Fibroids are non-cancerous swellings arising from the womb. They occur in about one in four women of reproductive age group. Fibroids are classified depending on their location into Subserous (arising from the outer wall of the womb), Intramural (arising from the wall of the womb) and submucous (arising from the inner lining of the womb). Symptoms of fibroids are increased bleeding during periods, pain during periods, heaviness or lump in the belly and inability to conceive. Depending on the size and location of the fibroid; these symptoms can vary.
Fibroids are usually diagnosed by clinical examination and ultrasound examination. All fibroids need not be removed. Only those that are big interfere with pregnancy and cause heavy bleeding need removal. Medication may relieve symptoms of pain and heavy bleeding to some extent, but do not make the fibroids disappear.
The conventional surgical treatment for fibroid removal is called myomectomy. This is traditionally done by taking a large incision in the abdomen. But today, they can be removed through small keyhole incisions in the abdomen. This procedure called laparoscopic myomectomy or Robotic myomectomy helps in early recovery, decreases hospital stay, reduces pain and enables quick return to normal activities. Women more than 45 years of age and those who have completed their family can undergo removal of fibroids along with the uterus through laparoscopic or Robotic hysterectomy.
Robotic surgery is yet another milestone in minimal access procedure which has helped in making the fibroid removal or uterus removal more precise with less complications.
Don’t ignore menstrual problems; get examined, investigated and treated early! Opt for laparoscopic or Robotic removal!!
Dr. Meenakshi Sundaram
MD, DNB (Obstetrics& Gynecology)
Robotic training –Florida,USA
Diploma in Advanced laparoscopy (Beams, Mumbai)
Diploma in advanced endoscopy (Kiel, Germany)
Apollo hospitals, Greams road, Chennai
Apollo clinic, Alwarpet, Chennai