Myomectomy Surgery Procedures | Best Gynaecologist in Bangalore | Sakra World Hospital
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What is Myomectomy surgery?    

Myomectomy is a surgical method used to remove fibroids from the uterus, followed by repair, and reconstruction of the uterus. 

What are the common types of Myomectomy procedure?

  • Open 
  • Myomectomy 

Why is Myomectomy performed?    

Myomectomy is performed to remove a fibroid from the uterus. This is a better option unlike hysterectomy as only the fibroid is removed and the uterus is left intact. Few reasons to decide on for this surgery are: 

  • If the woman plans to bear children in future
  • If the doctor is suspicious that uterine fibroids may be interfering with women’s fertility
  • If the woman wants to keep her uterus
  • If the woman has had repeated miscarriages due to fibroid formation in the uterus.

How to prepare for Myomectomy?

Not much preparation is a needed for a Myomectomy gynecologic surgery. The doctor might instruct a few guidelines that need to be followed before the procedure is carried out:

  • The doctor will give details of the technique and will give sufficient opportunity to clarify any doubts and queries regarding the technique.
  • Consent will be taken to ensure patient’s approval for performing the technique.
  • Further to an absolute medical history, the doctor might carry out a complete physical investigation to make certain that the patient is in good health to undergo this technique. 
  • Patient may be asked not to eat or drink for some hours before the procedure.
  • One may need to wear compression stockings to avoid blood clots from developing in the veins in the legs. 
  • Enema may also be required.
  • The doctor must be informed about any known allergic reaction to any anesthetic agents, tape, medications or latex.
  • Notify the doctor about pregnancy if any.
  • Notify the doctor about previous treatments taken for cervical, vaginal, or pelvic infections in the past 6 weeks.
  • Inform the doctor about any preexisting lung or heart problems.
  • Always come and leave assisted from the hospital if the procedure involves sedation.

How is the procedure performed?

  • For this surgery the patient is sedated using general anesthesia.
  • The surgeon will make a small incision in the navel and a laparoscope is inserted to view the uterus
  • Two or three incisions will be made in the lower tummy on either sides, through which instruments for removing the fibroids are inserted
  • The fibroids will be resected and removed and the incisions will be closed by suturing 

What the precautions that need to be taken after the procedure? 

  • Avoid strenuous exercise or sexual activity for a period of 4-6 weeks
  • Mild exercise can be performed. Walking is the best activity that can be started after 1 week of the surgery 
  • There are no restrictions on driving a car/ bike but if the patient is on narcotic pain medicines, driving should be avoided.
  • Monthly period will be affected for 3-4 cycles. Bleeding may be heavy or light, for long or short durations.
  • Patient can take a bath after the procedure but should apply fresh dressing to the incision areas. 
  • Some amount of bruising around the incision site will be present for a few weeks. Applying cold packs will minimize bruising and swelling
  • There are no dietary restrictions but excessive consumption of alcohol should be avoided. 
  • Bloating may occur for up to 2-4 weeks which will go away eventually. 
  • Contact a doctor or visit a hospital if any of the below problems occur:
    • High fever (more than 100 degree Fahrenheit)
    • Continuous pain unrelieved by painkillers/ abdominal distensions
    • Heavy bleeding
    • Excessive vomiting 
    • Dizziness
    • Discharge of pus from the incision 

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