Advised for a Laparoscopic Myomectomy? Here’s Something you should Know

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Dr. Manu Lakshmi

20 Oct 2022

Myomectomy is the operation for removing fibroids while preserving the uterus. For women facing fibroid symptoms and who want to have children in the future myomectomy proves to be the best treatment. However, the Best Gynaecologists in Chennai suggest that myomectomy is very effective, but fibroids can re-grow. Women advancing towards menopause are the least likely to face problems from fibroids after a myomectomy.

The surgery can be performed in different ways depending on the size, number and location of the fibroids. The several forms of myomectomy procedures are-

  • Hysteroscopic myomectomy
  • Laparoscopic myomectomy and Robotic-assisted laparoscopic myomectomy
  • Open abdominal myomectomy

What is Laparoscopic Myomectomy?

Being one of the modern approaches to surgical treatment, laparoscopic myomectomy uses minimally invasive techniques. It is a surgical procedure for the removal of fibroids without causing any damage to the uterus. It is also useful for women who wish to preserve their uterus after Menopause Treatment in Chennai.

When the fibroid starts to cause an increase the problems in daily life, the doctors recommend this surgery. The symptoms which might indicate the need for a laparoscopic myomectomy are: 

  • Constipation
  • Heavy period
  • Pelvic pain
  • Difficulty while urinating
  • Frequent urination
  • Duration of Menstruation stretches longer than one week
  • Pain in legs and lower back


The procedure is done under anaesthesia. The surgeon makes small incisions about half an inch long each in the lower abdomen. The belly is filled with carbon dioxide gas enabling the surgeon to see inside the abdomen. The surgeon places a laparoscope inside one of the incisions. It is a light thin tube with a camera attached to one end. On another incision, small instruments are placed.

In the robotic-assisted laparoscopic procedure, surgery is conducted by controlling the instruments remotely with a robotic arm. The surgeon cuts the fibroids into small pieces to remove them from the uterus. For large fibroids, an abdominal myomectomy is utilized, and large incisions are made in the abdomen to remove the fibroids. Once the fibroids are removed, the surgeon removes the instruments, releases the gas and closes the incisions. 

The advantage of this form of myomectomy over open surgery is that women can go home walking the next day and recover from the surgery within 2-3 weeks. However, if they consult the best gynaecology doctor, certain precautions must be taken that include : 

· Avoid lifting heavy objects because it puts pressure on the abdomen and uterus.

· light chores like – walking or cooking should be continued.

· Notice if the bleeding or fever lasts more than 3-4 days.

Besides Laparoscopic Myomectomy, there are two other forms of surgery.

  • Hysteroscopic myomectomy is where the surgeon uses a narrow telescope to visualize the uterine cavity. This technique is for removing small fibroids.
  • Open abdominal myomectomy enables surgeons to access the uterus through a vertical incision into the abdomen. Surgeons prefer this procedure when fibroids are too large.

The clinics with the best Gynaecologists in Anna Nagar treat many cases of laparoscopic myomectomy., They are experienced surgeons and can easily handle surgical procedures.

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