Dr Dimple Doshi

Dr. Dimple Doshi Gynecologists logo

Laparoscopic Myomectomy: Your Guide to Improve Health and Movement

Home » Laparoscopic Myomectomy Surgery

laparoscopic myomectomy surgery BannerWhat is laparoscopic myomectomy?

Laparoscopic Myomectomy is a minimally invasive surgery to remove fibroids, non-cancerous growths, in your uterus. These growths can be benign, and cause symptoms like heavy menstrual bleeding, pain infertility, miscarriage, and discomfort. 

Unlike hysterectomy, which removes the uterus, laparoscopic myomectomy, which is a fibroid removal surgery ; preserves your uterus. This makes it a safe option for women who wish to preserve their fertility and want to have their uterus in good health. 

Laparoscopic surgery for fibroids removal is done through very small incisions. This allows you to recover quickly and experience improved wellbeing. 

Purpose of Laparoscopic Myomectomy?

Laparoscopic myomectomy is done to reduce symptoms caused by fibroids. These symptoms include heavy menstrual bleeding, pelvic pain, urinary and bowel issues due to pressure. 

These symptoms can also include difficulty in getting pregnant in some cases. Laparoscopic fibroid removal allows you to have children in future. 

Fibroid removal preserves your uterus. This procedure is safe when done by an experienced gynecologist. It eliminates all the symptoms caused by fibroids and preserves the vigor of your uterus. This allows you to give birth whenever you plan in the future.

Do I need Laparoscopic Myomectomy Surgery?

Yes. If you experience symptoms regularly that affect your daily activities and well-being. Common signals that tell you to take laparoscopic myomectomy include heavy and prolonged menstrual bleeding, frequent urination, pelvic pain, and an abdomen that is increasing in size and is visible. 

A lot of women also choose laparoscopic myomectomy to improve fertility outcomes. Fibroids, when interfere with conception can affect your ability to give birth. Your gynecologist will scan and assess the size, location, and impact of these fibroids through imaging tests. These tests will help determine if laparoscopic myomectomy is the best option for you.

Myomectomy Indications

Common indications include:

  • Heavy menstrual periods (menorrhagia)
  • Pain
  • Pressure symptoms like frequent urination, constipation, pain
  • Inability to get pregnant
  • Miscarriage
  • Too many fibroids
  • Fast growing fibroids 
  • Very large fibroids

Does Laparoscopic Myomectomy treat all fibroid sizes?

Small to medium-sized fibroids are ideal for laparoscopic myomectomy. This method is safe and removes these fibroids through the minimally invasive approach.

Health Avantages of Laparoscopic Myomectomy

  • Minimally Invasive: Small incisions mean less trauma to the body.
  • Fast recovery: Short hospital stay. Recovery time is shorter compared to traditional surgery.
  • Reduces pain: Eliminates post-operative pain due to smaller incisions.
  • Preserves uterus: Women can give birth in the future.
  • Less scarring: Small incisions mean minimal scarring.

Laparoscopic Myomectomy Risks and Complications

As with any surgery, laparoscopic myomectomy comes with risks. 

These complications in rare cases include: 

  • Infection
  • Bleeding
  • Injury to surrounding structures
  • Adhesions
  • Anesthetic complications

Rarely, a blood transfusion or hysterectomy might be necessary if there is excessive bleeding. Talking clearly and without hesitation about the future risks with your gynecologist will help you make an informed decision.

What happens during consultation?

Your gynecologist will – 

– Take a detailed history of your symptoms.

– Perform a physical examination that includes order imaging tests like an ultrasound and an MRI test. 

These tests will help your surgeon to determine the number, size, and location of your fibroids. Your surgeon will explain the available treatment options for you, discuss clearly about the potential outcomes, and answer your doubts and queries to ensure you’re comfortable with the planned approach.

Pre-operative Instructions

Before surgery, your doctor will provide specific guidelines to prepare. These may include:

  • Avoid using blood thinners beforehand.
  • Avoid eating or drinking for 4 to 8 hours before the surgery. 
  • Blood tests can be required to check your health status.
  • Take a healthy diet and stay active for a week before surgery. This practice can  boost your body’s ability to recover.
  • You may be given a bowel cleansing solution a night before a surgery.

