Guide to Laparoscopic Myomectomy – How It Is Done, Benefits, Risks and More
September 30, 2025
Uterine fibroids are among the most common non-cancerous tumors affecting women who are of reproductive age. These are benign in nature but can lead to various complications with fertility as well as other problems like bloating, pelvic pain and heavy menstrual bleeding. If you are a woman who wants to preserve the uterus while removing fibroids, you can go for myomectomy, which is often the preferred treatment option in such cases.
Among the various surgical options that are available, laparoscopic myomectomy has become very popular. Minimally invisible in nature, it lets patients recover faster as compared to what the case is with traditional open surgery. Find out how jopjok is carried out, what you can expect from this procedure, how you can benefit from it, what kind of risks are there and what recovery is like after surgery.
What Is Laparoscopic Myomectomy?
This is a minimally invisible surgical process where fibroids are removed from the uterus without removing the uterus itself. It stands in contrast to abdominal myomectomy, where a large incision is made in the abdomen. In case of laparoscopic myomectomy, small incisions are made and specialized surgical tools are used.
In this process, four small cuts are made in the abdomen, each of which range from 5 to 12 mm in size. Through one of these incisions, the surgeon introduces a laparoscope. The laparoscope, for the uninitiated, is a thin-sized tube consisting of a camera and light. With the help of this apparatus, surgeons can get a magnified view of the uterus on a video monitor. Additional instruments are inserted through the other incisions, to cut the fibroids out and remove them carefully. Based on the number and size of fibroids, the surgeon may remove them through the abdominal openings. In a few cases, the removal may be done through the vagina.
Robotic-assisted laparoscopic myomectomy is also conducted in some hospitals. In this process, a robotic system is used to precisely control the surgical instruments. Although the basic steps are alike, robotic technology allows finer movements to be done. For complex cases, it may be useful.
How Is Laparoscopic Myomectomy Performed?
This process starts under the effects of general anesthesia. This ensures that patients do not experience any pain while the surgery goes on. Surgeons sterilize the abdominal area before making small cuts to insert the laparoscope. In order to make space to see the inside easily and operate fast, they pump some amount of carbon dioxide gas into the abdomen of patients.
Then, surgeons locate the fibroids within the wall of the uterus. They use specialized tools to separate the fibroids from the surrounding tissues. Once they remove it, they stitch the uterine muscle to ensure effective healing and reduce any chance of scarring.
The whole process generally takes 3 to 4 hours, based on the size and number of fibroids. As the process is minimally invisible, most patients are able to get back to home on the same day. They do not need to stay in hospital overnight.
Benefits of Laparoscopic Myomectomy
Many women like to go for this process as they can recover faster and the recovery process is less painful than traditional surgery. As only small incisions are made, there is minimal injury to the abdominal wall. Patients experience less discomfort and can go back to normal activities faster. Generally, there is also less blood loss during laparoscopic processors. Naturally, patients are less likely to require a blood transfusion process.
Due to smaller incisions, there are less risks of wound complications or hernia. The risk of adhesions is also much lower than in case of open abdominal surgery.
There is more precision due to robotic-assisted laparoscopic myomectomy. This can be especially useful for the removal of multiple or large sized fibroids while keeping healthy uterine tissue intact. For women who plan to get pregnant in the future, this is an important consideration. They have to ensure that their uterus stays intact.
Risks and Considerations
As in case of any surgery, there are some risks involved with this process too. While rare, there can be some complications, like damage to surrounding organs, infection or excessive bleeding. There is also a long-term concern regarding pregnancy, given that surgeons have to make incisions in the uterine muscle. Due to uterine incisions, the uterine wall may get weakened. There can be an increased risk of rupture during labor or pregnancy.
Due to this reason, most women who undergo laparoscopic or robotic-assisted myomectomy are recommended to give birth to their child through Cesarean section rather than attempting vaginal birth.
There is also another big limitation in the sense that not all women are eligible for laparoscopic myomectomy. If the fibroids are deeply embedded in the wall of the uterus, numerous or extremely large in size, it may be a safer option to go for open abdominal surgery. The most appropriate procedure is usually recommended by a gynecologist after he or she reviews the imaging tests and checks the overall health status of the patient.
Recovery After Laparoscopic Myomectomy
One of the biggest advantages of this procedure is the faster recovery. Most women are able to go back to their home within a few hours after undergoing the surgery. In some cases, however, some women might need overnight hospital stay for observation.
During the first week after the procedure, it is common to suffer from fatigue, bloating or mild abdominal discomfort. Generally, women experience much less pain than in case of abdominal myomectomy. Usually, it can be managed with oral analgesics. Patients are encouraged to walk and move as slowly as possible, as it can promote healing and circulation.
While many women feel physically fit after a couple of weeks, it is normal for them to suffer from some amount of fatigue during the recovery stage. It is essential to follow the signals of the body and resume activities gradually, to avoid any complication. Follow-up visits with the gynecologist are also necessary, to ensure proper progress of healing and to ensure that no complications have developed.
Final Thoughts
Laparoscopic myomectomy has become one of the most popular and transformational operative procedures for many women, worldwide. Women can remove their fibroids safely with this process, and get back to health quickly.