Laparoscopic surgery for uterus in India

What are Uterine Fibroids?

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Uterine fibroids or leiomyomas are the benign (non-cancerous) growth of the uterus that often emerges during childbearing years. Uterine fibroids often cause no symptoms and are not likely to develop into uterine cancer. These fibroids develop from the myometrial wall (muscular tissue wall) of uterus. On Histopathological examination, uterine fibroids appear as small rubbery mass of tissue having different pattern of growth. At times, some uterine fibroids shrink and disappear on their own, while other might need surgical interventions.

What are the signs and symptoms of Uterine Fibroids?

Most of the women having uterine fibroids are asymptomatic and fibroids are usually revealed accidently during a pelvic examination or pre-natal ultrasound. The common sign and symptoms associated with uterine fibroids are:

• Prolonged menstrual bleeding ( more than seven days)
• Heavy menstrual bleeding
• Spotting or bleeding between periods
• Pain or feeling of heaviness in pelvic region
• Persistent pain during intercourse
• Increased urinary frequency
• Difficulty in voiding urine
• Enlarged uterus or abdomen
• Constipation
• Backache
• Pain in lower limbs

How it's Diagnosis done?

Uterine fibroids are usually diagnosed accidently during a routine or pre-natal pelvic examination.Following diagnostic tests are suggested for the women who present with sign and symptoms of uterine fibroids;

• Ultrasound: an abdominal ultrasound scan is done to confirm uterine fibroids. The number, size and site of uterine fibroid are also confirmed by ultrasound.
• MRI: it is an imaging test used to have a better visual about the uterine fibroids. This test also helps in identifying different types fibroids.
• Hystreosonography: it is a saline infusion sonogram that uses saline to expand the uterine cavity. This facilitates better imaging of uterus. This test is only recommended in symptomatic women in whom conventional ultrasound doesn't reveal any findings
• Hysterosalpingography: in this test, a radio opaque dye is infused in the uterine cavity and X-ray images are taken. This test is usually recommended in women who have fertility issues along with uterine fibroids
• Hystereoscopy: during this test a hystereoscope( small lighted telescope) is inserted into cervix and used to visualized the uterine cavity and fallopian tubes.
• Lab investigations include routine blood tests that are conducted to rule out possibility of other medical conditions responsible for heavy vaginal bleeding, such as anemia.

Can fibroids removed if they are located inside the uterus?

Fibroids that are located inside the uterus are known as sub mucosal fibroids. Hysteroscopic myomectomy and endometrial ablation are the minimal invasive procedures that are used to treat sub mucosal fibroids.

Treatments available for uterine fibroid

• Medications
  Treatment of uterine fibroids can be done by prescribing medications. The medications used for treating uterine fibroids targets the reproductive hormones that in turn regulate the menstrual cycle and result in shrinking of fibroids. Gonadotropin releasing hormone agonists such as lupron, synarelare most commonly used. A progestin-releasing intrauterine device is used for women having heavy menstrual bleeding. Pain killers/NSAIDS are prescribed to reduce pain, though they don't shrink the size of the fibroid.
• Non-invasive procedures
  MRI-guided focused ultrasound surgery is a non-invasive procedure that is done on outpatient basis to treat uterine fibroids. During this procedure a high energy ultrasound transducer is used to target sound waves on the fibroid. This generates heat inside the fibroid and destruct the fibroid.
• Minimal Access Surgeries for Uterine Fibroids
  Nowadays, various minimal invasive procedures are used to manage uterine fibroids; these procedures are fairly safe and effective in destroying fibroids.
  • Uterine artery emobolization
    Embolic agents (small particles that forms clot) are injected into the uterine artery; this hampers the blood supply to fibroids. Nutritionally deprived fibroids tend to shrink and die.
  • Myolysis
    It is a laparoscopic procedure that uses electric current, laser or cryogenic (freezing) medium to destroy the fibroid
  • Laparoscopic myomectomy
    This is a robot assisted laparoscopic procedure. During this procedure surgeon uses laparoscope (instrument with small video camera on its tip) to visualize the uterine cavity and excise the fibroids from the uterine wall.
  • Hysteroscopic myomectomy
    This is the procedure of choice when fibroids for sub mucosal fibroids. A hysteroscope is inserted via vagina to reach cervix and fibroids are removed.
  • Hysteroscopic myomectomy
    This is the procedure of choice when fibroids for sub mucosal fibroids. A hysteroscope is inserted via vagina to reach cervix and fibroids are removed.
  • Endometrial abilation
    This procedure uses electrical, microwave or hot water to destroy the myometrial lining of the uterus.
• Surgical procedures
  For managing multiple, deep or large fibroid, open abdominal surgery procedures are used. Abdominal myomectomy and open hysterectomy are the two procedures that are commonly used in such cases.

Advantages and Disadvantages

Advantages:

• Minimal invasive procedures
• Faster recovery
• Significantly reduce vaginal bleeding

Disadvantages:

• Ineffective in treating multiple, deeper or larger fibroids
• Fibroid only shrinks and is not removed from the body
• Blood flow may be blocked to healthy tissues of uterus when uterine arteries embolism is performed

What do we provide?

IndiaLaparoscopySurgerySite are the pioneers of medical tourism in India. We put forward a cost -effective laparoscopic uterine surgery at the best hospitals of India. Our associate hospitals are JCI credited and strictly adheres to international norms of laparoscopic uterine surgery and laparoscopic surgery for uterus removal. Our associate hospitals have surgical teams lead by the best laparoscopic surgeons of India. The surgeons at these hospitals are highly skilled and hold expertise in all types of laparoscopic surgery. Planning laparoscopic uterus removal surgery in India with us is a simple and clutter free process.

IndiaLaparoscopySurgerySite offers you;

• A transparency in planning your medical visit to India
• Best surgical options available in India those are cost-effective too! Endometriosis laparoscopic surgery cost in
• India is about700 USD. While laparoscopic Myomectomy costs 800 USD only
One on one assistance throughout your visit
• Personalized care by our dedicated hospitality staff
• Complete assistance in planning your visit including travel, hospital stay, appointments with doctors
• Assistance in planning a tour to various scenic places across India that will help you to recuperate well after surgery