Myomectomy is a type of surgery performed in the gynecology treatment hospitals in Delhi to remove uterine fibroids. Your doctor might recommend this surgery if your fibroids are causing symptoms such as:
· pelvic pain
· heavy periods
· irregular bleeding
· frequent urination
A myomectomy can be done one of three ways:
· With an abdominal myomectomy, the surgeon removes your fibroids. An open surgical cut is made in your lower belly.
· Laparoscopic myomectomy is another surgery procedure albeit in this type of surgery, the surgeon removes the fibroids through several small incisions. The gynecology treatment Hospitals in India may also do the same robotically. As a result, this is a less invasive method which also ensures faster recovery.
· Hysteroscopic myomectomy is done when the surgeon uses a special scope to remove the fibroids through the vagina and cervix.
Myomectomy is seen as an option by the gynecology treatment hospitals in the cases wherein the women with fibroids plans to get pregnant in the future or want to retain their uterus for other reasons.
Myomectomy differs from hysterectomy as the former removes the fibroids whilst leaving the uterus in place. This allows the women to get pregnant in near future. A hysterectomy takes out the entire uterus.
The size and location of your fibroids largely determine the type of myomectomy preferred by the doctors
· If you have many or very large fibroids growing in your uterine wall, abdominal myomectomy may be best for you
· Laparoscopic myomectomy is a better alternative if you have smaller and fewer fibroids
· If the fibroids are inside the uterus the surgeons in the Hysteroscopic myomectomy may be better if you have smaller fibroids inside your uterus.
The preparation for this surgery follows a systematic approach as the surgeons the gynecology hospitals in Delhistart off with prescribing medication prior to the surgery so the size of your fibroids can be made smaller. This makes the reduction process easier.
Certain drugs like Gonadotropin-releasing hormone agonists, and leuprolide (Lupron), bar the production of estrogen and progesterone. They can also set you up on a temporary menopause. After discontinuing these medications, your menstruation period would return to normal and pregnancy should be possible.
When you schedule an appointment the doctors to get an insight of the procedure, be sure to ask any questions that bother you. You must also ask about the preparation and what to expect during the surgery.
Whether or not you are healthy enough for the surgery would be assessed by a few tests which the doctors at the gynecology hospitals in Delhi would prescribe. These tests will also determine the risk factors involved. The tests include:
· blood tests
· MRI scan
· pelvic ultrasound
You may have to stop taking certain medications before your myomectomy. Tell your doctor about each medication you take, including vitamins, supplements, and over-the-counter medications. Ask your doctor in regards of the drugs that are to be discontinued prior to the surgery and how long they should be kept off.
What Happens During the Procedure?
The procedure and other requisites for the surgery would depend on what type of myomectomy is being applied.
During this procedure, the gynecology hospitals in India place the patients under general anesthesia.
At first, the surgeon will first make an incision through your lower abdomen into your uterus. This can be done in a couple of ways:
· A horizontal incision 3 to 4 inches long just over your pubic bone. This surgery method is relatively less painful and thus leaves a smaller scar but may not be big enough to remove large fibroids.
· A vertical incision is also a method that goes through below the belly button to just above your pubic bone. Although this incision type is not used extensively, it may work better for larger fibroids and cuts down on bleeding.
After making the incision, the surgeon in the gynecological hospital will remove the fibroids from your uterine wall. Then they’ll stitch your uterine muscle layers back together.
Most women who have this procedure spend one to three days in the hospital.