Expert surgeons and doctors at Dr Komala’s Womens Clinic will recommend the most suitable surgery. Here are the types: 

• Abdominal Myomectomy 

In this procedure, your doctor will administer general anesthesia to ensure there’s no pain. The surgeon will then make an incision in your lower abdomen to reach your uterus. This can happen in several ways: 

• A horizontal incision will be made approximately 3 to 4 inches long above your pubic bone area. This incision will cause you minimum pain and leave little to no scars. However, such a small incision may not be enough to remove the large fibroids from your uterus. 
• A vertical incision can be made starting below your belly button and ending at your pubic bone area. This incision is used only for larger fibroids. It is highly effective and reduces bleeding.

The surgeon decides the type of incision – horizontal or vertical. Once the fibroids are removed from your uterus, the surgeon will stitch your uterine muscles. After this procedure, your doctor may recommend you rest for at least 3 days in the hospital while they monitor your condition. 

• Laparoscopic Myomectomy 

For this procedure, you will be administered general anesthesia to reduce pain and discomfort. 

• There will be four incisions, each about ½ inch long, on your lower abdomen.
• Before this, your belly will be filled with carbon dioxide gas to enable the surgeon to see clearly inside your abdomen area. 
• Then the surgeon will insert a laparoscope (a thin tube with a camera at the end) inside your abdomen from the incision made, and other small instruments will be placed into another incision. 
• The surgery can be done robotically, and the surgeon will control the instruments remotely with the help of a robotic arm.
• The surgeon will cut off fibroids in small pieces and then remove them. If they are too large for this, your surgeon will change the myomectomy type and create a larger incision inside your abdomen. 
• The surgeon will then remove all the instruments, release the gases, and stitch close your incisions. 

After the procedure, your condition may be monitored for 24 hours at the hospital. 

• Hysteroscopic Myomectomy 

Before the surgeons begin this surgery, they will administer a local anesthetic to reduce pain during surgery. 

• Your surgeon will insert a thin and light scope inside your vagina that will pass through the cervix and reach your uterus. He or she will also place a liquid inside your uterus that will open the area wide, allowing them to see the fibroids clearly. 
• The surgeon will then use a loop wire to eliminate the pieces of fibroids in your uterus. He or she will wash the pieces of fibroids off your uterus. 

Recovery does not take much time usually. The doctor may send you home on the same day.