Myomectomy for Fibroids Surgery

A myomectomy is a surgical procedure designed to eliminate fibroids, noncancerous growths found in the uterus. This intervention focuses on removing these fibroids while preserving the uterus itself. Typically recommended for women experiencing fibroid symptoms who plan to have children in the future, myomectomy's effectiveness is notable, although there is a possibility of fibroid regrowth. This likelihood is more pronounced among younger individuals. Different approaches to myomectomy exist, with the choice depending on factors like fibroid number, size, and location.


Reasons for Myomectomy

Myomectomy becomes advisable if the fibroids in the uterus cause disruptive and bothersome symptoms that impede daily activities and quality of life. 

Methods of Performing Myomectomy:

Myomectomy surgery in Patna, Bihar, can be conducted through three techniques:

·        Abdominal Myomectomy: Also known as open myomectomy, this involves a small incision in the lower abdomen to extract fibroids.
·        Laparoscopic Myomectomy: Involves several small incisions for the removal of specific fibroids. It is less invasive, requiring a shorter recovery.
·        Hysteroscopic Myomectomy: Preferred for submucosal fibroids, this technique removes fibroids through the vaginal and cervical route, using a specialized scope. 

Preparation for Myomectomy in Patna, Bihar:

Prior to surgery, medications may be prescribed to shrink fibroids for easier removal. Fasting before the surgery is usually necessary. Thoroughly discuss medical history, OTC medication, vitamins, and supplements with the doctor. Depending on the procedure, either general anesthesia or monitored anesthesia care will be administered. A companion should accompany you on the surgery day. 

Myomectomy Procedure:

The procedure of myomectomy can vary based on the type:

·        Abdominal myomectomy: A cut is made in your lower abdomen to reach your uterus. The doctor removes the fibroids from the uterine wall through this incision. The cut is then closed using stitches.
·        Laparoscopic myomectomy: Four small cuts, each about ½ inch in size, are made in your lower abdomen. Carbon dioxide gas is used to expand the belly for better visibility. A laparoscope is inserted through one incision, and the surgeon controls robotic instruments to perform the surgery. The fibroids are cut into smaller pieces and taken out. Afterward, the tools are removed, gas is released, and the cuts are closed.
·        Hysteroscopic myomectomy: A thin scope with light is placed through the vagina and cervix into the uterus. To get a clearer view of the fibroids, a liquid is put in the uterus. Using a wire loop, the surgeon shaves off fibroid pieces. The liquid then washes away the removed parts of the fibroid. 

Recovery Period:

Allow time for incision and belly muscle healing. Rest is crucial, and strenuous activities should be avoided. Full recovery can take 4 to 6 weeks. 

Possible Side Effects:

Myomectomy side effects encompass uterine injury, clotting, infections, fibroid regrowth, organ damage, and scar tissue formation. 

Pregnancy After Myomectomy:

Yes, pregnancy remains possible post myomectomy as the uterus is preserved during the surgery. To schedule an appointment at Big Apollo Spectra Hospital, Patna, dial 0612-3540100.