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International Patient CareBest Hospital for Open Myomectomy Surgery: Expert Care
Open myomectomy at Medicover Hospitals is performed by skilled gynecologists with qualifications like MS, DGO, and FMAS. This surgical approach effectively removes uterine fibroids, leading to shorter hospital stays and improved recovery. Our team ensures precise care and optimal outcomes across India.
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What is Open Myomectomy?
Open Myomectomy is a surgical procedure to remove fibroids (non-cancerous growths) from the uterus. The uterus is the organ involved in this surgery. During the procedure, an incision is made in the abdomen to access and remove the fibroids. This method is often chosen when fibroids are large or numerous.
This surgery is needed when fibroids cause symptoms like heavy menstrual bleeding, pelvic pain, or pressure on other organs. If left untreated, fibroids can lead to complications such as infertility or severe pain. Modern surgical approaches for Open Myomectomy include laparoscopic and robotic-assisted techniques, which may offer faster recovery. However, the open approach is still preferred for certain cases.
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Complete Guide To Open Myomectomy
Everything you need to know about the procedure, preparation, and recovery
Open Myomectomy Surgery Indications
Doctors recommend open myomectomy when fibroids cause significant symptoms that affect daily life. This procedure is often chosen when other treatments have not provided relief.
Heavy Menstrual Bleeding
Patients may experience prolonged or excessive menstrual bleeding. This can lead to anaemia and fatigue. Doctors suggest surgery when medication and other interventions fail to control bleeding.
Pelvic Pain and Pressure
Persistent pelvic pain or a sensation of pressure can occur due to fibroid size or location. Imaging tests like ultrasounds often reveal fibroids pressing on nearby organs. Surgery is considered when pain management is ineffective.
Infertility
Fibroids can interfere with conception or pregnancy. Patients may face difficulty in becoming pregnant. Doctors may recommend myomectomy if fibroids are identified as the cause after other fertility treatments do not succeed.
Frequent Urination
Large fibroids can press on the bladder, causing frequent urination. This symptom may persist despite lifestyle changes or medication. Surgery is advised when fibroids are confirmed as the cause through imaging.
Abdominal Enlargement
Visible abdominal swelling can occur due to large fibroids. Patients may notice a change in their waistline. When fibroids are confirmed through scans and cause discomfort or concern, surgery may be recommended.
How to Prepare for Open Myomectomy?
Proper preparation for an open myomectomy is crucial to ensure a smooth surgery and recovery. It helps in reducing complications and aids in a quicker healing process.
- Medication Review: Stop NSAIDs, anticoagulants, and herbal supplements at least a week before surgery.
- Fasting Guidelines: Do not eat or drink anything for at least 8 hours before the surgery to prepare for anaesthesia.
- Bowel Preparation: Follow any bowel prep instructions given by your doctor to clear the intestines.
- Comfortable Clothing: Wear loose, comfortable clothing on the day of surgery for ease of movement post-operation.
- Transportation: Arrange for someone to drive you home after the surgery as you will not be able to drive.
- Medication List: Bring a list of all medications you are currently taking, including dosages, to the hospital.
- Pre-Surgery Tests: Complete any required blood tests or imaging studies as instructed by your healthcare provider.
- Smoking and Alcohol: Avoid smoking and alcohol consumption several days before the surgery to promote better healing.
Open Myomectomy Surgery (Step-by-Step)
Open myomectomy is performed by gynec doctors. The surgery typically lasts 1-2 hours and is done under general anaesthesia.
- Preparation: The patient is positioned on the operating table. General anaesthesia is administered to ensure the patient is asleep and pain-free.
- Incision: A horizontal or vertical incision, usually 10-15 cm, is made on the lower abdomen to access the uterus.
- Accessing the Uterus: The abdominal muscles are gently separated. The uterus is exposed using retractors.
- Fibroid Removal: The surgeon uses a scalpel and other instruments like a curette or harmonic scalpel to carefully remove fibroids from the uterus.
- Repairing the Uterus: The uterine wall is stitched back together using sutures. This helps restore the uterus's shape and function.
- Closing the Incision: The abdominal layers are closed with sutures or staples. A dressing is applied to protect the incision site.
- Recovery: The patient is moved to the recovery room. Vital signs are monitored as the patient wakes up from anaesthesia.
Who Performs Open Myomectomy Surgery?
Open myomectomy is performed by gynecologists who specialise in surgical procedures involving the female reproductive system. They have the expertise to manage and remove uterine fibroids effectively.
