Laparoscopic Myomectomy in Chennai: Fibroid Removal Surgery, Recovery & Fertility

For women who want to remove fibroids while preserving the uterus, laparoscopic myomectomy can be an important surgical option.

At Ojas Health in Royapettah, Chennai, Dr. Shruthi Sreedhar provides gynecological evaluation and treatment for women with uterine fibroids, including minimally invasive surgical options when appropriate.

What Is a Laparoscopic Myomectomy?

A myomectomy is a surgical procedure performed to remove uterine fibroids while preserving the uterus.

In a laparoscopic myomectomy, the surgeon performs the procedure using small incisions rather than one large abdominal incision. A laparoscope equipped with a camera helps the surgeon visualise the pelvic organs during the operation.

The suitability of laparoscopic surgery depends on several factors, including:

• The number of fibroids
• The size of the fibroids
• Their location within the uterus
• The patient's symptoms
• Previous surgeries
• Future pregnancy plans

A detailed consultation and appropriate imaging are necessary before deciding on the most suitable treatment approach.

When Is Fibroid Removal Surgery Recommended?

Not every woman with fibroids requires surgery. However, surgical treatment may be considered when fibroids cause significant symptoms or complications.

A gynecologist may recommend further evaluation for women experiencing:

Heavy or Prolonged Periods

Fibroids may contribute to excessive menstrual bleeding in some women. Persistent heavy bleeding can sometimes lead to anaemia and affect daily activities.

Pelvic Pain or Pressure

Large fibroids can create pressure within the pelvis and may cause discomfort, abdominal fullness or a sensation of heaviness.

Frequent Urination

Depending on their location, fibroids may put pressure on the bladder and increase urinary frequency.

Difficulty Conceiving

Certain fibroids may affect the uterine cavity or reproductive function. The relationship between fibroids and fertility depends on the location and type of fibroid.

Pregnancy-Related Concerns

Some fibroids can affect pregnancy depending on their size and position. Women planning pregnancy should discuss their individual situation with a gynecologist.

What Happens During Laparoscopic Myomectomy?

The procedure is performed under appropriate anaesthesia.

During laparoscopic surgery, small incisions are made in the abdomen. A camera and specialised surgical instruments are used to access and remove the fibroids.

After removing the fibroids, the surgeon carefully repairs the uterus.

The exact surgical technique varies depending on the number, size and location of the fibroids. In some cases, open surgery may be more appropriate than laparoscopic surgery.

This decision should always be based on an individual assessment.

Benefits of Minimally Invasive Fibroid Surgery

When a patient is an appropriate candidate, laparoscopic myomectomy may offer advantages associated with minimally invasive surgery, including:

• Smaller incisions
• Less visible scarring
• Reduced tissue disruption
• Potentially shorter hospital stay
• Earlier return to routine activities compared with some open procedures

However, every surgery has potential risks. The benefits and limitations should be discussed with the treating surgeon before making a decision.

Laparoscopic Myomectomy and Fertility

One of the main reasons women consider myomectomy is the desire to preserve the uterus.

Depending on the type and location of fibroids, removing them may be considered as part of a fertility treatment plan. However, surgery does not guarantee pregnancy.

Fertility depends on multiple factors, including:

• Age
• Ovarian reserve
• Fallopian tube health
• Male partner factors
• Other uterine conditions
• The type and location of fibroids

A personalised assessment is important for women planning pregnancy after fibroid surgery.

Recovery After Laparoscopic Myomectomy

Recovery varies from one patient to another.

After surgery, patients may experience temporary abdominal discomfort, fatigue or bloating. The recovery plan will depend on the extent of the procedure and the individual's overall health.

The treating doctor will provide instructions regarding:

• Physical activity
• Returning to work
• Wound care
• Diet and hydration
• Medication
• Follow-up appointments

Women planning pregnancy after myomectomy should also discuss the appropriate timing with their gynecologist.

How Is the Right Treatment for Fibroids Decided?

Treatment for uterine fibroids is highly individual.

Depending on symptoms and clinical findings, treatment may include observation, medication or surgery. The most appropriate option depends on the woman's symptoms, age, fibroid characteristics and future pregnancy plans.

A consultation with an experienced gynecologist can help determine whether laparoscopic myomectomy is suitable.

Laparoscopic Myomectomy in Chennai at Ojas Health

Women experiencing symptoms related to uterine fibroids can seek a detailed gynecological evaluation to understand their treatment options.

A personalised consultation can help assess fibroid symptoms, review scans and discuss whether medical management, minimally invasive surgery or another treatment approach may be appropriate.