Myomectomy is a surgical procedure in which the surgeon removes uterine fibroids (leiomyomas). The medical specialists say that myomectomy is a safe procedure, and associated with improved quality of life for many patients.
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The cost of Myomectomy in starts from Rs. 75,000 which depends on multiple factors. The average cost of Myomectomy in Bangalore may range from Rs. 75,000 to Rs. 1,50,000.
Myomectomy is one of the major surgeries performed to remove the uterine fibroids from the body. Mostly, uterine fibroids develop during childbearing years. The surgeons aim to take out symptom-causing fibroids. If the patient wants to try to have a baby in the future, then Myomectomy would be the best option. Unlike hysterectomy, myomectomy removes the fibroids without harming the uterus.
The doctor recommends different Myomectomy procedures on the basis of the size and location of your fibroids.
Abdominal myomectomy: This can be recommended if the patient has many or very large fibroids growing in her uterine wall
Laparoscopic myomectomy: It is best for those who have smaller and fewer fibroids
Hysteroscopic myomectomy: Best suitable for those who have smaller fibroids inside the uterus
There are certain guidelines that a patient needs to follow before the surgery. They need to stop drinking and eating anything 12 hours before your surgery.
If the patient is on medications, consult the doctor if the usual medication routine in the days before surgery has to be changed. Inform the doctor about any kind of over-the-counter medications, vitamins or other dietary supplements the patient may be taking.
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The surgeon will choose the most suitable surgical approaches to myomectomy, depending on the size and location of fibroids.
Abdominal myomectomy
Under this procedure, the surgeon makes an open abdominal incision to access the uterus and to remove fibroids. If possible, they try to make a low, horizontal incision. But for large uteruses, they have to make a Vertical incision.
Laparoscopic myomectomy
This is a minimally invasive procedure. Under this procedure, the surgeon makes several small abdominal incisions to access and remove fibroids.
Hysteroscopic myomectomy
Under this procedure, the surgeon does not make any incision. They use an instrument that is inserted through the vagina and cervix into the uterus to access and remove fibroids.
This procedure is performed under general or Monitored anesthesia care (MAC). Sometimes other types of anesthesia can also be used such as spinal or local, depending on the type of myomectomy.
This procedure will be completed in a few hours. Before the discharge from the hospital, the doctor will prescribe some oral pain medication, share some guidelines about how to care for the patient, and explain restrictions on the diet and activities.
After the procedure, the patient may experience some vaginal spotting or staining for a few days, up to six weeks. It also depends on the type of procedure the patient went through. It is said that after myomectomy surgery, most women experience relief from bothersome signs and symptoms of myomectomy.
One additional benefit of this surgery is that women experience good pregnancy outcomes. But, before planning for a baby, the woman needs to wait for three to six months, as the uterus needs time to heal completely.
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Like every other procedure, myomectomy also has some side effects. But, Myomectomy has a very low complication rate. Some of them are listed below:
Pregnancy-related complications
Scar tissue
Excessive blood loss.
Rare chances of hysterectomy
To prevent any kind of risk and complications the patient must follow the doctor’s guidelines.
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A: During one to two weeks following surgery, vaginal bleeding and discharge are typical. The bleeding and discharge should gradually stop.
A: It is advised to wait at least six months following a myomectomy or other fibroid removal operation if you have uterine fibroids and are considering having one.
A: After surgery, you can resume your regular physical activity. It would be best to wait 4-6 weeks after surgery before starting a more demanding workout program to give your body time to mend.
A: This surgery can relieve bloating, heavy bleeding, pain, and discomfort. Moreover, it protects your uterus, making it the best option for women who wish to get pregnant.
A: Myomectomy procedures can be carried out laparoscopically or with an open incision. Most medical professionals agree that the largest fibroid that should be removed laparoscopically is about 9–10 cm (about 4 inches) in diameter.
A: Myomectomy is a significant operation that may be painful due to adhesions that linger in the body for a long time after the procedure.