Myomectomy Surgery In Chennai

Myomectomy is a specialised surgery that removes uterine fibroids while preserving the uterus, which makes it an important option for women who wish to preserve their fertility or alleviate fibroid-related symptoms. The success of the surgery depends on the expertise of the medical team and the quality of post-operative care.

Hence, choosing a renowned hospital, such as Gleneagles Hospitals in Chennai is advisable. We have experienced gynecological surgeons who ensure successful treatment outcomes and faster and comfortable recovery. 

Myomectomy is a surgical procedure that is used to remove uterine fibroids - also called leiomyomas. These are non-cancerous growths that appear in the uterus at any age - especially during child-bearing years. The surgeon performs the surgery to remove symptoms causing fibroids and reconstruct the uterus. Unlike a hysterectomy, which removes the entire uterus, a myomectomy surgery involves removing the fibroids and leaving the uterus in place.

Fibroids develop due to hormonal imbalances - especially increased estrogen, progesterone levels, and genetic factors. Other risk factors include - obesity, family history of fibroids, and early onset of menstruation. The symptoms may vary depending on the size, number, and location of the fibroids. Common symptoms may include:

• Heavy or prolonged menstrual bleeding
• Pain during intercourse
• Pelvic pain or pressure
• Frequent urination
• Constipation

In severe cases, fibroids may cause infertility or recurrent miscarriages. Hence, myomectomy helps relieve these symptoms and improve fertility.

• Abdominal Myomectomy: Abdominal myomectomy is also known as open myomectomy - which involves making a larger incision in the lower abdomen to access the uterus to remove fibroids. This is used for large or multiple fibroids that are deep in the uterine walls. It provides a clear view of the pelvic organs - which allows the surgeon to remove fibroids precisely while preserving the uterus. Recovery time is longer - 4-6 weeks. This is recommended for women who want to maintain fertility and have complex fibroid cases.
• Laparoscopic Myomectomy: Laparoscopic myomectomy is a minimally invasive procedure used for smaller and fewer fibroids. It is performed through small incisions in the abdomen using a laparoscope - a thin tube with a camera. The surgeon uses a specialized instrument to remove the fibroids while viewing the procedure on the screen. The procedure causes less pain and minimal scarring, with a quick recovery time. Most patients can resume normal activities within 2-4 days after surgery.
• Hysteroscopic Myomectomy: Hysteroscopic myomectomy is done to remove submucosal fibroids that are located inside the uterine cavity using a hysteroscope. A hysteroscope is a thin, lighted tube, which is inserted in a vagina and cervix, into the uterus. The fibroid is then shaved off using a specialized instrument without the need to make external incisions. This is an outpatient procedure - which is quick and has a fast recovery time. It is beneficial for women experiencing heavy menstrual bleeding or fertility issues due to submucosal fibroids.
• Robotic Myomectomy: Robotic myomectomy involves surgical methods using robotic arms controlled by a surgeon. The robot provides precise movements, flexibility, and control through 3D visualization and articulated instruments that mimic human hands. This approach allows for the precision removal of fibroids without damaging the surrounding region. The procedure combines the use of laparoscopic myomectomy, such as small incisions and quicker recovery, and is best for complex fibroid cases. 

Before preparing for a myomectomy, the doctors will ask to undergo several diagnostic tests. These tests aim to identify the condition's cause, the severity, and the number of fibroids in the uterus. Some of the tests include - ultrasound, MRI, pelvic exams, and a hysteroscopy.

Before the procedure, the patients must stop eating or drinking several hours before the surgery, as advised by the doctors. They will also inform if the patient needs to stop or alter certain medications. Hence, it is important to inform the doctor about any painkillers, OTC medications, supplements, etc., that the patient takes. The patient might receive general or monitored anesthesia care (MAC) depending on the procedure. Other anesthesia types, such as spinal or local, may be used to reduce the discomfort during the procedure.  

During a myomectomy procedure, the surgeon will make an incision, either through a traditional open abdominal approach or using minimally invasive techniques such as - a laparoscopy or robotic-assisted surgery. The surgical team will locate the uterus and find the fibroid, which can differ in size, number, and location.

Then, a precise incision is made on the uterine wall over the fibroid, to separate the fibroid from the surrounding healthy tissues. Surgeons inject medications like vasopressin to minimise blood loss. The medication constricts blood vessels in the area. The fibroid is then removed - ensuring that all abnormal tissue is excised to reduce the likelihood of recurrence.

After the fibroid is removed, the surgeon repairs the uterine wall by suturing the layers of tissue together. This preserves the uterine strength - especially for women who want to preserve fertility. The repair process restores the normal structure of the uterus. Also, the surgeon inspects the abdominal cavity for any additional fibroids or unexpected complications. After the surgery, the patient is transferred to the ICU, where they are monitored under the doctor's supervision. 
 

After the surgery, the doctor will prescribe pain medication and advise on how to take care. They also discuss dietary restrictions and activities. The recovery also depends on the type of myomectomy performed - laparoscopic, hysteroscopic, and abdominal. Post-surgery, patients usually experience pain, bleeding, and fatigue - which requires aftercare to ensure proper healing.

In the first few days, it is important to have some rest. Doctors prescribe pain management - which involves prescribed medication and light activities. It is advisable not to lift heavy weights and avoid strenuous exercises and sexual intercourse for at least 4-6 weeks. Also, it is important to stay hydrated and have a high-fiber diet to prevent constipation, which may cause strain during surgery.

Moreover, incision care is essential - as it prevents infections, such as - excessive redness, blood clots, swelling, fever, or discharge. All these should be reported to the doctors immediately. Follow-up appointments monitor healing and ensure no complications arise.
 

A myomectomy is considered safe, which carries potential risks and complications. The severity of these risks depends on the type of procedure, in addition to the overall health of the patient. One of the primary risks patients experience is excessive bleeding. This may require a blood transfusion in severe cases. Some patients may also develop infection at the surgical site or within the uterus. This may lead to fever, pain, etc. Also, scar tissue can form in and around the abdominal organs, which may potentially cause fertility issues or bowel obstruction.

Sometimes, the uterus may also weaken, increasing the risk of uterine rupture during future pregnancies. Some patients may also experience prolonged menstrual irregularities or difficulty conceiving. This may lead to the need for additional treatment. 

At Gleneagles Hospitals, we ensure safety, expert care, and access to advanced medical technology.  We have specialised gynecological surgeons who have years of experience performing the surgery while reducing the risk of complications and improving the results. We also have emergency medical support to help patients in case of complications.

Before the surgery, our doctors order diagnostic tests. We perform MRI and ultrasound to identify the condition. Also, we make use of robotic-assisted myomectomy and laparoscopic surgery to ensure precision and safety.