How Is Myomectomy Surgery for a Fibroid Performed?

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31.12.2025

How Is Myomectomy Surgery for a Fibroid Performed?

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Welcome to the blog page of Dr. Megha Khanna, one of the best lady gynecologist in Kolkata.

Uterine fibroids are one of the most common gynecological conditions affecting women of reproductive age. While many fibroids remain asymptomatic, some can cause heavy menstrual bleeding, pelvic pain, pressure symptoms, infertility, or recurrent pregnancy loss. In such cases, myomectomy surgery is often recommended as an effective treatment option that removes fibroids while preserving the uterus.

As the best lady gynecologist in Kolkata, I believe in educating women so they can make informed decisions about their health. This blog explains how myomectomy surgery is performed, the different techniques used, and what patients can expect before and after the procedure.

What Is Myomectomy Surgery?

Myomectomy surgery is a surgical procedure aimed at removing uterine fibroids (also called myomas) while keeping the uterus intact. It is especially preferred for women who wish to preserve fertility or want to avoid hysterectomy.

Unlike uterus removal, myomectomy surgery focuses only on fibroids, allowing women to maintain normal hormonal function and reproductive potential.

Who Needs Myomectomy Surgery?

Myomectomy surgery may be advised if you experience:

  • Heavy or prolonged menstrual bleeding
  • Severe pelvic pain or pressure
  • Difficulty conceiving due to fibroids
  • Recurrent miscarriages linked to fibroids
  • Rapidly growing fibroids
  • Pressure on the bladder or bowel

Consulting the best lady gynecologist in Kolkata ensures accurate diagnosis and personalized treatment planning.

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Types of Myomectomy Surgery

The method of myomectomy surgery depends on the size, number, and location of fibroids, as well as the patient’s overall health and fertility goals.

1. Abdominal (Open) Myomectomy

This traditional approach involves an incision in the lower abdomen.

How it’s performed:

  • The surgeon makes a horizontal or vertical incision
  • Fibroids are carefully removed from the uterus
  • The uterine muscle is reconstructed with sutures

Best for:
Large, multiple, or deeply embedded fibroids

2. Laparoscopic Myomectomy

A minimally invasive form of myomectomy surgery using small incisions and a camera.

How it’s performed:

  • Small keyhole incisions are made
  • A laparoscope provides a magnified view
  • Fibroids are removed with specialized instruments

Benefits:

  • Less pain
  • Faster recovery
  • Minimal scarring

This technique is commonly recommended by the best lady gynecologist in Kolkata for suitable candidates.

3. Robotic-Assisted Myomectomy

An advanced form of laparoscopic myomectomy using robotic technology.

Advantages:

  • Enhanced precision
  • Better suturing of uterine muscles
  • Reduced blood loss

4. Hysteroscopic Myomectomy

Used for fibroids located inside the uterine cavity.

How it’s performed:

  • No external incisions
  • A hysteroscope is inserted through the vagina and cervix
  • Fibroids are shaved or removed using surgical instruments

Best for:
Submucosal fibroids are causing heavy bleeding

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Preoperative Preparation for Myomectomy Surgery

Before undergoing myomectomy surgery, patients usually undergo:

  • Pelvic ultrasound or MRI
  • Blood tests
  • Hormonal evaluation
  • Medical therapy to shrink fibroids (if needed)

Proper preparation guided by the best lady gynecologist in Kolkata ensures safety and optimal outcomes.

Also Read: How Useful Is Laparoscopy for Fibroid Removal?

What Happens During the Surgery?

  • The procedure is performed under general anesthesia
  • Duration varies based on fibroid complexity
  • Blood loss is carefully monitored
  • The uterus is repaired meticulously to maintain strength for future pregnancies
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Recovery After Myomectomy Surgery

Recovery depends on the type of myomectomy surgery performed:

  • Hysteroscopic: Return to normal activities in 2–3 days
  • Laparoscopic/Robotic: 1–2 weeks
  • Open Surgery: 4–6 weeks

Patients are advised to:

  • Avoid heavy lifting
  • Follow medication schedules
  • Attend follow-up visits

Fertility and Pregnancy After Myomectomy Surgery

One of the biggest advantages of myomectomy surgery is fertility preservation. Many women conceive successfully after recovery. However, the timing of pregnancy and mode of delivery should be discussed with the best lady gynecologist in Kolkata.

