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Laparoscopic Myomectomy

Laparoscopic myomectomy is a minimally invasive surgical procedure to remove uterine fibroids while preserving the uterus. Using small incisions and a camera, surgeons at Pristyn Care remove fibroids with precision, ensuring faster recovery, minimal blood loss, and better fertility outcomes compared to open surgery.

Laparoscopic myomectomy is a minimally invasive surgical procedure to remove uterine fibroids while ... Read More

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    Dr. Sharmila Chhabra - A gynaecologist for Myomectomy

    Dr. Sharmila Chhabra

    MBBS, MD-Obs&Gyane
    32 Yrs.Exp.

    4.5/5

    32 Years Experience

    location icon Pristyn Care Sheetla Hospital, Sector 8, Gurgaon
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    080-6542-3711
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    Dr. Nidhi Moda - A gynaecologist for Myomectomy

    Dr. Nidhi Moda

    MBBS, MD-Obs & Gynae
    24 Yrs.Exp.

    4.9/5

    24 Years Experience

    location icon Pristyn Care Sheetla, New Railway Rd, Gurugram
    Call Us
    080-6542-3711
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    Dr. M Swapna Mohan Reddy - A gynaecologist for Myomectomy

    Dr. M Swapna Mohan Reddy

    MBBS, DGO
    19 Yrs.Exp.

    4.5/5

    19 Years Experience

    location icon Pristyn Care ZOI Hospital, Ameerpet, Hyderabad
    Call Us
    080-6542-3712
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    Dr. Surya Devara Geetha Surya Kumari - A gynaecologist for Myomectomy

    Dr. Surya Devara Geetha ...

    MBBS, MS-Obs & Gynae
    10 Yrs.Exp.

    4.5/5

    10 Years Experience

    location icon Pristyn Care Archana Hospital, Madeenaguda, Hyderabad
    Call Us
    080-6542-3724

Symptoms

Uterine fibroids can cause various symptoms that affect daily life:

  • Heavy or prolonged menstrual bleeding
  • Pelvic pain and pressure
  • Frequent urination or difficulty emptying the bladder
  • Constipation and bloating
  • Pain during intercourse
  • Lower back or leg pain
  • Enlarged abdomen
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Causes

The exact cause of uterine fibroids is not fully understood, but several factors contribute:

  • Hormonal imbalance: Estrogen and progesterone promote fibroid growth
  • Genetic factors: Family history of fibroids increases risk
  • Age: Most common in women aged 30 to 50
  • Obesity: Higher body weight is linked to increased risk
  • Diet: High consumption of red meat may contribute
  • Stress: Chronic stress may trigger hormonal changes

Types of Fibroids

Uterine fibroids are classified by location. Intramural fibroids grow within the uterine wall and are the most common type. Subserosal fibroids develop on the outer surface of the uterus and may grow large. Submucosal fibroids form just beneath the inner lining and often cause heavy bleeding. Pedunculated fibroids grow on a stalk attached to the uterus.

Who Needs Myomectomy?

Laparoscopic myomectomy is recommended for women who have symptomatic fibroids causing heavy bleeding, pelvic pain, or fertility issues and wish to preserve their uterus. It is ideal for women planning future pregnancy, those with multiple small or medium fibroids, and those who have not responded to medical treatment.

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Benefits of Laparoscopic Myomectomy

Compared to open myomectomy, the laparoscopic approach offers several advantages:

  • Smaller incisions and minimal scarring
  • Shorter hospital stay of 1 to 2 days
  • Faster return to normal activities
  • Reduced blood loss during surgery
  • Lower risk of postoperative infection
  • Preserved fertility potential

Diagnosis

Diagnosis of uterine fibroids involves a thorough evaluation:

  • Pelvic examination: The doctor checks for uterine enlargement or irregularities
  • Ultrasound: Transabdominal or transvaginal ultrasound confirms fibroid size and location
  • MRI scan: Provides detailed imaging to map all fibroids before surgery
  • Hysteroscopy: A camera is inserted through the cervix to evaluate submucosal fibroids
  • Blood tests: Complete blood count checks for anemia due to heavy menstrual bleeding
  • Saline infusion sonography: Uses saline to improve uterine cavity imaging

Surgical Procedure

Laparoscopic myomectomy is performed under general anesthesia. The surgeon makes 3 to 4 small incisions in the abdomen to insert a laparoscope and surgical instruments. Fibroids are located, removed, and the uterus is repaired using sutures. The procedure typically takes 1 to 3 hours depending on the number and size of fibroids.

