Myomectomy
Steps Involved in IVF:
Procedure Description
Myomectomy is a surgical procedure designed to remove fibroids, which are noncancerous growths that commonly develop in the uterus. Unlike a hysterectomy, which involves the removal of the entire uterus, a myomectomy preserves the uterus, allowing women to retain their reproductive capabilities. This procedure is especially beneficial for women experiencing symptoms such as heavy menstrual bleeding, pelvic pain, or discomfort due to the pressure of fibroids on surrounding organs. By selectively removing fibroids, a myomectomy can provide significant symptom relief while maintaining the integrity of the uterus.
There are several types of myomectomy procedures, each tailored to the location, size, and number of fibroids present. The main approaches include abdominal (open), laparoscopic, and hysteroscopic myomectomy. An abdominal myomectomy is often recommended for larger or multiple fibroids and involves a traditional surgical incision. Laparoscopic myomectomy is minimally invasive, utilizing small incisions and a camera to guide the surgeon in removing fibroids, leading to faster recovery times. Hysteroscopic myomectomy, meanwhile, is performed through the vagina and cervix, making it ideal for fibroids located inside the uterine cavity.
Each of these procedures requires specific expertise, and the choice depends on various factors such as the patient’s health, the location of the fibroids, and the desired outcomes. Many patients seek medical tourism options for myomectomy to benefit from specialized care and potentially lower costs in internationally renowned healthcare facilities.
Procedure Duration
The duration of a myomectomy varies depending on the surgical approach, the complexity of the case, and the patient's health. Generally, an abdominal myomectomy can take between one and two hours, though complex cases involving larger or multiple fibroids may extend the procedure. Patients who undergo this open surgery can expect a hospital stay of two to three days, with a recovery period of up to six weeks, allowing time for the body to heal fully.
Laparoscopic myomectomy typically takes less time than an open surgery, often lasting around one to two hours. This approach allows for smaller incisions and, therefore, a faster recovery time, with most patients returning to their normal activities within two to four weeks. Patients usually spend one night in the hospital or may even leave on the same day, depending on their post-operative condition.
For hysteroscopic myomectomy, the procedure is generally quicker, ranging from 30 minutes to one hour, as it involves no external incisions. Patients can expect to resume normal activities within a week or two, given the minimally invasive nature of this method. Regardless of the approach, it's essential for patients to follow their surgeon's post-operative care instructions to ensure optimal recovery and avoid complications.
Benefits
- Symptom Relief: Myomectomy alleviates symptoms such as heavy bleeding, pelvic pain, and urinary or bowel issues associated with fibroids.
- Preservation of Fertility: By preserving the uterus, myomectomy allows women to retain their fertility and pursue future pregnancies if desired.
- Enhanced Quality of Life: The removal of fibroids significantly improves the quality of life, as patients often experience reduced pain and discomfort.
- Shorter Recovery Times with Minimally Invasive Options: For those eligible, laparoscopic or hysteroscopic myomectomy offers shorter recovery periods than traditional surgery.
- Potentially Lower Costs Through Medical Tourism: Patients seeking treatment abroad can often find high-quality care at a fraction of the cost in certain countries.
Potential Destinations
- India
Known for its skilled surgeons and high-quality healthcare facilities, India has become a popular destination for myomectomy procedures. The country's hospitals often offer both traditional and minimally invasive surgical options at competitive prices, making it an ideal choice for international patients.
- Thailand
Thailand has a well-established medical tourism industry with internationally accredited hospitals specializing in gynecological procedures. Bangkok and other major cities offer state-of-the-art healthcare facilities with experienced surgeons, providing a combination of quality and affordability for myomectomy.
- Turkey
Renowned for its advanced healthcare infrastructure, Turkey offers medical tourists skilled specialists and modern hospitals at reasonable costs. Turkish hospitals often provide comprehensive packages, including myomectomy procedures, with a focus on quality care and patient experience.
- Mexico
Mexico’s proximity to North America makes it a convenient and cost-effective option for patients seeking myomectomy. With hospitals in cities like Mexico City and Tijuana offering a range of gynecological surgeries, patients benefit from shorter travel times and culturally familiar surroundings.
