The name of a surgical procedure for removing uterine fibroids is myomectomy. Uterine fibroids can happen at any age, although they normally develop during the years of childbirth. The goal of a surgeon during myomectomy is the removal of the fibroids and reconstruction of the uterus. Most of the women who undergo myomectomy get benefited from the procedure. The gynecology doctors in Kolkata suggest myomectomy for those women who:
• Have plans to bear children
• Have fertility issues due to uterine fibroids
• Want to keep the uterus intact
Preparations
A few hours before your surgery, you need to stop eating or drinking. The doctor may suggest that you change the routine of taking your medicines before the surgery. As per the opinion of the best gyne doctors in Kolkata, the anaesthesia you will be receiving depends on the type of myomectomy:
• General anaesthesia:
You will be fully asleep under the effect of general anaesthesia and the doctor will place a tube in your throat. For abdominal myomectomy and laparoscopic myomectomy, the use of general anaesthesia is common. For some cases of hysteroscopic myomectomy also, there is the use of general anaesthesia.
• Monitored anaesthesia care (MAC):
You normally don’t remember anything when this anaesthesia is used. There is no placing of a tube in your throat. The use of MAC is common normally during hysteroscopic myomectomy, as this procedure is less invasive and requires less anaesthesia.
Spinal or local anaesthesia is used in some cases. You can discuss with your doctor about the anaesthesia that will be suitable for you. Depending on the type of myomectomy, you need to stay at the hospital on the day of the surgery or you may go home the same day. You may have to arrange someone to be with you during your journey back home after the surgery.
The procedure
The best gynecologist in Kolkata chooses one of the three myomectomy procedures on the basis of the number, size and location of the uterine fibroids.
Abdominal myomectomy
The surgeon makes an open abdominal incision in abdominal myomectomy. He/she then removes the fibroids from the uterus. If possible, the surgeon will make a low, horizontal incision. However, for larger uteruses, making vertical incisions becomes necessary.
Laparoscopic or robotic myomectomy
• Laparoscopic myomectomy:
There are various incisions in the abdomen in this procedure. The surgeon inserts a laparoscope with a light and a camera through an incision. Through the other incisions, the surgeon inserts special instruments and carries out the surgery.
• Robotic myomectomy:
The surgeon makes small incisions in the abdomen similar to those made in laparoscopic myomectomy. He/she uses a separate console to controls the movements of the instruments used during surgery.
The surgeon removes the whole fibroid at one time in some cases whereas in the other cases, the surgeon cuts the fibroid into pieces and removes them separately.
Hysteroscopic myomectomy
The surgeon carries out a hysteroscopic myomectomy for treating submucosal fibroids. The surgeon inserts the surgical instruments through the vagina and moves it into the uterus. He/she removes the fibroids with the help of the instruments.
