Hysteroscopic Myomectomy is a surgical procedure to remove fibroids from the uterus, using an instrument called hysteroscope or resectoscope. Fibroids are non-cancerous growths in the uterus.
It is the best surgical procedure for those women who want to conceive, but are unable to because of fibroid symptoms. However, this surgery can increase the chances of pregnancy, but cannot guarantee it.
There are 3 techniques to perform myomectomy, viz.
Laparotomy or Abdominal Myomectomy
Myomectomy is also called Fibroidectomy.
Myomectomy is recommended when:
Pressure or pain in the uterus which is not eased down even after treatment with medicine.
Growth of fibroid that has changed the uterus wall that can lead to repeated miscarriages and give rise to infertility problem
The doctor will recommend the following
Avoid lifting heavy objects, rigorous exercise and climbing stairs
Avoid using tampons and sexual intercourse.
Fasting for 8 to 10 hours prior to surgery.
The procedure is performed under general or spinal anesthesia.
A resectoscope is inserted through the vagina into the uterus.
The utrine cavity is expanded using a salt water solution, and the cavity and walls are examined.
With the help of resectoscope the fibroids are cut and removed along with the solution.
This technique is used when the fibroids extend upto the utrine cavity.
The patient can go home on the same day.
Vaginal bleeding and spotting can be expected, for a few weeks after the surgery. Typical recovery period is 2 to 4 weeks, depending on the technique used for the procedure.
The doctor will recommed against lifting heavy objects, driving, climing stairs, jumping or any other strenuous activity for 3 to 4 weeks.
Risk and Complication
Hysteroscopic Myomectomy is a relatively safe procedure. However, some complications may arise:
Heavy loss of blood. If bleeding is uncontrollable, then the surgeon may recommend the removal of uterus.
Complications in childbirth
Cost of the procedure may range from 1,50,000 to 4,00,000 INR in trusted Indian hospitals.
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