• Abdominal Myomectomy/Laparotomy, in this surgery, is performed by making a vertical or horizontal incision in the abdominal wall, hence the name. This medical procedure is done with traditional surgical techniques and gives direct access to the patient's uterus. The patients after this surgery need at least 4-6 weeks to recover.
• Hysteroscopic Myomectomy is a procedure that is performed for removing smaller fibroids on the uterus wall. A small medial telescopic instrument is passed through the cervix to have the surgery performed inside the uterus. To the uterus. This procedure is done in the operating room under the influence of anaesthesia. Some of the complications faced during this surgery are the formation of scarring inside the uterus wall and uterine perforation.

Compared to open abdominal myomectomy & hysteroscopic myomectomy, laparoscopic myomectomy offers many benefits. These include:

• Quicker recovery
• Shorter hospital stay
• Reduced scarring from the procedure

A Laparoscopic myomectomy is a super advanced laparoscopic procedure & the success of this surgery depends very much on the skill, experience & expertise of the surgeon. Dr. Sarada Mamilla is the best gynaecologist & laparoscopic surgeon in Hyderabad, Telangana. She has over 20 years of experience in successfully performing laparoscopic myomectomies.

The patient would require a consultation during which the gynaecologist would ask her about her complete medical history, understand symptoms & recommend clinical examinations including an ultrasound.

An ultrasound is useful delineate the size, number & location of fibroids. In some cases, an MRI scan may be required especially if your doctor suspects Adenomyosis.

A laparoscopic Myomectomy procedure is performed with the help of a robotic instrument like a telescope to see the abdomen; clearly, it is inserted through the vaginal route to your uterus. Using the resectoscope, small cuts are made on the fibroids on the uterus, then small pieces of fibroids are removed through the vagina.

Generally 3 or 4 small incisions are made depending the uterine size. Typically one big incision of around 12 mm is made within the umbilicus & 2 to 3 smaller incisions or 5mm or smaller are made.