Hysteroscopic myomectomy


Hysteroscopic myomectomy

Hysteroscopic myomectomy is a minimally invasive technique used to remove the submucous fibroids present in the uterine cavity without removing the healthy tissues. A special instrument called a hysteroscopic resectoscope is used for the removal of fibroids. It is passed into the uterine cavity through the vaginal and cervical canal.

Hysteroscopic myomectomy is a safe procedure for women who want to have children after the removal of their fibroids. You can become pregnant after the treatment without any complications. It is considered a standard of care for preserving the uterus for childbearing after the removal of abnormal outgrowths.

Earlier, myomectomy was performed by making a large incision in the abdomen. However, with advances in medical science, minimally invasive techniques like hysteroscopic myomectomy are used. Although the procedure is complicated for the surgeon, it ensures the patient will remain fertile.

What are the fibroids?

Fibroids are benign or noncancerous tumors that develop in the woman's uterus. They are the abnormal outgrowth made up of smooth muscle cells and fibrous connective tissues and often appear in the childbearing age. Sometimes these tumors do not show any symptoms or signs. While in other cases, they become significantly large and cause severe abdominal pain and heavy menstrual bleeding.

Although the reason for the fibroids is not well understood, women with family history, obesity, or early onset of puberty are at a greater risk of getting the problem. Medication and complete removal of fibroids is the only treatment to get over fibroids. Hysteroscopic myomectomy is an effective and safe outpatient surgical procedure that aids in the removal of submucosal fibroids.

Procedure of Hysteroscopic myomectomy

In hysteroscopic myomectomy, thin scope with light is passed into the uterus through the vagina and cervical canal. A camera is also attached to the scope. No incisions are made during the entire procedure. With the help of the camera, the doctor can take a look inside the uterus for the presence of fibroids.

It gives a clear view of submucous fibroids. The doctor removes them with the help of a wire loop or other similar device. Removal of submucous fibroids by any other technique could result in heavy bleeding, followed by anemia. However, with hysteroscopic myomectomy, it can be managed, and blood loss is not significant.

The entire procedure does not take more than 1 to 2 hours, and the patients are sent home after a few hours of observation in the recovery room. Normally it takes 1 to 2 days for the recovery, and the patient can resume the normal routine. There are no scars on the skin, and you get rid of submucosal fibroids completely.

What are the limitations of Hysteroscopic myomectomy

Hysteroscopic myomectomy is an outpatient surgery. It is suitable only for women with submucosal fibroids. Fibroids that are located in the uterine wall cannot be removed with this technique. Although the procedure is highly effective, the fibroids may return, especially among pre-menopausal women. Also, it is effective only for the fibroids that are small and accessible through the cavity.

Are there any risks involved?

Being a surgical procedure, there are chances of certain risks, which are very few. You may get an infection in the urinary tract. The doctors will keep you under antibiotics before and after the surgery. There may be need for blood transfusion if there is increased blood loss. Injury in the surrounding tissues may also occur, but the chances are very rare. The doctor will give further treatment if any such thing happens.

Therefore, it is very important to consult and get treatment from a well experienced and qualified doctor.Dr. Sumina Reddy is one of the most renowned and the best gynecologists in Hyderabad. With years of experience and profound knowledge, she can deal with any complex gynecological case easily.

Visit Dr. Sumina Reddy Clinic to know more about fibroids and Hysteroscopic myomectomy.