A myomectomy is a surgical procedure aimed at removing uterine fibroids (non-cancerous growths) while preserving the uterus. This procedure is ideal for women who wish to retain their fertility or those who prefer not to undergo a hysterectomy.
Indications
- Symptomatic fibroids causing heavy menstrual bleeding, pelvic pain, or pressure
- Infertility or recurrent pregnancy loss attributed to fibroids
- Rapid growth of fibroids
- Fibroids causing urinary or bowel symptoms
Preparation:
- Preoperative assessments including blood tests, imaging studies (ultrasound, MRI), and consultations at our hospital in Nagpur.
- General or regional anesthesia is administered.
Surgical Techniques:
- Abdominal Myomectomy: An incision is made in the lower abdomen to access the uterus and remove fibroids. Suitable for larger or multiple fibroids.
- Laparoscopic Myomectomy: Small incisions are made in the abdomen, and a laparoscope is used to remove fibroids. This minimally invasive approach is ideal for smaller and fewer fibroids.
- Hysteroscopic Myomectomy: A hysteroscope is inserted through the vagina and cervix into the uterus to remove submucosal fibroids (those protruding into the uterine cavity). This method does not require incisions and is less invasive.
Postoperative Care Myomectomy
- Hospital stay varies based on the technique used: typically 1 to 3 days for abdominal, 1 day for laparoscopic, and outpatient for hysteroscopic myomectomy.
- Recovery period: 2 to 6 weeks depending on the type of myomectomy performed.
- Pain management with medications.
- Instructions on activity restrictions and wound care.
Advantages Myomectomy
- Preservation of the uterus and fertility.
- Relief from symptoms such as heavy bleeding, pelvic pain, and pressure.
- Improvement in quality of life.
- Minimally invasive options lead to quicker recovery and less postoperative pain.
Disadvantages Myomectomy
- Risks associated with surgery such as infection, bleeding, and anesthesia complications.
- Potential for fibroid recurrence.
- Longer recovery time for abdominal myomectomy compared to laparoscopic or hysteroscopic methods.
Risks and Complications of Myomectomy
- Infection
- Bleeding
- Injury to surrounding organs (bladder, intestines)
- Anesthesia-related complications
- Blood clots
- Adhesion formation (scar tissue)
Preoperative Preparation of Myomectomy
- Detailed medical history and physical examination.
- Imaging studies such as ultrasound or MRI to assess the size, number, and location of fibroids.
- Blood tests to ensure overall health and readiness for surgery.
- Preoperative counseling to discuss the procedure, risks, benefits, and recovery process.
Postoperative Care and Recovery Tips
- Follow activity restrictions as advised by your doctor at our hospital in Nagpur.
- Avoid heavy lifting and strenuous activities for at least 4-6 weeks.
- Gradually return to normal activities as per your doctor’s advice.
- Maintain a healthy diet to promote healing.
- Stay hydrated and take prescribed medications.
- Attend follow-up appointments for monitoring.
- Perform gentle exercises, as advised, to promote circulation and prevent blood clots.
At our hospital in Nagpur, myomectomy offers the best surgical option for removing uterine fibroids while preserving the uterus. The procedure provides numerous benefits, including relief from symptoms, improved quality of life, and fertility preservation. Our hospital in Nagpur ensures the best care through the expertise of our skilled surgeons and advanced surgical facilities.
