Open Myomectomy / Laparoscopic Myomectomy

Dr. Sharda Jain

Our personal experience of over 510 OPEN MYOMECTOMY cases in last 20 years has been very very satisfactory in terms of

• No need of Hysterectomy,
• Practically no need of Blood Transfusion.
• Reasonable operating time.
• Reduced operative blood loss.
• Less post operative decline in Hemoglobin and
• Back to work in 15 days.
• Pregnancy rates had been very encouraging that is why people come from far off places for surgery

LAPAROSCOPIC MYOMECTOMY

Currently available instruments make laparoscopic myomectomy feasible, although the size and number of fibroids reasonably removed limits the wide application of this approach because of the technical difficulty of both the procedure and laparoscopic suturing.

Laparoscopic myomectomy in experts hands is associated with longer operating times but reduced operative blood loss, less postoperative decline in hemoglobin levels, reduced postoperative pain, and early recovery.

But two of our patients required 6-8 units of blood and need of shifting them to surgical ICU for 1 day upsetted us and we do not take this procedure lightly, specially for big posterior and broad ligament fibroids.