Overview of Myomectomy Treatment

Myomectomy is a surgical procedure in which the fibroids that formed in the uterus are removed. uterine fibroids at its initial stages do not have symptoms but when they enlarge they can produce the symptoms of pain, discomfort and excessive bleeding. In that case, myomectomy is necessary to relieve these symptoms. Myomectomy is the best treatment option for women with child bearing age or those who have not completed their family yet. Myomectomy immediately relieves all the symptoms but in younger women, it can regrow again. The recurrence of the fibroids may or may not need to be treated. There are more chances of recurrence of fibroids if multiple fibroids are present in the uterus. If one fibroid is removed in myomectomy, then there are less chances of fibroids to regrow in the wall of the uterus. Uterine fibroids do not usually reoccur in the old age women who are near the menopause. Like any other surgery, myomectomy has some risk and complications associated with it. The complications should be managed otherwise it can delay the recovery process. In some cases, the uterine wall after the myomectomy becomes so weak that it makes it difficult for women to get pregnant. So it is recommended to wait for three to six months before the attempt to get pregnant to allow the uterus to heal within this time.

Types of Myomectomy Treatment

There are four main types of myomectomy which are:

  • Abdominal Myomectomy
  • Laparoscopic Myomectomy
  • Hysteroscopic Myomectomy
  • Robotic-Assisted Myomectomy

Abdominal Myomectomy

This is the traditional method that involves an incision in the lower abdomen to access and remove the fibroids. It is performed in women who have large size fibroids or who have multiple fibroids in their uterus.

Laparoscopic Myomectomy

This is a minimally invasive procedure that involves the small incisions in the abdomen. A laparoscope, equipped with a camera, is inserted through this incision to visualize the uterus. Under the guidance of the camera, the surgeon removes the fibroids. Laparoscopic myomectomy has the advantage of quicker recovery and reduced scarring as compared to the abdominal approach.

Hysteroscopic Myomectomy

This type of myomectomy targets fibroids located inside the uterus or submucosal fibroids protruding into the uterine cavity. It involves inserting a hysteroscope, a thin tube with a light and camera, through the vagina and cervix into the uterus. Surgical instruments are then used to remove the fibroids. Hysteroscopic myomectomy is a non-invasive procedure that does not require incisions.

Robotic-Assisted Myomectomy

This minimally invasive approach uses robotic technology. In this surgery, the surgeon controls the robotic arms that hold instruments and a camera. Robotic-assisted myomectomy offers more precision as compared to traditional laparoscopy.

Procedure of Myomectomy

Here is the general overview of the myomectomy surgical procedure:

Anesthesia: anesthesia is administered to lower the discomfort and pain during the procedure. It may involve the anesthesia that numbs the whole body or just area under the surgery. 

Incision: the incision is made in the abdominal area to access the fibroids. The size of incision can vary according to the location and size of the uterine fibroids.

Fibroid removal: The fibroids can be removed from the uterus with three following approaches:

Abdominal myomectomy: The surgeon makes a larger incision in the lower abdomen to access and remove the fibroids. This method is used for larger or multiple fibroids and challenging locations.

Laparoscopic myomectomy: A laparoscope provides a view of the uterus, while other instruments remove the fibroids. This method offers quicker recovery and less scarring than an abdominal myomectomy.

Hysteroscopic myomectomy: this approach is used when fibroids are primarily located within the uterine cavity. A hysteroscope is inserted through the vagina and cervix into the uterus which guides the surgeon in removing the fibroids.

Closure: The incisions are closed and the dressing is applied in order to prevent the infection.

Recovery: The pain, cramping, or discomfort should be managed with pain medications. The physical activity should be increased gradually to speed up the recovery process.

Cost of Myomectomy Treatment in India

The cost of Myomectomy treatment in India ranges from 1100 USD to 2000 USD. The cost may vary according to the type of procedure chosen for myomectomy treatment. It may also vary according to the facilities of the hospital and the skill of the surgeons.

Cost of different Myomectomy procedure in India:

Treatment Costs in India Min in USD Max in USD
Fibroid Removal Myomectomy 1173 USD 1562 USD
Myomectomy Surgery 1212 USD 1615 USD
Laparoscopic Myomectomy 1305 USD 1740 USD

 

Symptoms and Risk Factors of Myomectomy Treatment

Here are some of the indications for myomectomy:

  • Symptomatic fibroids
  • Fertility preservation
  • Submucosal fibroids
  • Intramural fibroids
  • Subserosal fibroids
  • Fibroids affecting the shape of uterus
  • Fibroids that may cause complications during pregnancy

Risk Factors of Myomectomy

Some of the risk factors of myomectomy are:

Bleeding

There is a risk of excessive bleeding during or after the surgical procedure of myomectomy. Sometimes the blood transfusion is required to manage the complication.

Infection

There is a risk of developing an infection at the surgical site after myomectomy. Sometimes infections appear late after the surgical procedure.

Damage to nearby Organs

There is a small chance of damage to the organs in the surrounding area such as the bladder, intestines, or blood vessels during myomectomy. This damage can further complicate the recovery process.

Adhesion Formation

Scar tissue which are known as adhesions, can develop within the uterus or between the uterus and surrounding organs after myomectomy. Adhesions may cause pain, infertility, or complications in future pregnancies.

Uterine Rupture during Pregnancy

After myomectomy, the uterine wall becomes weak and increases the risk of rupture during pregnancy. It is present in rare cases.

Anesthesia Risks

The anesthesia can cause some complications like allergic reactions, breathing difficulties, or other adverse effects of medicines.

Recurrence of Fibroids

There is a risk of regrowth of fibroids in the near future. This risk is high in young females of child bearing age. And the risk is generally lower in older women.

Top Hospitals for Myomectomy Treatment in India

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Burjeel Medical Hospital City Abu Dhabi,UAE

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Vimhans Nayati Super Speciality Hospital New Delhi,India

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Manipal Hospital, Pune Pune,India

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Manipal Hospital Ghaziabad Ghaziabad,India

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Rainbow Children's Hospital, Chennai Chennai,India

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Jaypee Hospitals, Noida, Uttar Pradesh India

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Metro Hospital Faridabad,India,

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Indraprastha Apollo Hospital New Delhi

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Metro Hospital Faridabad,India,

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Top Doctors for Myomectomy Treatment in India

Empower your Health with the Expertise of Leading Medical Professionals.

Dr. Dakshayani D

Department of Gynaecology

Consultant

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Dr. Anita K. Sharma

Department of Gynaecology

Associate Director

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Dr. Astha Agarwal

Department of Pediatrics & Gynaecology

Consultant

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Dr. Hemlata Sagar

Department of Opthalmology & Gynaecology

Consultant

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Dr. Manorama Singh

Department of Gynaecology

Senior Consultant

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Treatment Costs for Myomectomy in India

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FAQ's of Myomectomy Treatment in India

There are more chances of recurrence in the case of multiple fibroids as compared to the cases of single fibroid. In other cases, there may be a part of fibroids left in the body leading to the formation of new fibroids.

In all these cases, some additional surgeries may be done like: 03. Radiofrequency volumetric thermal ablation (RVTA) - This is used to destroy the fibroids with heat energy with the help of a guided probe. 02. Uterine artery embolization (UAE) - Blocking the arteries that supply blood to the fibroids leading to shrinkage of the fibroids. 03. MRI-guided focused ultrasound surgery - Fibroids are destroyed by a heat source guided by an MRI scan.