂ gas for visibility.
A laparoscope and surgical instruments are inserted.
Fibroids are cut into smaller pieces and removed either through the vagina or small abdominal openings.
The uterus is repaired, instruments are removed, and incisions are closed.

Recovery After Laparoscopic Myomectomy

Short hospital stay (usually discharged within a day).
Mild vaginal spotting may occur for a few days.
Return to normal routine is quicker compared to open surgery.
Minimal pain and faster healing.

Benefits of Laparoscopic Myomectomy

✔ Less blood loss
✔ Shorter hospital stay
✔ Faster recovery
✔ Minimal postoperative complications
✔ Uterus is preserved, allowing for future pregnancy

Risks Involved (Rare)

Excessive blood loss (especially with large fibroids)
Rare chance of hysterectomy if bleeding is uncontrollable or additional abnormalities are found
Adhesion formation inside the uterus, which may affect menstruation and fertility

Preparation Before Surgery

Pre-surgery blood tests and anesthetic evaluation
Fasting for 6–8 hours before procedure
Medications and bowel preparation as advised
Shaving of lower abdominal and pubic hair

Recovery Tips

Take prescribed medicines regularly
Avoid heavy lifting until healed
No intercourse for at least 6 weeks
Wait 3–6 months before trying for pregnancy to allow complete uterine healing

Expert Care at Zenith Hospital, Nagpur

At Zenith Hospital, Nagpur, Dr. Manasi Thakur specializes in laparoscopic myomectomy and advanced gynecological surgeries. With expertise in minimally invasive techniques, she ensures safe, effective, and fertility-preserving treatment for women with fibroids.For consultation and personalized treatment, visit Dr. Manasi Thakur at Zenith Hospital, Nagpur.