A Comprehensive guide on Myomectomy Surgery in India

Myomectomy Surgery Procedure in India

Myomectomy is a surgical procedure aimed at removing fibroids from the uterus while preserving fertility. In India, myomectomy is performed using three main techniques, each tailored to the patient's specific needs and the characteristics of the fibroids.

1. Abdominal Myomectomy

Abdominal myomectomy, also known as an open myomectomy, involves making a horizontal or vertical incision in the lower abdomen. The surgeon carefully dissects through the layers of the abdominal wall to reach the uterus. The fibroids are then identified and excised from the uterine wall. The uterine muscle is repaired with sutures to restore its integrity.

This technique is typically used for large fibroids, multiple fibroids, or fibroids deeply embedded in the uterine wall. It is also preferred when there is a suspicion of malignancy. The hospital stay is usually around 2 to 3 days. Full recovery can take up to 6 weeks. Patients are advised to avoid heavy lifting and strenuous activities during the recovery period.

2. Laparoscopic Myomectomy

Laparoscopic myomectomy is a minimally invasive procedure performed under general anaesthesia. Small incisions (about 1 cm) are made in the abdomen, through which a laparoscope (a thin tube with a camera) and surgical instruments are inserted. The abdomen is inflated with carbon dioxide gas to create a working space. The surgeon uses the laparoscope to view the inside of the abdomen on a monitor and precisely remove the fibroids. The fibroids are then morcellated (cut into smaller pieces) and removed through the small incisions. The uterine muscle is sutured to maintain structural integrity.

This technique is ideal for smaller fibroids or those located on the outer surface of the uterus. Patients who prefer a quicker recovery and minimal scarring opt for this method. The hospital stay is typically 1 to 2 days. Full recovery usually takes about 2 to 4 weeks. Patients experience less postoperative pain and have a quicker return to normal activities compared to open surgery.

3. Hysteroscopic Myomectomy

 Hysteroscopic myomectomy is performed on an outpatient basis under local or general anaesthesia. A hysteroscope (a thin, lighted tube) is inserted through the vagina and cervix into the uterus. Saline solution is infused to expand the uterine cavity, providing a clear view of the fibroids. Specialized instruments are passed through the hysteroscope to cut and remove the fibroids. The procedure is visualized on a monitor, allowing the surgeon to precisely target the fibroids without making any external incisions.

This technique is best suited for submucosal fibroids (those that protrude into the uterine cavity). It is also effective for treating fibroids that cause heavy menstrual bleeding and infertility. The procedure is usually performed on an outpatient basis, allowing patients to go home the same day. Recovery time is typically a few days to a week. Patients may experience mild cramping and spotting after the procedure but can return to normal activities relatively quickly.

Indian hospitals are equipped with advanced technology and experienced surgeons who adhere to international standards, ensuring high success rates and patient safety. Each myomectomy technique is chosen based on the size, number, and location of the fibroids, as well as the patient's overall health and reproductive goals. The availability of diverse surgical options makes India a preferred destination for myomectomy surgery, offering tailored treatments to meet the specific needs of each patient.

Top Doctors for Myomectomy Surgery Treatment in India

India is home to some of the most renowned gynaecologists and surgeons specializing in myomectomy. Here are a few top doctors known for their expertise in this field:

1. Dr. Shanthala Thuppanna

• Designation: Laparoscopic Surgeon (Obs & Gyn)
• Experience Years: 24
• Country: India