Risks and Complications

Though generally safe, potential risks include:

  • Infection
  • Bleeding
  • Adhesion formation
  • Rare need for hysterectomy

Choosing an experienced surgeon significantly reduces these risks.

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What are the types of myomectomy surgery, and when to choose each?

Myomectomy surgery removes uterine fibroids while preserving the uterus, with types chosen based on fibroid size, number, location, and patient factors like fertility goals. As Dr. Megha Khanna, the best lady gynecologist in Kolkata, I guide patients on the ideal myomectomy surgery approach for optimal results.​

Open Abdominal Myomectomy

This traditional myomectomy surgery uses a large lower abdominal incision, like a C-section, for direct uterus access. Choose it for large fibroids (>10 cm), numerous or deeply embedded growths, or complex cases with scarring from prior surgeries. Recovery takes 4-6 weeks, allowing for a thorough removal.​

Laparoscopic Myomectomy

In this minimally invasive myomectomy surgery, 3-5 small incisions allow a camera and tools to excise fibroids, which are morcellated for removal. Select for smaller (<8 cm), fewer intramural or subserosal fibroids in women seeking quicker recovery (2-4 weeks). It’s less painful with minimal scarring.​

Hysteroscopic Myomectomy

Performed via the vagina and cervix with a scope, this myomectomy surgery shaves submucosal fibroids inside the uterine cavity. Ideal for small, protruding fibroids causing bleeding, with same-day discharge and 1-2 day recovery. No abdominal cuts make it least invasive.​

Robotic-Assisted Myomectomy

A laparoscopic variant using robotic arms for enhanced precision and 3D views, this myomectomy surgery suits moderate-sized fibroids or those needing fine suturing. Opt for it when advanced visualization aids complex cases, offering 2-4 week recovery like laparoscopy.​

Choosing the Right Myomectomy Surgery

The best lady gynecologist in Kolkata evaluates via ultrasound/MRI to match myomectomy surgery type to fibroid specifics—hysteroscopic for cavity fibroids, laparoscopic/robotic for accessible ones, open for extensive disease. Factors like surgeon expertise and fertility preservation guide decisions for safest outcomes.

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What are the risks and complications of myomectomy surgery?

Myomectomy surgery carries risks like any procedure, but they are generally low when performed by experienced specialists. As Dr. Megha Khanna, the best lady gynecologist in Kolkata, I prioritize minimizing these through preoperative planning and advanced techniques.​

Common Intraoperative Risks

Excessive bleeding is the most frequent complication during myomectomy surgery, especially with large or multiple fibroids, often requiring transfusions in open cases. Uterine injury, such as hematomas or incomplete excision, and rare organ damage to bladder or bowel can occur, heightened in open myomectomy surgery approaches. Vasoconstrictors and precise suturing reduce these risks significantly.​

Postoperative Complications

Infection, wound issues, and adhesions (scar tissue) affect recovery after myomectomy surgery, potentially causing pain, bowel obstruction, or fertility problems like Asherman’s syndrome. Blood clots, anemia, and prolonged hospital stays are more common in open procedures, with open myomectomy surgery linked to higher grade II+ complications. Minimally invasive myomectomy surgery types lower adhesion rates.​

Long-Term Concerns

Fibroid recurrence happens in 15-30% of cases post-myomectomy surgery, and uterine rupture risk in future pregnancies (0.5-2%) necessitates cesarean delivery. Fertility impacts vary, but adhesions may impair implantation; the best lady gynecologist in Kolkata monitors via follow-ups. Anesthesia risks and rare morcellation issues apply broadly.​

Mitigation Strategies

Preoperative GnRH agonists shrink fibroids to cut bleeding in myomectomy surgery, while laparoscopic/robotic methods reduce overall complications versus open. Expert care from the best lady gynecologist in Kolkata ensures patient selection and technique match risks for safer outcomes.​

How to prepare a patient before myomectomy surgery?

