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GYNAECOLOGY & OBSTETRICS Procedure

Uterine-Preserving Laparoscopic & Robotic Myomectomy

Uterine-preserving laparoscopic and robotic myomectomy with containment bag in-glove morcellation, removing intramural, subserosal, and submucosal uterine fibroids while preserving fertility.

Laparoscopic myomectomy (fibroid removal)
Laparoscopic myomectomy (fibroid removal)

Clinical Overview & Disease Information

Uterine-preserving laparoscopic and robotic myomectomy with containment bag in-glove morcellation, removing intramural, subserosal, and submucosal uterine fibroids while preserving fertility.

Signs & Symptoms

Early Symptoms
  • Heavy menstrual bleeding (menorrhagia) and pelvic fullness
  • Increased waist size and difficulty wearing fitted clothing
Common Symptoms
  • Frequent urination due to bladder compression by anterior fibroid
  • Constipation or pelvic pressure from posterior fibroid
  • Infertility or recurrent miscarriages
Emergency Symptoms
  • Acute red degeneration of fibroid with severe fever and localized uterine pain

Causes & Risk Factors

Primary Causes & Etiology

  • Estrogen and progesterone receptor hypersensitivity in uterine smooth muscle
  • Genetic MED12 gene mutations
  • Nulliparity and early menarche

Who is at Higher Risk?

  • Women of reproductive age seeking fertility preservation while removing symptomatic fibroids

Diagnostic Evaluation & Testing

Diagnostic Test Clinical Purpose / What It Shows
3D Transvaginal Ultrasound & Contrast Pelvic MRI Determines precise fibroid count, size, FIGO classification (0-8), and relation to endometrial cavity
Saline Infusion Sonohysterography (SIS) Evaluates submucosal distortion of endometrial lining

Comprehensive Treatment Options

Laparoscopic / Robotic Multilayer Myomectomy with In-Bag Contained Morcellation

Keyhole enucleation of fibroids, 3-layer uterine reconstruction with barbed sutures, and contained specimen extraction within an endobag.

Key Advantages:
100% preserves uterus for future pregnancy
Multilayer barbed suture repair ensuring high uterine scar strength for labor
Contained morcellation preventing tissue dissemination

Hysteroscopic Myomectomy (Resectoscopic TCRF)

Incisionless transvaginal resection of FIGO 0-1 submucosal fibroids using bipolar resectoscope.

Recommended For:
Submucosal fibroids < 4cm distorting endometrial cavity

Advanced Medical Technologies Available in Partner Hospitals

Laparoscopic In-Bag Morcellation System Stratafix Barbed Sutures 3D Pelvic MRI Mapping

Possible Complications If Untreated

Transient intraoperative blood loss
Post-op pelvic adhesions
Requirement for elective C-section in future pregnancy

Recovery Timeline, Diet & Lifestyle Care

Recovery Timeline

Procedure / Stage Expected Recovery Duration
Laparoscopic Ward Recovery & Ambulation 24 to 48 hours
Return to Normal Daily Living 2 weeks
Uterine Healing Clearance for Pregnancy 3 to 6 months

Recommended Post-Treatment Diet

  • High iron & Vitamin C diet to restore hemoglobin levels
  • Hydration 2.5L/day

Essential Lifestyle Changes

  • Avoid strenuous exercise or heavy lifting > 5kg for 4 weeks
  • Wait 3 to 6 months before attempting pregnancy as advised by surgeon
  • Daily walking
When to Contact a Doctor Urgently:
Heavy vaginal bleeding
Fever > 100.4°F
Severe unremitting abdominal pain

Prevention & Long-Term Health

Annual pelvic ultrasound for early detection of growing fibroids

Frequently Asked Questions

Can I get pregnant after laparoscopic myomectomy?

Yes, myomectomy preserves your uterus and significantly increases pregnancy rates for women with fertility-impairing fibroids.

Top Recommended Specialists Available

Dr. Ashutosh Gupta

Dr. Ashutosh Gupta

Head – Medical Genetics

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Dr. Deepika Aggarwal

Dr. Deepika Aggarwal

Chief - Laparoscopic Gynae & Robotic Surgery

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Dr. Renu Raina Sehgal

Dr. Renu Raina Sehgal

Chairperson - Department of Obstetrics & Gynaecology

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Dr. Nidhi Jain

Dr. Nidhi Jain

Sr. Consultant - Obs & Gynae

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Dr. Nutan Agarwal

Dr. Nutan Agarwal

Head of Department - Gynae Endocrinology & DNB Program Director

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Dr. Aditi Dixit

Dr. Aditi Dixit

Sr. Consultant – Women Imaging & Radiology

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Dr. Deepa Maheshwari

Dr. Deepa Maheshwari

Sr. Consultant - Obstetrics & Gynaecology

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Dr. Rupinder Sekhon

Dr. Rupinder Sekhon

Chief - Gynae Oncology & Sr. Consultant: Surgical Oncology

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Dr. Gurpreet Makkar

Dr. Gurpreet Makkar

Head Imaging & Chief DNB Program Director - Radiology

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Dr. Kiran Arora

Dr. Kiran Arora

Unit Head - Reproductive Medicine & IVF (Unit II)

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Dr. Nidhi Rajotia (Goel)

Dr. Nidhi Rajotia (Goel)

Unit Head - Obs & Gynae

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Dr. Renu Raina Sehgal

Dr. Renu Raina Sehgal

Chairperson - Department of Obstetrics & Gynaecology

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Dr. Seerat Sandhu

Dr. Seerat Sandhu

Classified Consultant - Obstetrics & Gynaecology

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Dr. Aanchal Sablok

Dr. Aanchal Sablok

Senior Consultant - Fetal Medicine & Prenatal Genetics

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Global Cost Comparison Matrix

Procedure USA (Avg) India (ISG) Turkey (Avg) Thailand (Avg)
Laparoscopic myomectomy (fibroid removal) $25,000 $3,500 $6,500 $7,500

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Commonly Prescribed Medications

  • GnRH Agonist (Leuprolide 3.75mg Depot)
  • Oral Iron Supplements (Ferrous Ascorbate)
  • NSAIDs

International Patient Guide

Estimated Stay in India:
3D Ultrasound & MRI Workup 1 day
Laparoscopic Myomectomy & Hospital Stay 2 - 3 days
Post-Op Check & Return Flight 6 - 8 days total stay
Documents to Bring:
  • Passport & Visa
  • Pelvic MRI / Ultrasound Reports