Dr Dimple Doshi

Dr. Dimple Doshi Gynecologists logo
Make An Appointment
Dr. Dimple Doshi Gynecologists logo
Make An Appointment

Laparoscopic Adenomyomectomy: Procedure, Benefits, Recovery & Cost in Mumbai

Laparoscopic Adenomyomectomy Banner Image

What is Laparoscopic Adenomyomectomy?

Laparoscopic adenomyomectomy is a minimally invasive surgery to treat adenomyosis. Adenomyosis is a condition where  the inner lining of the uterus grows within the muscles uterine wall. And this can lead to either diffuse or global adenomyosis or for fibroid-like growths called adenomyomas. Laparoscopic adenomyomectomy procedure removes these adenomyotic tissues or adenomyomas, and thus preserving your uterus. This allows you to maintain fertility and avoid the risk of catching hysterectomy. According to BMC Women’s Health, laparoscopic adenomyomectomy combined with LNG-IUS delivered effective results for women with adenomyosis.

Synonyms of laparoscopic adenomyomectomy

Minimally invasive adenomyosis surgery, Laparoscopic uterine adenomyosis removal, Adenomyosis excision surgery, Minimally invasive uterine surgery, Laparoscopic adenomyosis excision, Keyhole adenomyomectomy, Adenomyosis removal via laparoscopy, Minimally invasive treatment for adenomyosis, Laparoscopic uterine tissue removal, Laparoscopic adenomyosis treatment.
What are the indications of adenomyomectomy?

Laparoscopic adenomyomectomy indications include:

  • Severe pelvic pain and cramping.
  • Heavy menstrual bleeding.
  • Infertility linked to adenomyosis.
  • Failed response to medical management of adenomyosis symptoms.
  • A strong desire to preserve your uterus for future pregnancies.

Adenomyosis impact your lifestyle by causing:

  • Chronic pelvic pain.
  • Severe fatigue due to anemia from heavy periods.
  • Difficulty in maintaining daily routines or professional commitments.
  • Emotional stress stemming from infertility and constant discomfort.

For many women, these symptoms can disrupt personal, professional, and social activities.

Laparoscopic adenomyomectomy surgery benefits include:

  • Minimally invasive approach: Smaller incisions result in less pain and quicker recovery.
  • Preservation of your uterus: Ideal if you are desiring future pregnancies.
  • Improved quality of life: Reduces symptoms like pain and heavy bleeding.
  • Shorter hospital stay: You can return home within 24 hours.

Like any surgical procedure, laparoscopic adenomyomectomy can carry risks, including:

  • Vaginal bleeding and infection.
  • Damage to interconnected organs like your bladder or bowel.
  • Development of adhesions.
  • Recurrence 
  • Incomplete symptom relief
  • Weak scar on uterus. 

Your surgeon will assess the risks and answer any questions you may have during your consultation.

Laparoscopic adenomyomectomy consultation include assessing:

  1. Medical history: Review of your symptoms, menstrual patterns, and previous treatments.
  2. Physical examination: A pelvic exam will be conducted to assess tenderness and uterine enlargement.
  3. Discussion about procedure: Your doctor will explain treatment options, including the benefits and risks of laparoscopic adenomyomectomy.

This is a chance to ask your questions without any hesitation to get better health outcomes. 

Adenomyosis diagnosis include: 

  • Ultrasound: Used to detect abnormalities in your uterine wall.
  • MRI (Magnetic Resonance Imaging): Used for a detailed view of your uterine tissues and adenomyosis.
  • Blood tests: Performed to rule out any other causes of heavy bleeding or pain.
  • Histopathology: Used in some cases through biopsy to confirm the diagnosis.

Laparoscopic adenomyomectomy procedure involves:

  1. Anesthesia: You’ll be put under general anesthesia to ensure comfort.
  2. Incisions: Small incisions will be made in your abdomen for inserting a laparoscope and surgical instruments.
  3. Removal of adenomyoma: Your surgeon carefully excises the affected tissue and preserves as much of the healthy uterine wall as possible.
  4. Closure: Incisions will be sutured with dissolvable threads. 

The entire laparoscopic adenomyomectomy procedure takes 2 to 3 hours.

Adenomyosi left untreated can cause:

  • Persistent and worsening pain.
  • Chronic anemia from excessive bleeding.
  • Infertility or complications in future pregnancies.
  • Increased risk of requiring a hysterectomy.

Early intervention of your doctor can help you manage symptoms and avoid future complications.

Laparoscopic adenomyomectomy has a high success rate of 95% to 98% in symptom relief:

  • Over 95% of our patients reported improvement in pain and bleeding.
  • Fertility outcomes are promising. Our patients safely got pregnant and gave birth post-surgery.

Dr. Dimple Doshi is the leading female laparoscopic surgeon in Mumbai, India for Laparoscopic Adenomyomectomy. 

Dr. Doshi has extensive experience in treating numerous gynecological conditions. She provided compassionate and highest-quality care for women of all walks of life at Vardaan Hospital, Goregaon West. 

This earned her a good reputation, many positive reviews, and reliability for treating a variety of vaginal disorders and concerns. 

Our Vardaan hospital employed the recently launched/updated equipment and technology. This allows our patients to undergo advanced procedures like laparoscopic adenomyomectomy safely and effectively.

Laparoscopic adenomyomectomy cost starts from Rs. 70,000 onwards at Vardaan Hospital, Mumbai, India. Treatment cost will also include your stay, facilities you choose, and smooth assistance throughout your session.

Q1) Can adenomyosis be cured laparoscopically?

Ans. Yes, adenomyosis can be treated laparoscopically by adenomyomectomy. This procedure removes the affected tissue and preserves your uterus allowing you to give birth in future.

Q2) How long does my recovery take after laparoscopic adenomyomectomy?

Ans. Recovery of laparoscopic adenomyomectomy takes 2 to 4 weeks.

Q3) How much rest do I need after laparoscopic adenomyomectomy?

Ans. You are required 1 to 2 weeks of rest.  

Q4) Can I become pregnant after laparoscopic adenomyomectomy?

Ans. Yes, pregnancy is possible after laparoscopic adenomyomectomy.

Q5) How can I prepare for laparoscopic adenomyomectomy?

Ans. Follow your doctor’s advice like undergoing required tests, avoiding food and drink as directed before surgery, and arranging post-surgery care and rest.

CPT codes for Laparoscopic adenomyomectomy

Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas

58546: Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g

ICD codes for Laparoscopic Adenomyomectomy

N80.0 – Endometriosis of the uterus

This code can be used for adenomyosis, as it falls under the broader category of uterine endometriosis.

N80.03 – Adenomyosis of the uterus

Specific for adenomyosis, indicating the diagnosis of uterine adenomyosis.

0UB14ZZ – Resection of uterus, open approach

Reference taken: Codify by AAPC