What are the Types of Myomectomy Surgery?

A myomectomy surgery is a surgery which is used to remove fibroids without taking out the healthy tissue of the uterus. It is very useful for women who wish to conceive after the treatment for their fibroids or who wish to keep their uterus for other reasons. This is a standard procedure for removing fibroids and preserving the uterus.

The surgery can be performed in several ways. Also, the factors which determine the type of surgery to be performed on a patient depends on the size, number, and location of your fibroids.

Hysteroscopic Myomectomy

Hysteroscopic myomectomy surgery is a surgery used for removal submucous fibroids found in the uterine cavity. However, fibroids located within the uterine wall cannot be removed with this technique. Being an out-patient surgical procedure it takes at least a few days to recover and the patient is kept under observation. There may also be chances of returning of fibroids, especially for pre-menopausal women.


The procedure involves the removal of fibroids using an instrument called a hysteroscopic resectoscope, which is passed up into the uterine cavity through the vagina and cervical canal. 

Abdominal Myomectomy

Generally, used for removal of subserosal or intramural fibroids that are very large or numerous, or when cancer is suspected. Being a surgical procedure it utilizes normal abdominal incision for conventional “open” surgery.

The recovery here is fast as the women just have to stay 1-2 nights in the hospital, followed by 6-8 weeks of reduced activity. However, women opting may require A C-section for delivery of pregnancies usually done to reduce the pain during labor. 

Laparoscopic Myomectomy

The surgical procedure usually opts for the women who have a lesser number of subserous fibroids. However, it is difficult to remove all the fibroids by the laparoscopic procedure but if the fibroids are large, numerous or deeply embedded in the uterus, then an abdominal myomectomy may be necessary. Laparoscopy requires only tiny incisions and has a much faster recovery time than abdominal myomectomy as it needs at least 4 weeks to gain the strength back.

Robotic Myomectomy

It is based more on the latest technologies which use a combination of high-definition 3D magnification and miniature instruments to improve a surgeon’s ability to view fibroids and the surrounding tissue, as well as enhanced ability to suture the uterus when removing uterine fibroids and reconstructing the uterine wall. The surgery involves the use of a device called a morcellator to cut the fibroid into smaller pieces inside the patient’s abdomen. 

There are several benefits of Robotic Myomectomy surgery like less post-surgical pain, fast recovery, better precision, etc.

Are you the right candidate?

Myomectomy is not an option for every woman. Only those who have fibroids and wish to get pregnant in the future, or who want to keep their uterus for another reason can opt for it. 

However, in hysterectomy, the surgical procedure involves the removal of your entire uterus whereas myomectomy removes your fibroids but leaves your uterus in place. 

So, if you want to have children in future then you can opt for some best gynecological surgery in Delhi under the supervision of the expert doctors specialised in the respective field. 

However, these surgeries involve some risks like infection, damage to nearby organs, excessive bleeding, etc. But most of the time they prove to be successful, as women find relief from symptoms like pelvic pain and heavy menstrual bleeding after their surgery.

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