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Myomectomy Surgery in Thane

Myomectomy Surgery

myomectomy surgery mumbai india

Myomectomy, sometimes also fibroidectomy, refers to the surgical removal of uterine leiomyomas, also known as fibroids. In contrast to a hysterectomy, the uterus remains preserved and the woman retains her reproductive potential. The fibroids needed to be removed are typically large in size or growing at certain locations such as bulging into the endometrial cavity causing significant cavity distortion. A myomectomy can be performed in a number of ways, depending on the location and number of lesions and the experience and preference of the surgeon. Either a general or a spinal anaesthesia is administered. Using the laparoscopic approach the uterus is visualized and its fibroids located and removed. Development of new fibroids will be seen in 42-55% of patients undergoing a myomectomy. It is well known that myomectomy surgery is associated with a higher risk of uterine rupture in later pregnancy.

our SPECIALISTS

Dr. Mansi Gore

Consultant - Gynecologist and Obstetrician

She has completed her MBBS from prestigious Grant Medical College, Mumbai in 1998 and her Post graduation in the year 2001. Also done DNB and completed FCPS in 2002.

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Dr. Nupur Mittal

Consultant - Gynecologist and Obstetrician

She had successfully completed a training course in OBS & Gynaecological Ultrasound and Foetal Heart Rate Monitoring. She has also taken training in the techniques of Laparoscopic Sterilization. She is a leading Specialist Gynecologist with 18 years of experience.

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Currae Doctor

Dr. Priya Sunder

Consultant - Gynecologist and Obstetrician

Consultant - Gynaecology and Obstetric

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Dr. Swarupa Iyer

Dr. Swarupa Iyer

Consultant - Gynecologist and Obstetrician

Dr. Swarupa Iyer completed her MBBS from Lokayman Tilak College, Mumbai and DGO from College of Physicians and Surgeons. She completed her MD from Seth G. S. Medical College.

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Dr. Madhuri Gandhi

Consultant - Gynaecology and Infertility

Managed various obstetrics and Infertility related cases. Main speciality in managing cases of low ovarian recurrent IVF failures. Managed cases of recurrent abortions. Initially worked abroad for past 15 years in prestigious U.K. recognised hospital as Senior Gynaecologist and Infertility consultant.

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Dr. Sangeeta Shetty

Consultant - Gynecologist and Obstetrician

Pending

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Dr. Neelima Shilotri

Consultant - Gynaecologist & Obstetrician

Dr. Neelima Shilotri is a Gynecologist in Thane West, Thane and has an experience of 35 years in this field. Dr. Neelima Shilotri practices at Shilothri Hospital in Thane West, Thane, Jupiter Hospital in Thane West, Thane and Currae Speciality Hospital in Balkum, Thane. She completed MBBS from BJMC Pune in 1979 and MD - Obstetrics & Gynaecology from BJMC...

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Dr. Neena Nichlani

Consultant - Gynecologist and Obstetrician

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Dr. Sujata Rathod

Consultant - Gynaecologist & Obstetrician

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Dr. Shailendra Jadhav

Obstetric Critical Care Unit

The Head of OCCU at Currae Gynaec, IVF, Birthing Hospital. A highly personable and senior Onco-Gynaecologist with vast experience in High-Risk pregnancy and Gynaec Surgeries. Designed and developed new compact Uterus holding forceps for conservative surgeries of the Fallopian tube.

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Dr. Rekha Thote

Consultant - Gynaecologist and Obstetrician

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Dr. Vidya Shetty

Dr. Vidya Shetty

Consultant - Gynecologist and Obstetrician

NA

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Currae Doctor

Dr. Neeta Kulkarni

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Currae Doctor

Dr. Abhijeet Deodhar

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Currae Doctor

Dr. Aditi Deodhar

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Currae Doctor
Currae Doctor

Dr. Jaideep Mehta

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Currae Doctor
Currae Doctor

Dr. Madhura Chandavarkar

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Currae Doctor
Currae Doctor
Currae Doctor

Dr. Soniya Agarwal

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Currae Doctor

Dr. Shalaka Behadkar

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Currae Doctor

Dr. Sameer Pradhan

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Currae Doctor

Dr. Sandhya Saharan

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Currae Doctor

Dr. Mohan Chandavarkar

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Dr. Abhishek Chandavarkar

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Steps taken

A myomectomy surgically removes fibroids from the uterus. The uterus is left intact and this increases the chances of pregnancy in women who have had difficulties in conception.

Before undertaking the procedure the fibroids are made to shrink by giving treatment with fibroids with gonadotropin-releasing hormone analogue (GnRH-a). This helps in reduction of blood loss during the procedure.

There are 3 surgical methods for myomectomy. These are Hysteroscopy,( inserting a lighted viewing instrument through the vagina and into the uterus.), the Laparoscopic method uses lighted viewing instrument with cutting incisors in the abdomen and Laparotomy procedure involves a larger incision in the abdomen. The type of method to be used is to be individualized based on the size, location, and a number of fibroids.

Hysteroscopy can be used to remove superficial fibroids on the inner wall of the uterus and is an outpatient procedure. Laparoscopy is used for removing deeper fibroids and also those that are growing across and on the outside of the uterus. Laparoscopy is also an outpatient procedure. In few cases, hospitalization for a day could be required.

Laparotomy is used to remove large fibroids, many fibroids, or fibroids that have grown deep into the uterine wall. These require hospitalisation from around 2-5 days depending on the scope and extent of the procedure. Recovery periods are variable based on the type method used. Hysteroscopy requires from a few days to 2 weeks recovering whereas Laparoscopy and Laparotomy require 1- 2 weeks and 4 to 6 weeks respectively.

Precautions

who-are-at-risk-for-uterine-fibroids

Though these are safe procedures there is always chance of pelvic infections involving in uterus, Infection of the uterus, fallopian tubes, or ovaries. Removal of the fibroids in the uterine muscle leads to scaring of the tissues and in rear cases the uterine incision could be responsible for infertility. Removal of fibroids in the uterine muscle (intramural fibroids) may cause scar tissue.

Advantages

Women who undergo myomectomy report improvement in fibroid symptoms, including heavy menstrual bleeding and pelvic pressure. Myomectomy helps women to preserve the uterus. Myomectomy is the preferred fibroid treatment for women who want to become pregnant. After myomectomy, your chances of pregnancy may be improved but are not guaranteed.

FAQs

Can fibroids turn into Cancer?

Fibroids are almost always benign (not cancerous). Rarely (less than one in 1,000) will a cancerous fibroid occur. Having fibroids does not increase the risk of developing a cancerous fibroid.

Who are at risk for uterine fibroids?

There are various factors that can increase a woman’s risk of developing fibroids for e.g. age, family history, ethnic origin, obesity and eating habits.

What If I become pregnant and have fibroids?

Asymptomatic small or medium-sized fibroids alone are unlikely to present a significant risk to pregnancy. However, fibroids may increase in size as a result of increased levels of hormones and blood flow to the uterus during pregnancy. The growth of fibroids may cause discomfort, feelings of pressure, or pain.

Can fibroids recur after myomectomy?

Fibroids can grow back and the chance of recurrence is high. It has been observed that out of 100 cases, 10 patients return back with the growth of fibroids within 2 years.

When can one plan for pregnancy after myomectomy?

Due to high incidence of recurring fibroids in young women after myomectomy, it is recommended to try to best to try to conceive at the earliest after the recovery from the procedure. The chances of conception could be the highest.

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Thane – Women’s Hospital (Ghodbunder Road)

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