Dr. Rajani Vaidya, an experienced Gynaecologist and Laparoscopic Surgeon, specializes in performing laparoscopic myomectomy, a minimally invasive procedure to remove uterine fibroids while preserving the uterus and reproductive potential.

What is a Laparoscopic Myomectomy?

A laparoscopic myomectomy is a surgical procedure to remove fibroids (leiomyomas) from the uterus using small keyhole incisions and a laparoscope—a thin, flexible tube with a camera and light. Unlike open surgery, this minimally invasive approach reduces trauma to surrounding tissues, causes less pain, and ensures faster recovery.

Fibroids are common benign growths in the uterus that may cause:

• Heavy or prolonged menstrual bleeding
• Pelvic pain or pressure
• Bladder or bowel symptoms
• Infertility or difficulty conceiving
• Pain during intercourse

Types of Laparoscopic Myomectomy

Subserosal Fibroid Removal

Subserosal fibroids grow on the outer surface of the uterus. They can be carefully excised without affecting the uterine cavity.

Intramural Fibroid Removal

Intramural fibroids develop within the muscular wall of the uterus. Laparoscopic myomectomy allows precise removal while preserving uterine integrity.

Pedunculated Fibroid Removal

Pedunculated fibroids are attached to the uterus via a stalk. These can often be removed laparoscopically with minimal disruption to surrounding tissues.

Advantages of Laparoscopic Myomectomy

• Minimally Invasive: Small incisions reduce post-operative pain and scarring.
• Uterus Preservation: Unlike hysterectomy, the uterus remains intact, maintaining fertility options.
• Faster Recovery: Most patients resume daily activities within 1–3 weeks.
• Reduced Blood Loss: Advanced laparoscopic techniques help minimize intraoperative bleeding.
• Precision Surgery: Magnified view enables careful removal of fibroids while protecting healthy tissue.
• Short Hospital Stay: Most procedures require only 1–2 days of hospitalization or are performed as day-care surgery.

Who is an Ideal Candidate?

Laparoscopic myomectomy may be recommended for women who:

• Experience heavy menstrual bleeding or pelvic pain due to fibroids
• Have subfertility or difficulty conceiving caused by fibroids
• Wish to preserve their uterus for future pregnancy
• Have fibroids causing pressure symptoms on the bladder or bowel

A thorough medical evaluation, including imaging (ultrasound or MRI) and laboratory tests, ensures the procedure is safe and suitable.

Pre-Operative Preparation

Preparation helps ensure a smooth surgery:

• Medical Evaluation: Blood tests, imaging, and pelvic examination.
• Medication Review: Adjustments may be made for medications such as blood thinners.
• Fasting Instructions: Typically 6–8 hours before surgery.
• Consent and Counseling: Understanding the procedure, risks, and recovery expectations is essential.

The Surgical Procedure

• Anesthesia: General anaesthesia is administered.
• Incisions: Small keyhole incisions (0.5–1 cm) are made in the abdomen.
• Laparoscope Insertion: Camera and instruments are inserted for visualization and surgery.
• Fibroid Removal: Fibroids are carefully excised while preserving healthy uterine tissue. In some cases, morcellation may be used to safely remove larger fibroids.
• Closure: Incisions are closed with dissolvable sutures or surgical glue.

Post-Operative Care and Recovery

• Mild pain or discomfort is common for a few days.
• Walking and light activity are encouraged to prevent complications.
• Heavy lifting and strenuous activity should be avoided for 4–6 weeks.
• Follow-up visits monitor healing and ensure the uterus is recovering well.

Risks and Considerations

While laparoscopic myomectomy is generally safe, there are minimal risks:

• Infection or bleeding
• Injury to nearby organs (bladder, bowel, ureters)
• Blood clots
• Anesthesia-related complications
• Rare fibroid recurrence

Proper pre-operative assessment and adherence to post-operative instructions help minimize these risks.

Why Choose Laparoscopic Myomectomy?

Laparoscopic myomectomy offers a safe, precise, and uterus-preserving solution for women with symptomatic fibroids. It combines minimal invasiveness, faster recovery, and excellent surgical outcomes for patients who wish to retain their reproductive potential.

Schedule a Consultation

If you are experiencing symptoms due to uterine fibroids or wish to explore laparoscopic myomectomy, consult Dr. Rajani Vaidya, Gynaecologist and Laparoscopic Surgeon, to discuss your treatment options. Early evaluation ensures a safe and effective plan for your reproductive health and overall well-being.