Fibroid Surgery in Delhi: Laparoscopic Myomectomy vs Open Surgery

Uterine fibroids — benign muscular growths in the wall of the uterus — affect 20-40% of women of reproductive age. While many fibroids are small and asymptomatic, larger or symptomatic fibroids can cause heavy menstrual bleeding, pelvic pain or pressure, urinary frequency, and in some cases infertility or recurrent miscarriage. When fibroids require surgical removal (myomectomy) or when the entire uterus must be removed (hysterectomy), patients in Delhi today have two main surgical approaches: laparoscopic minimal invasive surgery and traditional open surgery. The choice has significant implications. Laparoscopic surgery involves 3-4 small incisions of 5-10mm each, through which a camera and specialised instruments are introduced. The fibroid is removed via these small ports. Advantages include: minimal scarring (incisions barely visible after healing), significantly reduced post-operative pain, shorter hospital stay (typically 1-2 nights vs 4-5 nights for open surgery), faster return to normal activity (1-2 weeks for desk work, 4-6 weeks for heavy activity), lower risk of post-operative infection, and lower risk of adhesion formation (which can affect future fertility). Open surgery, in contrast, requires a larger horizontal or vertical abdominal incision (typically 10-15cm). While still standard practice in many settings, recovery is longer and more painful, scarring is more visible, hospital stay is longer, and the risk of adhesions is significantly higher — which matters particularly for women planning future pregnancies. Dr Sadhna's preference for fibroid surgery is laparoscopic wherever feasible. Her Fellowship in Minimal Invasive Surgery from BEAMS Mumbai equips her with the expertise to handle complex laparoscopic cases — multiple fibroids, large fibroids up to 10cm, and deeply embedded fibroids. The decision is made based on fibroid size, number, location, the patient's surgical history, and future fertility plans. Open surgery is recommended only for specific situations: very large fibroids (typically over 12cm), extensive previous abdominal surgeries with significant adhesion risk, or specific clinical considerations where laparoscopic access is unsafe. All her laparoscopic procedures are conducted at Cloudnine Hospital, Punjabi Bagh, with advanced operating theatres and trained anaesthesia teams. If you have been advised hysterectomy for fibroids in Delhi, particularly if you wish to preserve your uterus for future pregnancy, it is worth seeking a second opinion. In many cases, laparoscopic myomectomy can remove fibroids while preserving the uterus and your fertility.