Preparation for myomectomy surgery optimizes patient safety, reduces bleeding risks, and supports faster recovery. As Dr. Megha Khanna, the best lady gynecologist in Kolkata, I emphasize comprehensive preoperative steps tailored to each patient’s health profile.​

Medical Evaluation and Tests

Complete a thorough assessment including blood tests for anemia (hemoglobin check), coagulation profile, and imaging like ultrasound or MRI to map fibroids before myomectomy surgery. Discuss all medications, vitamins, and supplements; stop blood thinners or NSAIDs 7-10 days prior as advised. Correct anemia with iron supplements or GnRH agonists to shrink fibroids, minimizing blood loss during myomectomy surgery.​

Dietary and Lifestyle Adjustments

Adopt a nutrient-rich diet weeks ahead: prioritize iron (leafy greens, lentils), protein (eggs, paneer), and hydration while avoiding spicy/oily foods, alcohol, and tobacco at least 4 weeks before myomectomy surgery. Fast from midnight the night prior, allowing only clear fluids if permitted, to prevent anesthesia complications. Maintain light exercise like walking to build strength without fatigue.​

Practical and Emotional Preparation

Arrange home support for recovery: prepare meals, childcare, and transportation, as someone must drive you post-myomectomy surgery. Shower the night before without lotions or shaving the site; manage anxiety through deep breathing or family discussions. The best lady gynecologist in Kolkata reviews all instructions personally for peace of mind.​

Day-of-Surgery Protocols

Arrive early for vitals check and IV placement; wear loose clothing and follow exact fasting rules. Confirm no allergies or changes in health with your surgical team before proceeding to myomectomy surgery.

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What is the typical recovery timeline after myomectomy surgery?

Recovery after myomectomy surgery varies by procedure type, with minimally invasive options allowing quicker return to normal activities. As Dr. Megha Khanna, the best lady gynecologist in Kolkata, I counsel patients on realistic timelines to ensure smooth healing post-myomectomy surgery.​

Hysteroscopic Myomectomy Recovery

This least invasive myomectomy surgery permits discharge the same day, with most resuming light activities in 3-5 days. Full recovery takes 1-2 weeks; avoid tampons or intercourse for 2 weeks to prevent infection. Patients often feel minimal pain, managed with over-the-counter meds.​

Laparoscopic or Robotic Myomectomy Recovery

Expect hospital discharge in 1-2 days after this myomectomy surgery, with return to work in 2-3 weeks and full activities by 4 weeks. Shoulder pain from gas resolves in days; no heavy lifting over 10 lbs for 4-6 weeks. The best lady gynecologist in Kolkata monitors via follow-ups at 1-2 weeks.​

Open Abdominal Myomectomy Recovery

Hospital stay lasts 2-4 days post-myomectomy surgery, with 4-6 weeks off work and no strenuous exercise until 6-8 weeks. Incision healing peaks at 2 weeks; vaginal bleeding lasts 2-4 weeks. Gradual walking prevents clots.​

General Milestones and Tips

Follow-up at 2 weeks checks healing; pregnancy planning waits 3-6 months after myomectomy surgery. Watch for fever, heavy bleeding, or severe pain—contact the best lady gynecologist in Kolkata immediately. Nutrition, rest, and light walks speed recovery across all types.​

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FAQ

1. What is myomectomy surgery?

Myomectomy surgery is a procedure to remove uterine fibroids while preserving the uterus, making it a preferred option for women who wish to retain fertility.

2. How is myomectomy surgery performed?

Myomectomy surgery is performed by carefully removing fibroids through open surgery, laparoscopy, or hysteroscopy, depending on the size, number, and location of the fibroids.

3. What type of anesthesia is used during myomectomy surgery?

Myomectomy surgery is usually performed under general anesthesia to ensure the patient remains comfortable and pain-free throughout the procedure.

4. How long does recovery take after myomectomy surgery?

Recovery time varies with the surgical approach—minimally invasive myomectomy allows recovery within 2–4 weeks, while open surgery may take 6–8 weeks.

5. Can fibroids return after myomectomy surgery?

Yes, new fibroids can develop after myomectomy surgery, but regular follow-ups and medical guidance can help monitor and manage future risks.

Why Choose the Best Lady Gynecologist in Kolkata for Myomectomy Surgery?

Expertise, experience, and compassionate care play a crucial role in successful outcomes. Consulting the best lady gynecologist in Kolkata ensures:

  • Accurate diagnosis
  • Personalized surgical approach
  • Advanced minimally invasive options
  • Comprehensive post-operative care

Final Thoughts

Myomectomy surgery is a highly effective solution for women suffering from fibroids who wish to preserve their uterus and fertility. With modern surgical techniques and expert guidance, recovery is smoother and outcomes are excellent.

If you are experiencing fibroid-related symptoms, timely consultation with Dr. Megha Khanna, the best lady gynecologist in Kolkata can help you regain comfort, confidence, and reproductive health.