Hysteroscopic Myomectomy (Submucosal): A Comprehensive Guide to Surgical Options in East India
Hysteroscopic Myomectomy (Submucosal) is a minimally invasive surgical procedure used to remove submucosal fibroids that protrude into the uterine cavity. This procedure is particularly beneficial for women experiencing symptoms such as heavy menstrual bleeding, prolonged periods, and infertility. In East India, several leading hospitals offer this advanced surgical intervention with high success rates and modern medical facilities.
This article provides a detailed overview of hysteroscopic myomectomy, including hospital locations, eligibility criteria, surgical procedures, and post-operative care in major cities of East India. The procedure involves inserting a hysteroscope through the cervix into the uterine cavity to visualize and remove fibroids that are located beneath the uterine lining. Unlike traditional open surgery, hysteroscopic myomectomy offers faster recovery times, reduced pain, and minimal scarring.
Leading Hospitals in East India
In East India’s healthcare landscape, hospitals such as Apollo Hospitals in Kolkata, Fortis Healthcare in Kolkata and Chennai, and Narayana Health in Hyderabad have established themselves as pioneers in providing advanced gynecological surgeries. These institutions feature state-of-the-art surgical equipment, experienced surgical teams, and comprehensive patient care protocols.
Kolkata Hospitals:
- Apollo Hospitals – 137 B.C. Ganguly Road, Kolkata, West Bengal
- Fortis Healthcare – 51, Halt Road, Kolkata, West Bengal
Chennai Hospitals:
- Fortis Healthcare – 165, First Avenue, Teynampet, Chennai, Tamil Nadu
- Manipal Hospitals – 295, Rajaji Salai, Chennai, Tamil Nadu
Hyderabad Hospitals:
- Narayana Health – 10, Taramani Road, Chennai, Tamil Nadu
- Apollo Hospitals – 63/2, Bajaj Nagar, Hyderabad, Telangana
Eligibility Criteria and Patient Selection
The procedure is particularly suitable for women who have submucosal fibroids measuring between 1-5 cm in size, with the fibroid’s base width not exceeding 2 cm. Patients typically undergo a comprehensive evaluation including ultrasound, hysterosalpingography, and hysteroscopy to determine eligibility.
Factors such as age, reproductive history, and overall health status play crucial roles in determining surgical candidacy. The surgical team carefully assesses each patient’s medical history, menstrual patterns, and fertility goals to make appropriate recommendations.
Pre-Surgical Evaluation Process
The surgical process begins with patient counseling and medical evaluation. Patients receive detailed information about the procedure, potential risks, and expected outcomes. The comprehensive assessment includes:
- Medical history review
- Physical examination
- Ultrasound imaging
- Hysterosalpingography
- Hysteroscopy procedures
- Blood tests and other diagnostic studies
Surgical Procedure Overview
The hysteroscopic myomectomy procedure itself begins with patient positioning on an operating table with a speculum inserted to visualize the cervix. A hysteroscope is carefully introduced into the uterine cavity under direct visualization. The surgical team utilizes specialized instruments to dissect and remove fibroid tissue while preserving normal uterine structure.
Advanced techniques such as electrosurgical cutting, morcellation, and precise tissue removal ensure optimal surgical outcomes. The procedure is typically performed under general anesthesia with proper monitoring of vital signs throughout the intervention.
Recovery and Post-Operative Care
Recovery is generally rapid, with most patients able to resume normal activities within 2-3 weeks post-surgery. The procedure offers significant advantages over traditional open surgeries, including reduced hospital stays, minimal pain, and faster return to work.
Post-operative care involves pain management, monitoring for complications, and gradual return to normal activities. Follow-up appointments ensure proper healing and assess surgical outcomes. Patient satisfaction rates remain consistently high due to the minimally invasive nature of the intervention and excellent clinical outcomes.
Success Rates and Clinical Outcomes
Success rates for hysteroscopic myomectomy in East India exceed 90%, with minimal complications reported in well-performed procedures. Complications such as uterine perforation, excessive bleeding, and infection occur at rates less than 5% when performed by experienced surgeons.
Cost Considerations and Insurance Coverage
The cost of hysteroscopic myomectomy varies across hospitals, ranging from approximately INR 1.5 lakhs to 3 lakhs depending on the complexity and hospital facilities. Insurance coverage for this procedure is increasingly common, with many health insurance providers recognizing the surgical intervention as a covered treatment option.
Financial assistance programs and payment plans are often available to make advanced surgical care accessible to a broader patient population. Many hospitals offer flexible financing options and direct cashless treatment facilities for patients requiring this surgical intervention.
Decision-Making Factors
For patients considering hysteroscopic myomectomy in East India, the decision involves evaluating hospital facilities, surgical expertise, cost considerations, and accessibility. Recommendations include consulting with experienced gynecologists who can assess individual cases and determine optimal treatment approaches.
Advanced imaging technologies, including 3D ultrasound and hysterosalpingography, play crucial roles in pre-surgical planning. The success of the procedure depends on accurate diagnosis, proper patient selection, and skilled surgical execution by experienced medical professionals.
Long-term Outcomes and Patient Satisfaction
Recovery expectations vary based on fibroid size and patient characteristics, with most patients experiencing significant improvement in menstrual patterns and fertility outcomes. Hospital protocols include comprehensive pre-operative care, sterile surgical procedures, and detailed post-operative monitoring to ensure optimal patient outcomes.
East India’s leading healthcare institutions continue to invest in advanced surgical technologies and training programs to maintain high standards of gynecological care for patients requiring hysteroscopic myomectomy procedures. The integration of modern medical technologies, experienced surgical teams, and patient-centric care approaches ensure excellent clinical outcomes for women seeking treatment for submucosal fibroids.