- South Korea
South Korea is recognized for its high-tech healthcare system and specialization in minimally invasive surgeries. Patients seeking myomectomy can find leading hospitals in Seoul offering advanced techniques in a comfortable and technologically advanced setting.
Risks & Considerations
- Anesthesia Complications: As with any surgical procedure, myomectomy carries the risk of complications related to anesthesia, including allergic reactions or breathing difficulties.
- Infection: Although rare, there is a risk of post-surgical infection at the incision site, particularly in abdominal myomectomy. Proper wound care and following post-operative instructions can help mitigate this risk.
- Bleeding: Some patients may experience significant blood loss during or after the procedure, particularly if multiple or large fibroids are removed.
- Scar Tissue Formation: There is a possibility of developing scar tissue or adhesions in the abdominal or pelvic area, which can affect fertility or lead to pain.
- Fibroid Recurrence: Although myomectomy removes existing fibroids, it does not prevent new fibroids from developing. Patients may need follow-up care if fibroids recur in the future.
How to Choose the Right Doctor and Hospital
When considering a myomectomy, selecting a qualified doctor and reputable hospital is crucial for ensuring optimal outcomes and safety. Prospective patients should look for a board-certified gynecological surgeon with substantial experience in performing myomectomies, particularly the specific type they require. Asking about the surgeon’s expertise in minimally invasive techniques, such as laparoscopic and hysteroscopic myomectomy, can also be beneficial for those seeking shorter recovery times.
For the hospital, accreditation from international healthcare organizations signifies that it meets high standards of patient care and safety. Verifying that the facility offers comprehensive pre- and post-operative services, including diagnostic imaging and dedicated support for international patients, can help patients make an informed decision. It’s also advisable for patients to research patient reviews and inquire about package options that may include accommodation and local transportation for a smoother medical tourism experience.
To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote
Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com
Frequently Asked Questions
What actually happens during hyperstimulation of the ovaries?
The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.
What happens during egg retrieval?
When the follicles have developed enough to be harvested, the patient attends an appointment where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.
What happens to the eggs?
In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle. Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.
How are the embryos transferred back to the uterus?
The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.
Embryoscope©
Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.
Orthopedics Stem Cell
Knee
Research on mesenchymal stem cells regenerative properties in knee osteoarthritis. In these studies, researchers suggest that Stem Cell Therapy has the potential to regenerate lost cartilage, stop and reverse cartilage degeneration, provide pain relief, and improve patient mobility.
Shoulder
Stem Cell Therapy as an Alternative to Rotator Cuff & Shoulder Replacement Surgery. Stem cell therapy may offer an excellent alternative for patients looking to avoid shoulder joint replacement surgery, as well as many other surgical treatments for shoulder pain.
Ankle
If you suffer from chronic or acute ankle pain or instability due to arthritis, cartilage loss, ligament strain or tear, or tendon damage, then you may benefit from non-surgical stem cell treatments or stem cell-enhanced surgery.
Back Pain
Patients now have a minimally invasive option. Stem cell therapy for back pain and disc herniations can potentially repair the damaged disc or facet joint, restore function, rehydrate the disc, and ultimately alleviate chronic pain.
Anti-Aging Stem Cell
Hair Loss
Stem cell therapy and PRP therapy have been shown to be most effective for: Those in the early stages of hair loss, patients who are not viable candidates for surgery and women who prefer to avoid hair surgery.
Facial Anti-Aging
Aesthetic Anti-Aging. The Aesthetic Stem Cell Localized Treatment is a non-surgical minimally invasive procedure to enhance the appearance of aging skin and hair restoration. This all-natural technique combines dermal injections of bone marrow or adipose tissue derived stem cells and growth factors.
Fertility Stem Cell
Endometrial PRP
The stem cells used for treatment of a thin endometrium include mesenchymal stem cells. In addition, successful repair of the endometrium in pregnancy with stem cells has been reported previously.
Low Ovarian Reserve (PRP)
The treatment uses PRP (Platelet-Rich-Plasma), which with stem cell therapy is the novel therapeutic approach for restoring the quality of the ovarian reserve.Your PRP will contain a physiologic balance of platelets, growth factors and white blood cells tailored specifically for you.
Punta Mita Hospital
Mexico
Punta Mita Hospital - Genesis Cell
Mexico