Laparoscopic myomectomy procedure

During the surgery, 

Step 1: Your gynecologist will put you in anesthesia to keep you comfortable.

Step 2: Then small incisions will be made at the abdomen, near the navel. 

Step 3: A small camera (laparoscope) is inserted to clearly see and visualize the uterus and fibroids. 

Step 4: Through the small incisions made, specialized surgical instruments will be used to carefully remove the fibroids.

Step 5: Incisions will be closed with sutures(dissolvable threads).

Post-operative guidelines

Following surgery,

  • You’ll be given medications to manage any discomfort.
  • For the first 3 weeks, avoid heavy lifting and intense physical activity.
  • Watch your incision site for redness, swelling, or discharge.
  • Gentle walking is encouraged to improve circulation and reduce the risk of blood clots.

Laparoscopic Myomectomy Recovery

  • You can return to daily activities within 1 to 2 weeks after a laparoscopic myomectomy.
  • You’ll have follow-up visits to monitor your recovery and ensure that there are no complications.

Gynecologist - who understands you best

Dr. Dimple Doshi is the best female surgeon for laparoscopic myomectomy in Mumbai, India. Dr. Doshi has an extensive experience in treating numerous gynecological conditions and has compassionately provided highest-best-quality care and treatment accessible to women of all walks of life.

Laparoscopic myomectomy cost in India

Laparoscopic myomectomy cost at Vardaan Hospital, Mumbai, India have multiple cost options depending on the facilities and stay you choose.

Different costs include:

  • Economy ward/ general room : 50,000
  • Semi special room: 68000 to 75000
  • Deluxe Room: 1.2 lacs
  • Super deluxe room: 1.5 lacs
  • Suit rooms: 2 lacs

Our center, Vardaan Hospital, best Myomectomy hospital in India, Mumbai is equipped with ultra-modern, latest equipment to ensure safety of patients with precision and has revived the health of many women. Laparoscopic myomectomy can sustain fertility, and improve your wellbeing by following your surgeon’s instructions.

Our Success - Your Safety, Security, and Health

Our practice at Vardaan Hospital, Mumbai, always prioritizes patient safety, well-being, and comfort. We are committed to providing exceptional care. Our success lies in the trust and confidence our patients place in us, and we work tirelessly to uphold these values.

Frequently Asked Questions

Q1) How long does laparoscopic myomectomy surgery last?

Ans. Laparoscopic myomectomy surgery lasts 1 to 3 hours.

Q2) Do fibroids grow after laparoscopic myomectomy?

Ans. Fibroids can regrow. Regular follow-ups help observe any changes and stop their growth.

Q3) What is the success rate of laparoscopic myomectomy surgery?

Ans. Laparoscopic myomectomy surgery has a 95% success rate done by an experienced gynecologist.

Q4) When do fibroids stop occurring?

Ans. Fibroids will stop growing after you hit menopause.

Q5) What is the reason for fibroids?

Ans. The cause of fibroids is  linked to hormonal and genetic factors with some dietary influence.

Q6) What size of fibroids are normal?

Ans. Small fibroids that are less than 1 cm are common and symptom-free if present on the outer side of the uterus. 

Q7) How do you know the fibroid is growing big?

Ans. Increasing pelvic pain, heavy periods, and visible abdominal growth indicates fibroids are growing big.

Q8) Can your spouse feel your fibroids during intercourse?

Ans. In some cases, large fibroids are felt during intercourse, but this is uncommon.

Q9) Can I feel fibroids with my fingers?

Ans. No, fibroids are located deep in your uterus and not easily felt externally but, if they grow big enough, then you can feel it on the abdomen.

CPT Codes for Laparoscopic Myomectomy Surgery

58545 – Laparoscopic myomectomy for one to four intramural myomas that weigh 250 grams or less, or for removing surface myomas

58546 – Laparoscopic myomectomy for five or more intramural myomas, or for intramural myomas that weigh more than 250 grams

Reference: Codify by AAPC