Laparoscopic Myomectomy Steps

The laparoscopic myomectomy procedure involves the following steps:

  • Anesthesia: General anesthesia is administered for patient comfort
  • Incisions: 3 to 4 small cuts are made in the abdomen
  • Trocar insertion: Trocars are placed to allow instrument entry
  • Carbon dioxide insufflation: The abdomen is inflated for better visibility
  • Fibroid identification: The laparoscope locates all fibroids
  • Fibroid removal: Each fibroid is excised using electrosurgical tools
  • Uterine repair: The uterine wall is sutured in layers
  • Morcellation: Removed fibroids are cut into small pieces for extraction
  • Closure: Incisions are closed with sutures or surgical glue

After the Surgery

Most patients are discharged within 1 to 2 days after laparoscopic myomectomy. Full recovery typically takes 2 to 4 weeks. Patients are advised to avoid strenuous activity for at least 4 weeks. Mild cramping and light discharge are normal during recovery. Women planning pregnancy are advised to wait 3 to 6 months before attempting conception.

Complications of Laparoscopic Myomectomy

Laparoscopic myomectomy is generally safe, but possible complications include:

  • Excessive bleeding requiring conversion to open surgery
  • Infection at the incision sites or inside the uterus
  • Injury to nearby organs such as bladder or bowel
  • Formation of adhesions or scar tissue
  • Fibroid recurrence over time
  • Uterine rupture in future pregnancies if deep fibroids were removed
  • Anesthesia-related reactions

FAQs About Laparoscopic Myomectomy

Can fibroids grow back?

Yes, fibroids can recur after myomectomy, especially in younger women. The recurrence rate varies, but studies suggest up to 30% of women may develop new fibroids within 5 years. Regular follow-up with your gynecologist helps in early detection and management.

Can I get pregnant after myomectomy?

Yes, laparoscopic myomectomy preserves the uterus and can improve fertility in women with fibroids that affect the uterine cavity. Most women are advised to wait 3 to 6 months after surgery before trying to conceive.

How long is recovery?

Recovery after laparoscopic myomectomy typically takes 2 to 4 weeks. Most women can return to light activities within 1 week and resume normal routines by the fourth week.

Is laparoscopic myomectomy better than open?

Yes, laparoscopic myomectomy offers smaller incisions, less blood loss, shorter hospital stay, and faster recovery compared to open myomectomy. It is the preferred approach when technically feasible.

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Medically Reviewed By
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Dr. Sharmila Chhabra
MBBS, MD-Obs&Gyane
32 Years Experience Overall
Last Updated : April 11, 2026

What Our Patients Say

  • NS

    Neha Singh, 36 Yrs

    verified
    5/5

    The doctor was very polite while listening my problems and took care of it.

    City : Delhi
  • NS

    Neha Singh, 36 Yrs

    verified
    5/5

    Pristyn care deserves all the praise and the doctors too for such a great help and treatment.

    City : Delhi
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    Neha Singh

    verified
    5/5

    Pristyn care is simply best. The doctor and the staff are very warm.

    City : Delhi
  • BH

    Bharti

    verified
    5/5

    My experience with Pristyn Care for treating myomectomy was truly transformative. The medical professionals demonstrated exceptional skills and empathy, acknowledging the emotional challenges associated with this myomectomy.

    City : Delhi
  • NB

    Namrata Bedi

    verified
    5/5

    I had been dealing with uterine fibroids for a while, and Pristyn Care's myomectomy service was a game-changer. The gynecologist I consulted was understanding and supportive, making me feel at ease throughout the entire process. They thoroughly explained the procedure and the different approaches available. The surgery itself was a success, and Pristyn Care's team provided excellent post-operative care. Thanks to their expertise, I am now fibroid-free and enjoying a better quality of life.

    City : Delhi
  • UJ

    Upasana Jain

    verified
    5/5

    I had a myomectomy with Pristyn Care, and it was a positive experience. The doctors were skilled and caring, explaining the procedure in simple terms. Pristyn Care's team made sure I had a smooth recovery and provided all the necessary post-operative care. Thanks to Pristyn Care, my health has improved, and I'm grateful for their expertise and support.

    City : Chennai
    Treated by : Dr. Sujatha