Recovery After Open Myomectomy Surgery
Recovery from open myomectomy surgery involves a gradual return to normal activities. It's important to follow your doctor's advice and give your body time to heal. Here's what you can expect during the recovery process.
Day 1-3:
- Rest is crucial. You may experience some pain and discomfort, managed with prescribed medications.
- Start with a liquid diet, gradually introducing soft foods like soups and moong dal.
Day 4-7:
- Begin incorporating light activities like short walks to improve circulation.
- Introduce easily digestible foods such as curd, dal-rice, and khichdi.
- Avoid lifting heavy objects or strenuous activities.
Week 2-4:
- Continue with light activities, gradually increasing as tolerated.
- Resume normal diet, focusing on balanced meals to aid recovery.
- Most patients can return to work or school after 4 weeks, depending on their job's physical demands.
Week 5-8:
- Engage in moderate activities, but avoid high-impact exercises until cleared by your doctor.
- Continue following a nutritious diet to support healing.
When to Seek Urgent Help:
- Severe abdominal pain or swelling.
- Fever over 100.4?F (38?C).
- Heavy vaginal bleeding or unusual discharge.
- Signs of infection at the incision site, such as redness or pus.
Benefits of Open Myomectomy Surgery
Open myomectomy is a surgical procedure to remove uterine fibroids, offering several benefits for women experiencing symptoms.
- Symptom Relief: Alleviates heavy menstrual bleeding and pelvic pain associated with fibroids.
- Fertility Improvement: Enhances the chances of conception for women facing infertility due to fibroids.
- Uterine Preservation: Retains the uterus, making it a preferred option for women desiring future pregnancies.
- Comprehensive Removal: Allows for the removal of larger or multiple fibroids that may not be accessible through other methods.
Risks and Complications of Open Myomectomy Surgery
While open myomectomy is generally safe, it carries potential risks and complications that patients should be aware of.
- Common: Bleeding during or after the surgery may require a blood transfusion.
- Common: Infection at the incision site or within the pelvic cavity.
- Rare: Injury to surrounding organs such as the bladder or bowel.
- Rare: Formation of scar tissue (adhesions) within the pelvis.
- Rare: Risk of uterine rupture in future pregnancies.
- Rare: Anaesthesia-related complications.
Cost of Open Myomectomy Surgery
The cost of Open Myomectomy Surgery at Medicover Hospitals ranges from Rs. 99,000 to Rs. 164,000. Prices vary based on the ward category chosen. We offer transparent pricing to ensure clarity for our patients.
Insurance and TPA support are available, with CGHS, ESI, and major TPAs accepted. A cashless facility is also provided for added convenience. Please contact the hospital for the latest insurance panel details as these may change periodically.
Frequently Asked Questions
1. How much does Open Myomectomy surgery cost?
The cost for Open Myomectomy surgery at Medicover Hospitals ranges from Rs. 99,000 to Rs. 164,000, depending on the room type and care required.
2. Is Open Myomectomy surgery covered under insurance?
Open Myomectomy surgery may be covered by CGHS, ESI, and major TPAs, with cashless options available. Please contact the hospital for current panel details.
3. Will I still have menstrual periods after surgery?
Yes, you will continue to have menstrual periods after an Open Myomectomy, as the uterus is preserved during the procedure.
4. Is there a risk of fibroids returning?
There is a possibility that fibroids can regrow after an Open Myomectomy, but this varies based on individual factors.
5. Can I conceive naturally post-surgery?
Many women can conceive naturally after an Open Myomectomy, but it is advisable to discuss fertility plans with your doctor.
6. What foods aid recovery after Open Myomectomy?
Eating light and nutritious meals like dal-rice, khichdi, and curd can aid recovery and improve digestion after Open Myomectomy surgery.
7. How long before I can resume physical activity?
You should avoid strenuous physical activities for at least 6 weeks after Open Myomectomy to ensure proper healing.
8. How painful is recovery from open myomectomy?
Pain is common in the first few days after surgery but is well managed with medications prescribed by your doctor. Discomfort gradually reduces over 1–2 weeks as healing progresses.
9. How long does open myomectomy surgery take?
Open myomectomy surgery usually takes about 1.5 to 3 hours, depending on the number, size, and location of fibroids. More complex cases may take longer.
10. Is open myomectomy a major surgery?
Yes, open myomectomy is considered a major surgery because it involves an abdominal incision and requires hospital stay. However, it is a safe and commonly performed procedure.
11. What should I expect after open myomectomy surgery?
After surgery, you may experience pain, fatigue, and mild swelling, which gradually improve over a few weeks. Hospital stay is usually 2–3 days for monitoring and recovery.
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