Medically verified by: Dr. Shalini B, MBBS (Gold Medal), DGO, DNB (OB-GYN), Fellowship in Minimal Access Surgery
Senior Consultant Obstetrician & Gynaecologist, Vivekananda Hospital, Begumpet | 5,000+ deliveries | 1,000+ laparoscopic surgeries

📍 Serving families from Ameerpet, Somajiguda, Punjagutta, Secunderabad, Banjara Hills, and Khairathabad

Laparoscopic Myomectomy: Fibroid Removal Without Hysterectomy

Name: Vivekananda Hospital Medical Services
Brand: Vivekananda Hospital
Rating: 4.8 (2200 reviews)

Uterine fibroids are non-cancerous growths that affect up to 70 percent of women by age 50. While many women have no symptoms, others suffer from heavy bleeding, pelvic pain, frequent urination, and difficulty conceiving. For years, the only surgical option was hysterectomy (removal of the uterus), which ends fertility. Today, laparoscopic myomectomy offers a solution: removal of fibroids while preserving the uterus, fertility, and quality of life.

Dr. Shalini B, a fellowship-trained minimal access surgeon, has performed hundreds of laparoscopic myomectomies at Vivekananda Hospital, Begumpet. This guide explains what fibroids are, who needs surgery, how laparoscopic myomectomy works, recovery, and why it is often the best choice for women who wish to retain their fertility.

📌 Quick Facts: Laparoscopic myomectomy removes fibroids through small incisions (0.5-1 cm). It preserves the uterus, shortens recovery time (1-2 weeks vs 4-6 weeks for open surgery), and has a high success rate for symptom relief and fertility improvement.

What Are Uterine Fibroids?

Fibroids are benign growths that develop from the muscle tissue of the uterus. They can range in size from tiny seedlings to large masses that distort the uterus. Common types include:

Subserosal: grow on the outer wall of the uterus; may cause pressure on surrounding organs.
Intramural: grow within the muscular wall; often cause heavy bleeding and pain.
Submucosal: grow just beneath the inner lining; most likely to cause heavy bleeding and fertility issues.
Pedunculated: attached by a stalk; can twist and cause sudden pain.

Many women have no symptoms, but when they occur, they can significantly affect daily life.

Common Symptoms of Fibroids

Heavy, prolonged menstrual bleeding (menorrhagia)
Pelvic pressure or pain
Frequent urination (due to pressure on the bladder)
Constipation (pressure on the bowel)
Pain during intercourse
Enlarged abdomen (sometimes mistaken for weight gain)
Difficulty getting pregnant or recurrent miscarriages

If you experience any of these, an ultrasound can diagnose fibroids.

When is Myomectomy Recommended?

Myomectomy (fibroid removal) is considered when:

Symptoms are severe and affect quality of life.
Fibroids are causing infertility or recurrent pregnancy loss.
Medications have failed to control symptoms.
The patient wishes to preserve fertility.

It is the preferred surgical option for women who want to keep their uterus and future childbearing potential. Unlike hysterectomy, myomectomy removes only the fibroids, leaving healthy uterine tissue intact.

Laparoscopic Myomectomy: How It Works

Laparoscopic myomectomy is performed under general anaesthesia. Steps:

Small incisions: 3-4 tiny cuts (0.5-1 cm) in the abdomen.
Camera insertion: A laparoscope (high‑definition camera) provides a magnified view.
Fibroid removal: Specialised instruments cut fibroids into smaller pieces (morcellation) and remove them.
Uterus repair: The uterine muscle is meticulously sutured to ensure strength for future pregnancy.
Closure: Incisions are closed with absorbable stitches or skin glue.

The procedure typically takes 1-3 hours depending on the number, size, and location of fibroids. Dr. Shalini B uses advanced energy devices to minimise bleeding and ensure precise removal.

Benefits of Laparoscopic Myomectomy Over Open Surgery

Aspect	Laparoscopic Myomectomy	Open Myomectomy
Incision size	3-4 small cuts (0.5-1 cm)	Single large incision (5-15 cm)
Hospital stay	1-2 days	3-5 days
Return to work	2 weeks	6 weeks
Full recovery	4-6 weeks	8-12 weeks
Post-operative pain	Less, managed with oral meds	More, often requiring stronger pain relief
Risk of adhesions	Lower	Higher
Scarring	Minimal, hidden	Visible, longer scar

Recovery After Laparoscopic Myomectomy

Days 1-2: Hospital stay, walking with assistance, pain controlled with oral medication.

Week 1: Light activities, avoid lifting over 2 kg. You may feel tired; rest as needed.

