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What is a Myomectomy?

A myomectomy is a surgical procedure to remove fibroids from a woman’s uterus. Fibroids are benign growths in the uterus. Based on the location of growth in the uterus, they are categorized into different types.

What causes fibroids in the uterus?

The exact reason why fibroids form is unknown. They may be caused because of genetics or hormonal imbalances.

Symptoms / when to call your doctor

Most fibroids do not cause any symptoms and are harmless. However, when the fibroids grow too large, they cause symptoms like:

  • Heavy bleeding

  • Pain in the abdomen, lower back and pelvis

  • Irregular or longer lasting periods

  • Pain or discomfort during sexual intercourse

  • Frequent urination or constipation

Why you should see a doctor?

Ignoring symptoms related to fibroids is not advisable. Not getting the fibroids treated may lead to:

  • Very heavy bleeding

  • Anaemia

  • Infertility

  • Urinary incontinence

How is it diagnosed?

Fibroids in the uterus can be detected by tests like:

  • Pelvic exam

  • MRI

  • Ultrasound

  • Hysteroscopy

Dietary Restrictions

There are no specific diet restrictions to be followed after a myomectomy. However, if you have an upset stomach, you should stick to a bland diet consisting of plain rice, toast etc

Treatment for Fibroids in the Uterus

As long as the fibroids don’t cause any discomfort, they can be ignored. However, if you face problems due to the fibroids, the doctor will suggest a myomectomy.

Types of treatments:

SpecificsHysteroscopic MyomectomyRobotic MyomectomyLaparoscopic MyomectomyAbdominal Myomectomy
Incision1-2 inch in the vagina1-2 inch1-2 inch5-7 inch
Blood LossLessLessLessHigh
Recovery timeFew days4 weeks for complete recovery4 weeks for complete recovery6-8 weeks for complete recovery
InvasiveNoNoNoYes
ScarNo visible scarNo visible scarNo visible scarVisible scar

Hysteroscopic Myomectomy

This procedure is applicable only for submucosal fibroids which are in the uterine cavity. The fibroids in the uterine wall cannot be removed through this procedure.

Flow of the procedure:

  • Patient is given general anaesthesia for the procedure

  • A 1-2 inch incision is made in the vagina

  • An instrument called hysteroscopic resectoscope is passed through the vagina into the uterine cavity

  • The fibroids are removed through the vagina

  • The incision is taped and the patient is taken to the recovery room

Recovery Time and Dietary Advice:

  • Hospital stay is not necessary

  • Resume to normal routine after a few days

  • Simple, bland, nutritious, fibre rich food

Risks involved in the treatment:

There are very less complications through this treatment. Some of the risks may be:

  • Allergic or adverse reaction to anaesthesia or other drugs

  • Bleeding

  • Infection

  • Recurrence of fibroids

Robotic Myomectomy

In this procedure, a tiny robot is inserted through an incision in the vagina to remove the fibroids.

Flow of the procedure:

  • Patient is given general anaesthesia for the procedure

  • 4 small incisions are made in the abdomen

  • A tiny robot is inserted through one of the incisions

  • The camera footage is visible on a screen which guides the doctor to perform the surgery

  • The fibroids are cut into smaller bits and removed through the incisions

  • The incisions are taped and the patient is taken to the recovery room

Recovery Time and Dietary Advice:

  • 1-day hospital stay

  • Resume to normal routine after 4 weeks

  • Simple, bland, nutritious, fibre rich food

Risks involved in the treatment:

There are very less complications through this treatment. Some of the risks may be:

  • Allergic or adverse reaction to anaesthesia or other drugs

  • Bleeding

  • Infection

Laparoscopic Myomectomy

This procedure can be used to remove smaller fibroids. If you have large or several fibroids, this procedure is not advisable.

Flow of the procedure:

  • Patient is given general anaesthesia for the procedure

  • Several small incisions are made

  • Surgical and viewing instruments are inserted into the incisions

  • The fibroids are removed through one of the incisions

  • The incision is taped and the patient is taken to the recovery room

Recovery Time and Dietary Advice:

  • 1-day hospital stay

  • Resume to normal routine after 4 weeks

  • Simple, bland, nutritious, fibre rich food

Risks involved in the treatment:

There are very less complications through this treatment. Some of the risks may be:

  • Allergic or adverse reaction to anaesthesia or other drugs

  • Bleeding

  • Infection

Abdominal Myomectomy

This is an open surgery in which the fibroids are removed directly from a large incision made in the lower abdomen.

Flow of the procedure:

  • Patient is given general anaesthesia for the procedure

  • A large incision is made in the abdomen

  • The fibroids are removed from the large incision

  • The incision is sutured using several stitches and the patient is taken into the recovery room

Recovery Time and Dietary Advice:

  • 2-3 days hospital stay

  • Resume to normal routine after 6-8 weeks

  • Simple, bland, nutritious, fibre rich food

Risks involved in the treatment:

Some of the risks may be:

  • Allergic or adverse reaction to anaesthesia or other drugs

  • Severe Bleeding

  • Infection

  • Severe pain