About

• Renowned Gynecologist and gynecologic laparoscopic Surgeon.
• Undergraduate from Mysore Medical College.
• Post-graduation from Kasturba Medical College.
• Expert training in Gynecologic Oncology and Gynecologic Endoscopy from premier Medical Institutes.
• Dedicated to Gynecology Endoscopy and Minimally Invasive Gynecology for over 10 years.
• Skilled in performing the removal of fibroid and uterus laparoscopically.
• Successfully removed a large fibroid (about 9 months pregnant size) in an unmarried girl laparoscopically.
• Performed fibroid removals in women with large fibroids, enabling natural conception and healthy deliveries.
• Success stories have received print media attention.
• Awarded a scholarship by the International Gynaecological Cancer Society for Gynecologic Oncology training in Montreal, Canada.
• Invited faculty to many national gynecological laparoscopy conferences.
• Organized and conducted several presentations to promote knowledge about Gynecology Endoscopy and Minimally Invasive Gynaecology.
• Contributed to a chapter on cervical fibroid for the book "Textbook and Color Atlas on Fibroids."
• Actively involved in academic activities, teaching, and new research with many papers in various journals and conferences.
• Received the Kempegowda Award in 2016.
• Laparoscopic Myomectomy, Cosmetic Labiaplasty, Hymenoplasty, Vaginal Rejuvenation, Infertility Treatment, Pap Smear, Laparoscopic Sterilization.

Education

• MBBS, MS - Obstetrics & Gynaecology

Awards

• International Gynaecological Cancer Society scholarship for Gynecologic Oncology training in Montreal, Canada.
• Kempegowda Award (2016).

2. Dr. Madhavi Reddy

• MBBS, MS - Obstetrics & Gynaecology
• Dr Madhavi Reddy is a Gynecologist, Obstetrician and Laparoscopic Surgeon (Obs & Gyn) in HRBR Layout, Bangalore and has an experience of 15 years in these fields.
• Dr. Madhavi Reddy practices at Motherhood Hospital in HRBR Layout, Bangalore and Motherhood Clinic - Horamavu in Horamavu, Bangalore.
• She completed her MBBS from Vydehi Institute of Medical Sciences and Research Centre, Bangalore in 2009 and MS - Obstetrics & Gynaecology from Vydehi Institute of Medical Sciences and Research Centre, Bangalore in 2012.
• She is a member of the Bangalore Society of Obstetrics & Gynaecology.

• Normal Vaginal Delivery (NVD)
• Female Infertility Treatment
• High-Risk Pregnancy Care

Top Hospitals for Myomectomy Surgery Treatment in India

India boasts world-class healthcare facilities offering myomectomy surgery with state-of-the-art technology. Some of the top hospitals include:

1. Apollo Hospitals, Chennai

Apollo Hospitals on Greams Road in Chennai was established in 1983 by Dr. Prathap C Reddy. It was India's first corporate hospital and is acclaimed for pioneering the private healthcare revolution in the country. Over the years, Apollo Hospitals has risen to a position of leadership, emerging as Asia's foremost integrated healthcare services provider.

Location

• Address: 21 Greams Lane, Off Greams Road, Thousand Lights, Chennai, Tamil Nadu 600006, India
• City: Chennai
• Country: India

Hospital Features

• Established Year: 1983
• Treatment Availability: International
• Hospital Category: Medical

About Apollo Hospitals

Apollo Hospitals has a robust presence across the healthcare ecosystem, including hospitals, pharmacies, primary care, and diagnostic clinics. The Group also has telemedicine units across 10 countries, health insurance services, global projects consultancy, medical colleges, Med-varsity for e-learning, colleges of nursing, and hospital management.

Team and Specialties

• Cardiology and Cardiothoracic Surgery: Apollo Hospitals hosts one of the largest cardiovascular groups globally, with around 14 world-class institutes, over 400 cardiologists & cardiac surgeons, and 200 heart stations.
• Robotic Spinal Surgery: Among the few centres in Asia to perform this advanced procedure, Apollo is at the forefront of spinal disorder management.
• Cancer Care: A 300-bedded, NABH-accredited hospital providing advanced technology in diagnosis and radiation, supported by an oncology team of renowned specialists and well-trained medical and paramedical professionals.
• Gastroenterology: Offers the latest endoscopic procedures for gastrointestinal bleeding, cancers, foreign body removal, etc.
• Transplant Institutes: The Apollo Transplant Institutes (ATI) is one of the largest, most comprehensive, and busiest solid transplant programs globally.
• Liver Surgery: Equipped with a 320-slice CT scanner, a state-of-the-art Liver Intensive Care Unit & Operation Theatre, and various surgical tools to enable safe & bloodless liver surgery.
• Neurosurgery: Recognized as a leader in acute neurosurgery, Apollo Hospitals, Chennai, is among the top hospitals specializing in neuro care worldwide.

