Laparoscopic myomectomy surgery in Delhi is a keyhole procedure used to remove uterine fibroids while leaving the uterus in place — making it a fertility-preserving option for women who want to have children in the future.

What is Laparoscopic Myomectomy Surgery?

Laparoscopic myomectomy is a minimally invasive surgery that removes uterine fibroids (myomas) through a few small abdominal incisions instead of one large cut. A thin camera, the laparoscope, gives the surgeon a magnified, real-time view inside the abdomen while specialised instruments are used to separate the fibroids from healthy uterine tissue and remove them.

Because the uterus itself is repaired and preserved rather than removed, this approach is commonly chosen by women who still want to conceive, as opposed to a hysterectomy, which removes the uterus entirely. Compared to traditional open (abdominal) myomectomy, it generally involves smaller scars, less blood loss, and a shorter hospital stay.

Who Needs Laparoscopic Myomectomy?

Your gynecologist may recommend this surgery if you're experiencing:

• Heavy or prolonged menstrual bleeding
• Persistent pelvic pain or pressure
• A noticeably enlarged or bulky uterus
• Frequent urination caused by a fibroid pressing on the bladder
• Difficulty conceiving, or recurrent pregnancy loss linked to fibroids

Is it right for every fibroid case? Not necessarily. Laparoscopic myomectomy tends to work best when there are a limited number of fibroids of moderate size. Larger, more numerous, or awkwardly placed fibroids are often better managed with robotic myomectomy, which offers the surgeon greater precision for complex cases, or with open surgery. The right approach depends on the size, number, and location of your fibroids on ultrasound or MRI — something your surgeon will confirm during your consultation rather than something a general guideline can determine on its own.

How is Laparoscopic Myomectomy Performed?

The procedure is done under general anaesthesia and typically follows these steps:

1. Pre-operative work-up – blood tests, imaging, and an anaesthesia assessment to confirm you're fit for surgery.
2. Small incisions – a few small cuts (usually under a centimetre each) are made in the abdomen for the laparoscope and surgical instruments.
3. Visualisation – the abdomen is gently inflated with gas so the surgeon can clearly see the uterus and fibroids on a monitor.
4. Fibroid removal (enucleation) – the fibroid is carefully separated from the surrounding uterine muscle.
5. Morcellation – larger fibroids are cut into smaller pieces inside a containment bag so they can be removed through the small incisions.
6. Uterine repair – the uterine wall is stitched in layers, which is the step that matters most for future pregnancy safety.
7. Closure and recovery – instruments are withdrawn, incisions are closed, and you're moved to recovery for monitoring.

The surgery usually takes between one and three hours, depending on the size and number of fibroids.

Laparoscopic vs. Open Myomectomy: How They Compare

Recovery After Laparoscopic Myomectomy

Most women go home within a day or two and resume light activity within a week. A general recovery timeline looks like this:

• First few days: Mild abdominal pain, bloating, and fatigue are common and usually managed with prescribed pain relief.
• First 1–2 weeks: Short, gradually increasing walks help blood circulation and reduce the risk of clots.
• 2–4 weeks: Most patients return to normal daily activities; heavy lifting, strenuous exercise, and intercourse are usually avoided until your surgeon clears you.
• Around 3 months: Many surgeons advise waiting roughly this long before trying to conceive, to give the uterine repair time to heal fully — though your own surgeon will confirm the timeline that's appropriate for your case.

If fertility was the main reason for surgery and conception doesn't happen naturally within a reasonable time afterward, it's worth discussing further options with a fertility specialist, including IVF and infertility treatment.

What are the Risks of Laparoscopic Myomectomy?

As with any surgery, laparoscopic myomectomy carries some risks, which your surgeon will go through in detail based on your case:

• Bleeding during or after surgery
• Infection at the incision site
• Scar tissue (adhesions) forming inside the abdomen
• A small chance of needing to convert to open surgery if complications arise
• Fibroids returning over time, since new fibroids can develop even after existing ones are removed

These risks are uncommon when the procedure is performed by an experienced laparoscopic surgeon, but they're never reduced to zero — which is why pre-surgery imaging and a thorough discussion with your surgeon matter.

Why Choose Femmenest for Laparoscopic Myomectomy in Delhi?

Femmenest's laparoscopic myomectomy removal surgeon in Delhi, Dr. Sowjanya Aggarwal, brings over 20 years of experience in laparoscopic and robotic gynaecology, with fellowship training in Minimal Access Gynae Surgery and Reproductive Medicine. She is a member of the Indian Society for Assisted Reproduction (ISAR) and the Indian Association of Gynaecological Endoscopists (IAGE), and practises out of Max Super Speciality Hospital, Vaishali, and Pushpanjali Medical Centre.

What this means for patients considering surgery:

• A fertility-first approach to fibroid removal, not just symptom relief
• Transparent, itemised cost estimates before you commit to surgery
• Access to laparoscopic, robotic, and hysteroscopic options under one roof, so the technique is chosen to suit your fibroids — not the other way around
• Continuity of care from diagnosis through recovery and, if needed, fertility planning afterward

To learn more about the team behind these treatments, visit our team page or read more about Femmenest.

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