Myomectomy

Laparoscopic myomectomy is a minimally invasive surgical procedure used to remove uterine fibroids (myomas) while preserving the uterus. It is an excellent option for women who experience symptoms like heavy menstrual bleeding, pelvic pain, or infertility due to fibroids but wish to maintain their fertility.

Why is Laparoscopic Myomectomy Performed?

This procedure is recommended for women experiencing:

• Heavy or prolonged menstrual bleeding due to fibroids
• Pelvic pain or pressure affecting daily activities
• Infertility caused by fibroids obstructing implantation or affecting the uterine cavity
• Frequent urination or bowel issues due to fibroid pressure
• Recurrent pregnancy loss linked to fibroids

Laparoscopic myomectomy is ideal for women with small to moderate-sized fibroids or a limited number of fibroids. In cases of very large or multiple fibroids, an open myomectomy may be considered.

Procedure Overview

The surgery is performed under general anesthesia and typically takes 1.5 to 3 hours. The steps include:

1. Small incisions (usually 3-4) are made in the abdomen.
2. Carbon dioxide (CO₂) gas is introduced to expand the abdomen for better visibility.
3. A laparoscope (a thin, lighted telescope) is inserted through the incisions.
4. The surgeon locates and carefully removes fibroids using specialized instruments.
5. The uterus is then sutured to restore its normal shape and function.
6. Large fibroids may be morcellated (broken into smaller pieces) for removal through small incisions.
7. Incisions are closed with dissolvable stitches.

Benefits of Laparoscopic Myomectomy

• Minimally Invasive: Small incisions lead to faster healing and minimal scarring.
• Preserves the Uterus: Ideal for women planning future pregnancies.
• Less Blood Loss: Compared to open surgery, reducing the need for transfusions.
• Faster Recovery: Most women resume normal activities within 2-3 weeks (compared to 6-8 weeks for open surgery).
• Shorter Hospital Stay: Usually discharged within 24 hours.

What to Expect After the Procedure?

• Mild cramping and bloating due to CO₂ gas (may cause shoulder pain)
• Light spotting or vaginal discharge for a few weeks
• Fatigue for a few days, gradually improving
• Limited physical activity is advised for 2-3 weeks

When to Seek Medical Attention?

Although rare, complications can occur. Contact your doctor if you experience:

• Severe abdominal pain that worsens over time
• Heavy vaginal bleeding or foul-smelling discharge
• Fever or chills (signs of infection)
• Leg swelling or shortness of breath (possible blood clot symptoms)

Conclusion

Laparoscopic myomectomy is a safe, effective, and fertility-preserving procedure for women suffering from fibroids. It helps relieve symptoms, improves fertility outcomes, and allows for a quicker recovery compared to open surgery.

For expert consultation, Dr. Apoorva Pallam Reddy offers advanced laparoscopic surgical techniques to ensure optimal results with personalized care for women’s reproductive health