Dr. Sowjanya Aggarwal – Best IVF specialist in Delhi

What is a Laparoscopic Myomectomy?

Myomectomy is a surgical process of removing uterine fibroids. Uterine fibroids are non-cancerous growth of the uterus. It occurs during the childbearing days or can be developed at any age. Myomectomy is best for women who want a baby in the future. Unlike hysterectomy (complete removal of the uterus), it only removes fibroids and leaves the uterus in place.

Types of Myomectomy

  • Laparoscopic Myomectomy:  Involves making a few small incisions in the abdomen to remove fibroids. The surgeon uses a laparoscope to view the uterus and guide the instruments.
  • Hysteroscopic Myomectomy: Used for fibroids located inside the uterine cavity. A hysteroscope (a thin, lighted instrument) is inserted through the vagina and cervix into the uterus to remove the fibroids.
  • Abdominal Myomectomy (Laparotomy): Involves a larger incision in the abdomen to remove fibroids, typically used for very large or numerous fibroids.

Symptoms Indicating the Need for a Myomectomy

Fibroids can cause a range of symptoms, depending on their size, number, and location within the uterus. Common symptoms include:

  • Heavy Menstrual Bleeding: Unusually heavy or prolonged periods, often leading to anemia.
  • Pelvic Pain: Persistent pain or pressure in the pelvis.
  • Frequent Urination: Due to pressure on the bladder.
  • Constipation: Fibroids pressing against the rectum can cause bowel issues.
  • Pain During Intercourse: Depending on the location of the fibroids.
  • Enlarged Uterus or Abdomen: Leading to a bloated appearance.
  • Reproductive Issues: Infertility, recurrent miscarriages, or complications during pregnancy.

Benefits

  • Preserving Fertility:Laparoscopic myomectomy can improve fertility and help women become pregnant after surgery. It is also an excellent option for women who wish to preserve their fertility for the future.
  • Faster Recovery: This procedure typically results in less pain and blood loss compared to traditional abdominal myomectomies, allowing patients to recover within 1–2 weeks.
  • Reduced Risk of Adhesions:Laparoscopic myomectomy leads to fewer adhesions (scar tissue) than traditional abdominal myomectomies.
  • Improved Outcomes:This technique can result in better pregnancy outcomes, including a lower risk of uterine rupture during pregnancy and labor.

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    Dr. Sowjanya Aggarwal is a renowned specialist in IVF & Infertility, Laparoscopic & Robotic Gynae Surgery, based in Delhi & NCR.

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