Surgery for fibroids - A fertility choice

Fibroids are tumours that are seen growing on the uterus or womb’s wall in women who are in their 40s and early 50s. They are usually harmless and non-cancerous. It can grow as small as a seed or as large as a grapefruit and in some cases even larger. These fibroids generally grow during pregnancy as they are linked to hormones progesterone and estrogen.

Women generally prefer surgery for fibroids in Delhi NCR city before any kind of fertility treatments are attempted. The following symptoms relating to fibroids are seen in women:

• Difficulty in becoming pregnant
• Continuous pain and pressure on the abdomen and pelvic area
• Heavy, prolonged and painful periods that results in anaemia
• Consistent pain during sexual intercourse
• Frequent urination

Depending on these symptoms there are certain procedures that can only be carried out using laparoscopic and hysteroscopic surgery in Delhi.

Laparoscopic surgery:

• In today’s advanced medical field, many doctors perform a surgery known as “laparoscopic-assisted myomectomy.” This type of surgery is basically done by inserting a miniature, fibre-optic camera into the pelvic area by making a small incision in the pelvic cavity. This further helps the doctor to see the inside of the uterus and where the fibroid is located before any incision can be made on the abdomen and uterus. This helps the doctor in figuring out what kind of surgery will be required for the removal of fibroids.
• The above-mentioned surgery is a variation of the true laparoscopic surgery that is generally performed using small surgical tools which are lowered into the incision that has been made in the pelvic cavity. This reduces the risk of internal bleeding and infection in the uterus making the recovery period shorter than usual which is less than a week.
• The following symptoms help the doctor decide on using laparoscopy surgery as the best option:

1. Ovarian cyst removal
2. Fibroids removal
3. Enhancement in fertility
4. Endometriosis treatment and diagnosis
5. Treatment for ectopic pregnancy
6. Uterus removal

Hence laparoscopy has helped doctors to visualise fibroids I.e where the fibroids are located, the size of fibroids present, whether the fibroids are growing inside or outside the uterus. Such questions can be answered using the above-mentioned surgery.

Hysteroscopic surgery:

• This is a form of surgery which involves an insertion of a tiny telescopic camera into the uterus through the cervix. This helps the doctors to get a clear picture of the uterus on a video monitor for a check for any kind of abnormality.
• In this surgery, a general anaesthesia is given to the patient and the hysteroscope is then inserted into the uterus using either a salt or sugar solution so as to obtain a visual of the uterus.
• Once the doctor gets a clear idea of the issue then various surgical instruments can be used to treat uterine fibroids and other symptoms relating to it.
• The following symptoms help the doctor decide on using hysteroscopic surgery as the best option:

1. Polyps removal
2. Uterus removal
3. Septum removal
4. Adhesions being removed from the uterus
5. The opening of blocked tubes using tubal catheterisation
6. The opening of the fallopian tubes
7. Removal of the intrauterine contraceptive device (also known as IUCD )
8. Treatment for heavy and irregular menstrual bleeding

When does a patient require Endometriosis surgery?

·         This happens when the tissue that lines the uterus starts to grow outside the uterus. This can often cause pain, discomfort and bleeding during period as they tend to get attached to the ovaries or any other organs. This can either be treated with medications or surgery if the problem persists.

·         Laparoscopic surgery for endometriosis in Delhi is considered to be one of the best and safest as there are various skilled doctors that have advanced knowledge as these doctors treat endometriosis that can cause infertility.

·         For this surgery, the stomach is first filled with either carbon dioxide or nitrous oxide gas after which a needle is injected pushing the abdominal wall away from the other organs. After this, a laparoscope is inserted through a small incision so as to examine the organs and remove any endometriosis cyst that is found growing near the ovary or on any other organ in the body.

To get any of the above surgery done, the skill and knowledge of the doctor operating on the patient is a critical part.