Uterine fibroids (leiomyomas) are non-cancerous muscular tumors of the uterus affecting up to 40% of reproductive-aged women. When fibroids cause heavy menstrual bleeding, chronic pelvic pressure, or interfere with embryo implantation, Laparoscopic Myomectomy is the gold-standard fertility-preserving surgery performed by Dr. Manisha Kumari in Bhubaneswar.
1. How Fibroids Impact Conception and Pregnancy
Depending on their location, fibroids can alter the uterine architecture:
- Submucosal Fibroids: Bulge into the uterine cavity, hindering embryo implantation and increasing miscarriage risk.
- Intramural Fibroids (>4cm): Distort the uterine wall and compromise uterine blood perfusion.
- Cornual Fibroids: Can mechanically compress fallopian tubes, blocking sperm transport.
2. Advantages of the Keyhole (Laparoscopic) Approach
Compared to traditional open abdominal surgery, laparoscopic myomectomy provides distinct clinical benefits:
- Magnified HD Visualization: Pinpoint precision in separating fibroid capsules from healthy myometrium.
- Minimal Blood Loss: Bipolar electrosurgery and vasopressin hydrodissection prevent excessive hemorrhage.
- Multi-Layered Uterine Suturing: Restores muscular tensile integrity to support future full-term pregnancies.
- Virtually Invisible Scars: Tiny 5-10mm cosmetic incisions that heal rapidly.