Week 2: Return to desk job, light household chores. No heavy lifting or strenuous exercise.

Week 4-6: Full recovery. Resume exercise, intercourse, and heavy lifting after clearance from Dr. Shalini B.

Fertility After Laparoscopic Myomectomy

For women with fibroid-related infertility, myomectomy significantly improves pregnancy rates. Studies show:

Pregnancy rates increase by 50 to 70 percent after myomectomy.
Miscarriage rates drop from around 40 percent to less than 20 percent for submucosal fibroids.
Most women can attempt pregnancy 3-6 months after surgery (depending on fibroid location and uterine repair).

Dr. Shalini B performs careful uterine closure to ensure strength for a future pregnancy, and she can guide you on the optimal timing to conceive.

Risks and Considerations

Laparoscopic myomectomy is safe, but like any surgery, it carries some risks. These include:

Bleeding (rare; reduced by advanced energy devices)
Infection (low due to small incisions)
Injury to surrounding organs (very rare, less than 1 percent)
Risk of uterine rupture in a future pregnancy (very low with proper suturing)
Fibroid recurrence (new fibroids may grow in 10-30 percent of women over 5-10 years)

Your individual risk is discussed during pre-operative consultation.

Why Choose Vivekananda Hospital for Laparoscopic Myomectomy?

Expert surgeon: Dr. Shalini B has performed over 1,000 laparoscopic procedures, including complex myomectomies. She holds a fellowship in minimal access surgery.
Advanced equipment: High‑definition laparoscopy, power morcellators, and energy devices for safe, efficient surgery.
Fertility focus: Meticulous uterine repair to optimise future pregnancy outcomes.
Affordable & transparent: All‑inclusive packages; cashless insurance available.
Central location: Easy access from all parts of Hyderabad.

Dr. Shalini B

MBBS (Gold Medal), DGO, DNB (OB-GYN), Fellowship in Minimal Access Surgery

Senior Consultant Obstetrician & Gynaecologist | 5,000+ deliveries | 1,000+ laparoscopic surgeries

OPD: Monday-Saturday, 11:00 AM - 2:00 PM | Consultation: Rs. 750

Frequently Asked Questions About Laparoscopic Myomectomy

1. What is the difference between myomectomy and hysterectomy?+

Myomectomy removes only the fibroids and leaves the uterus intact, preserving fertility. Hysterectomy removes the entire uterus, which ends childbearing capacity. Laparoscopic myomectomy is the preferred option for women who wish to retain their fertility.

2. Can I get pregnant after laparoscopic myomectomy?+

Yes. Many women conceive after myomectomy. Pregnancy rates improve significantly, especially for those with fibroid-related infertility. Dr. Shalini B will advise on the optimal waiting period (usually 3-6 months) before trying to conceive.

3. How long does it take to recover from laparoscopic myomectomy?+

Most women return to light activities in 1 week, desk work in 2 weeks, and full recovery in 4-6 weeks. Recovery is much faster than open myomectomy.

4. Will fibroids grow back after myomectomy?+

New fibroids can develop in 10-30 percent of women over 5-10 years. Recurrence rates depend on age, number of fibroids, and individual factors. Regular follow-up with ultrasound is recommended.

5. Is laparoscopic myomectomy safe for large fibroids?+

Yes, in experienced hands. Even large fibroids can be removed laparoscopically using morcellation (cutting them into smaller pieces). Dr. Shalini B has successfully removed fibroids up to 15 cm using advanced techniques.

6. Will I have scars after laparoscopic myomectomy?+

Incisions are very small (0.5-1 cm) and placed in natural skin folds. They fade significantly over time and are much less visible than the scar from open surgery.

7. Does insurance cover laparoscopic myomectomy?+

Yes, most health insurance policies cover myomectomy when medically indicated. We are empanelled with CGHS, ESI, Arogyabhadratha, and 25+ private insurers for cashless treatment.

8. What is the cost of laparoscopic myomectomy at Vivekananda Hospital?+

Cost depends on the number and size of fibroids, as well as room category. We provide transparent, all-inclusive packages. Call +91 7207904418 for a personalised estimate.

9. How do I prepare for laparoscopic myomectomy?+

You will undergo a pre-operative evaluation including blood tests, imaging, and anaesthesia consultation. Stop eating and drinking 6-8 hours before surgery. Follow specific instructions given by Dr. Shalini B.

10. What is the success rate of laparoscopic myomectomy for symptom relief?+

Over 80-90 percent of women experience significant improvement in heavy bleeding, pain, and pressure symptoms after myomectomy. Symptom relief is usually long-lasting.