Infrastructure

With the experience of over one million health checks, Apollo Hospitals has emerged as a key player in the corporate healthcare sector. Over 500 leading corporates, across all industry segments, have tied up with Apollo Hospitals, providing their employees ready access to sophisticated medical facilities at over 64 locations in India. The corporate services initiative of Apollo Hospitals, Chennai, aims to provide world-standard healthcare within the reach of every individual.

2. Fortis Memorial Research Institute (FMRI)

Fortis Memorial Research Institute (FMRI) in Gurgaon is a premier multi-super specialty, quaternary care hospital. Known for its international faculty and reputed clinicians, including super-sub-specialists and speciality nurses, FMRI is supported by cutting-edge technology. The hospital aims to be the 'Mecca of Healthcare' for the Asia Pacific region and beyond.

Location

• Address: Sector - 44, Opposite HUDA City Centre, Gurgaon, Haryana - 122002, India
• City: Gurgaon
• Country: India

Hospital Features

• Established Year: 2001
• Number of Beds: 1000
• Number of ICU Beds: 81
• Operation Theaters: 15
• Hospital Category: Medical
• Treatment Availability: International
• Status: Active
• Visibility on Website: Yes

Specialties

FMRI excels in several medical specialities, including:

• Neurosciences
• Oncology
• Renal Sciences
• Orthopedics
• Cardiac Sciences
• Obstetrics and Gynecology

These specialities leverage advanced technology and top clinicians to deliver exceptional healthcare services.

Team and Expertise

• International Recognition: FMRI has been ranked No.2 of the 30 most technologically advanced hospitals in the world by ‘topmastersinhealthcare.com,’ surpassing many other outstanding medical institutions globally.
• Patient Care: Fortis hospitals treat over 3.5 lakh patients annually, relying on reputed clinicians, state-of-the-art infrastructure, and world-class technology such as the Da Vinci robot, ensuring patients go home healthy.
• Innovative Initiatives: FMRI's initiatives range from customized preventive health checks to quaternary care provided by super-specialized clinicians conducting rare and complex surgeries.

About Fortis Healthcare

FMRI is a flagship hospital of Fortis Healthcare, one of the top healthcare providers in India. Fortis Healthcare is known for its commitment to quality healthcare and patient safety, making FMRI one of the most sought-after medical destinations in the region.

3. Artemis Hospital

Number of Beds: 400
Number of ICU Beds: 64
Operation Theaters: (Information not provided)
City: Gurgaon
Address: Sector 51, Gurugram, Haryana 122001, India
Country: India
Treatment Availability: Both (Domestic & International)

• Artemis Hospital, established in 2007, spread across 9 acres, is a 400-plus-bed; state-of-the-art multi-specialty hospital located in Gurgaon, India.
• Artemis Hospital is the first JCI and NABH-accredited hospital in Gurgaon.
• Designed as one of the most advanced in India, Artemis provides a depth of expertise in the spectrum of advanced medical & surgical interventions, a comprehensive mix of inpatient and outpatient services.
• Artemis has put modern technology in the hands of renowned from across the country and abroad to set new standards in healthcare.
• The medical practices and procedures followed in the hospital are research-oriented and benchmarked against the best in the world.
• Top-notch services, in a warm, open-centric environment, clubbed with affordability, have made us one of the most revered hospitals in the country.
• In 2011 it received the 'Asia Pacific Hand Hygiene Excellence Award' by WHO.
• Along with state-of-the-art infrastructure, the hospital excels in the fields of cardiology, CTVS Surgery, neurology, neurosurgery, Neuro interventional, oncology, Surgical Oncology, orthopaedics, Spine Surgery, Organ Transplants, General Surgery, emergency care &Women & child care