What is Myomectomy?

Primarily performed to remove the fibroids, myomectomy is a surgical procedure which preserves the uterus. As per the experts from the hospital credited for best gynecological surgery in Delhi, the type of the fibroids and the overall well-being of the patient are necessary factors to be looked upon at before making any decision. There are mainly three ways through which myomectomy can be performed which have been explained below:

Abdominal Myomectomy

  • Abdominal myomectomy is performed in the traditional form of open surgery.
  • The patient is moved to an operating room.
  • Under the influence of anaesthesia, a bikini cut is made which is an incision made on the lower abdomen.
  • After removing the fibroids from the walls of the uterus, stitches are made to sew the uterine muscles.

Women who may plan for future pregnancies, they should talk clearly about this to their gynaecologist. They should opt for best options such as the renowned medical institutions which are known for abdominal hysterectomy surgery in Delhi. Experts advice on opting for a C-section for future deliveries so that the condition of the uterus does not reach a deteriorating position where it can open apart causing life-threatening risk to both the mother and their child.

Hysteroscopic Myomectomy

  • The patient is kept under the influence of anaesthesia and the operation is carried out in an outpatient unit.
  • Gynaecology stirrups hold the feet of the patient and she is made to rest on her back.
  • Doctors place a speculum in the vagina.
  • A telescope is made to reach into the uterine cavity through the cervix.
  • The walls of the uterine cavity have to be lifted up for which fluids are released inside the uterine cavity.
  • And finally, the submucosal fibroids are removed through precisely shaped instruments inserted through the hysteroscope.

Hysteroscopic myomectomy surgery is limited to certain cases, the removal of fibroids located present inside the uterine wall is not suitable through its methodology. Only those patients who are suffering from submucosal fibroids can be treated with hysteroscopic myomectomy.

Laparoscopic Myomectomy

  • The patient is shifted to an operating room and anaesthesia is provided to her.
  • Four small incisions are made, two near the hip, one on the navel, and one near the pubic hair, below the bikini line.
  • For evaluating the condition of the ovaries, fallopian tubes, and the uterus, a laparoscope is inserted through one of the incisions.
  • Through the remaining incisions, surgical instruments are inserted to remove the fibroids.
  • At last, sutures are done on the incisions.

It is advised by the expert that laparoscopic myomectomy should only be performed in those cases when the fibroids are not deeply connected with the uterus and they are small in size. Also, depending upon the complications being encountered during the surgery, the expert can switch to abdominal myomectomy. Therefore, the guidance of experts throughout the process of laparoscopic myomectomy becomes a necessity.

If you are looking for experts, you can find good options for minimal access gynaecology surgeries in South Delhi. Some of them are vastly experienced in laparoscopic myomectomy and have a commendable record of related successful rates post-surgery.

Risks

Each methodology of performing myomectomy has its own risk which makes a detailed diagnostic assessment of the patient a must. The following are the risks:

  • Bleeding

The risk of bleeding is major in abdominal myomectomy whereas is laparoscopic myomectomy and hysteroscopic myomectomy can also rarely lead to bleeding.

  • Cramping

The experts of hysterectomy surgery in Delhi make it clear that after hysteroscopic myomectomy, the patient can expect cramping in the operated area.

  • Damage to internal organ

The use of long surgical instruments can cause injuries to the internal organs and blood vessels during laparoscopic myomectomy.

  • Infection

Usually, abdominal myomectomy carries the risk of infection though it is rare up to a mere five per cent. Doctors may appoint additional follow-up for regulating the development of infections.

  • Weak uterus

Specifically, laparoscopic myomectomy can cause weakening of the uterus. It is recommended by the best hospital for gynaecology surgeries in Delhi to opt for abdominal myomectomy if the patient is planning pregnancy.

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