About Abdominal Myomectomy
Key Highlights
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Preserves the uterus, maintaining fertility for women who wish to have children in the future.Effectively relieves symptoms caused by fibroids, such as heavy bleeding, pelvic pain, and pressure.Provides a definitive treatment option for fibroids that are too large or numerous for minimally invasive removal.Allows for the physical removal and pathological examination of the fibroid tissue.Can improve quality of life by resolving anemia from blood loss and discomfort.
Who is this surgery for?
- Symptomatic uterine fibroids causing heavy or prolonged menstrual bleeding (menorrhagia).
- Pelvic pain or pressure, including frequent urination or constipation due to fibroid bulk.
- Fibroids that are rapidly growing or causing significant distortion of the uterine cavity.
- Infertility or recurrent pregnancy loss suspected to be caused by fibroids.
- Patient's desire to preserve the uterus for future pregnancy or personal reasons.
- Fibroids that are not suitable for less invasive treatments like hysteroscopic or laparoscopic myomectomy.
How to prepare
- Complete a thorough medical evaluation, including blood tests and imaging (ultrasound or MRI) to map the fibroids.
- Discuss all medications with your doctor; you may need to stop blood thinners or supplements like ginkgo or garlic.
- You may be given medication (GnRH agonists) before surgery to shrink the fibroids and reduce bleeding.
- Arrange for help at home for the first 1-2 weeks of recovery.
- Follow pre-operative fasting instructions (typically no food or drink after midnight before surgery).
- Plan for a hospital stay of 2-4 days and discuss pain management options with your care team.
Risks & possible complications
- Bleeding during or after surgery, which may rarely require a blood transfusion.
- Risk of infection at the incision site or within the pelvis.
- Damage to surrounding organs, such as the bladder, intestines, or ureters.
- Formation of scar tissue (adhesions) inside the abdomen, which can cause pain or future fertility issues.
- Risk of blood clots (deep vein thrombosis or pulmonary embolism).
- Potential for fibroids to recur in the future, though the uterus remains.
- Rare risk of unforeseen circumstances requiring a hysterectomy during the procedure.
Recovery & hospital stay
- Hospital stay typically lasts 2 to 4 days for monitoring and initial pain management.
- Avoid lifting anything heavier than 5-10 kg (10-20 lbs) for at least 4-6 weeks.
- Keep the abdominal incision clean and dry; watch for signs of infection like redness or discharge.
- Manage pain with prescribed medications and use a pillow for support when coughing or moving.
- Gradually increase walking to aid circulation and prevent clots, but avoid strenuous activity.
- Expect vaginal bleeding or discharge for a few weeks; use pads, not tampons.
- Follow-up with your gynaecologist to monitor healing and discuss family planning timelines.
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Typical hospital stay: 2-4 days
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Expected recovery time: 4-6 weeks
Frequently Asked Questions
If you are considering abdominal myomectomy in India, these questions and answers can help you make a confident, informed decision.
Popular choices for abdominal myomectomy in India include Kamineni Hospital, King Koti, Manipal Hospital Old Airport Road, Manipal Hospital Mukundapur, SIMS Hospital Vadapalani, Manipal Hospital Dwarka, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform abdominal myomectomy. MediFyr helps you compare obstetrics and gynaecologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for abdominal myomectomy compare across other countries where we have data.
Top hospitals for Abdominal Myomectomy in India
These partner hospitals in India have dedicated obstetrics and gynaecology teams and experience managing patients undergoing abdominal myomectomy.
Angel Patel is a 32-year-old marketing...
Angel Patel is a 32-year-old marketing manager who has been trying to conceive with her husband for three years. She was diagnosed with multiple large fibroids during her fertility workup. Angel experienced heavy, painful periods that left her anemic and fatigued, but her primary distress was the unexplained infertility. Her OB-GYN, Dr. Sharma, recommended an abdominal myomectomy to remove the fibroids, explaining it would improve her symptoms and significantly increase her chances of a successful pregnancy. The surgery was successful, removing four large fibroids while carefully preserving her uterus. Her recovery took about six weeks; the first two were challenging with pain and fatigue, but she gradually regained her strength. Emotionally, Angel felt a mix of hope and anxiety before the surgery, fearing it might not work. After recovery, the relief from her debilitating periods was immense, but the true emotional shift came nine months later when she saw a positive pregnancy test. She felt a profound sense of possibility restored.
Obstetrics and Gynaecologists for Abdominal Myomectomy
Explore experienced obstetrics and gynaecologists who regularly perform abdominal myomectomy and provide pre- and post-operative care in India.
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Manipal Hospital Old Airport Road, Bangalore
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Manipal Hospital Old Airport Road, Bangalore