Laparoscopic Myomectomy

1. What is Laparoscopic Myomectomy?
Laparoscopic myomectomy is a minimally invasive surgical procedure to remove fibroids from the uterus while preserving the surrounding healthy uterine tissue.

2. When is Laparoscopic Myomectomy recommended?
It may be recommended for symptomatic fibroids causing heavy menstrual bleeding, pelvic pain or pressure, urinary or bowel symptoms, infertility, or recurrent pregnancy problems.

3. Which fibroids can be removed laparoscopically?
Laparoscopic surgery is generally suitable for selected subserosal and intramural fibroids. Suitability depends on the fibroids' number, size, location, depth within the uterine wall, and the surgeon's assessment.

4. How is the procedure performed?
The surgeon makes several small abdominal incisions through which a camera and specialized instruments are inserted. The fibroids are separated from the uterine muscle, bleeding is controlled, and the uterine wall is carefully repaired.

5. What tests are required before surgery?
Pelvic ultrasound is commonly used to identify fibroids. MRI may be recommended for larger, multiple, or complex fibroids. Blood tests and other preoperative assessments are also performed as appropriate.

6. Can Laparoscopic Myomectomy preserve fertility?
Yes. Unlike hysterectomy, myomectomy preserves the uterus and may be an option for women who wish to become pregnant. However, the effect of fibroids and surgery on fertility varies between patients.

7. How long does the procedure take?
The operation commonly takes around 1–3 hours, although larger or multiple fibroids can make the procedure longer and more complex.

8. What is recovery like?
Laparoscopic surgery generally involves less postoperative discomfort and a faster recovery than open abdominal myomectomy. Most patients gradually return to normal activities over several weeks, depending on the extent of surgery.

9. What are the possible risks?
Potential complications include bleeding, infection, injury to nearby organs, formation of adhesions, recurrence of fibroids, conversion to open surgery in complex cases, and rarely the need for additional uterine surgery.

10. How can Medavelle help?
Medavelle can coordinate evaluation with an experienced gynecological surgeon, arrange review of ultrasound/MRI and medical records, obtain a personalized treatment estimate, and assist with hospital, travel, and treatment coordination in India.