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Fibroid Treatment in Delhi at SCI International Hospital

Fibroid is a tumour of the uterus which is very common in females aged between 30 to 40 years. Approximately 20 to 30 % Females have fibroids. When a fibroid is diagnosed the patient wants to know if it is cured by medicines or by surgery only and the associated risk.

Fibroids are the tumours of the muscle wall of the uterus and can vary from a pea size to the size of a football. They can be in different locations; Intramural, submucous and subserosal.

There are three points that we note before treating a fibroid:

1.Size of the fibroid:- If the size of fibroid is less than 4cm and the patient is asymptomatic then we only monitor the fibroid and the patient doesnot require any medical or surgical treatment.

  1. If the size of fibroid is more than 4cm and its location is submucosal i.e, towards the lining of the uterus or if the patient is having symptoms like heavy menstrual periods or pressure symptoms like increased frequency of urine or motions or period continue for many days.

In that case treatment is required.

  1. The age of the patient and if she wants to become pregnant.

If her age is more than 40 to 50 years then instead of removing fibroids we advise to remove the uterus.

If the patient wants to preserve her fertility then we can save the uterus and only remove the fibroids which is called Myomectomy.

We have an option of medical treatment which is good for some patients.

If your doctors feels that the medical management is not the right option then there are options of hysteroscopy and laparoscopy to remove then fibroids.

In hysteroscopy we remove the fibroids which are located in the lining of the uterus through resection. Through this technique there is no incision on the body of the uterus as it is done through the vagina and the patient can be discharged the same day. If the fibroid is in the wall or outside the wall of the uterus then through laparoscopic myomectomy we remove the fibroids.

This surgery should be done by an expert surgeon and the results are every good. After this surgery the patient can try for conception after 3-4 months of the surgery.

The last option in cases of patients who have very large and multiple fibroids have completed child bearing and their age is 40 to 50 years or more we advise them to remove their uterus , that is called hysterectomy.

It can be done through Laparoscopy which is almost a one day procedure and there is a very small incision on the abdomen and the patients can get back to the routine work in seven days.

We at SCI can help you and evaluate which treatment modality is best for you.

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Total Laparoscopic Hysterectomy Delhi

What is Laparoscopic Hysterectomy  Delhi?

Laparoscopic Hysterectomy Delhi is the process of removing the uterus from the body with the help of surgical procedures. There could be a number of reasons why hysterectomy is performed or even suggested to patients. Few of these reasons include irregular or heavy menstrual bleeding, chronic uterine pain, fibroids, pre-cancerous symptoms, prolapse, pelvic inflammatory disease, endometriosis, and cancer.

Laparoscopic Hysterectomy Delhi

It is an essential procedure aimed at mitigating the pain and providing relief to the patients suffering from one or many of the factors that could lead to excessive pain and discomfort.

Hysterectomy has been statistically shown to be one of the most commonly performed procedures across the world. Hysterectomies in the vagina have been a common practice for almost two centuries now.

In the recent years, numerous gynaecologists have performed a significant portion of the hysterectomy procedure with the help of laparoscopes. The surgeries are naturally termed as laparoscopy-assisted vaginal hysterectomy. It is very similar to the total vaginal hysterectomy and has decreased healing duration and post-operative pain when compared to other types of surgical options available.

When is a Laparoscopic Hysterectomy  Delhi performed?


A patient has prescribed a hysterectomy procedure when she has one or several of the following problems:

  • Large uterine fibroids which cause extreme discomfort and degrade the quality of life for the
  • Severe pain that is related to menopause which only subsides when medications are provided
  • Chronic pelvic pain
  • Endometriosis
  • Blockages in the intestine or bladder which result in discomfort during
  • Cancer or the uterus and the ovaries.

Different types of Laparoscopic Hysterectomy Delhi

There are different ways to achieve hysterectomy and often-times the doctor decides the type of procedure based on the level of complexity and severity of the case in question. The most common types of hysterectomy are as follows:

Laparoscopic Hysterectomy Delhi

Supracervical  Laparoscopic Hysterectomy Delhi

This procedure is focused on the removal of the portion of the uterus that lies in the region above the cervix. The fallopian tubes of the patient are generally removed during this type of surgery since they have been observed to be the primordial source of epithelial cancer of the ovaries. The procedure generally involves removing the ovaries but depending on a case by case basis, some patients are provided with the option to keep them. The Pelvic supports of the patient are left unharmed during the procedure and since there is no incision in the vaginal regions, the possibility of a vaginal bacterial infection is minimal.

This procedure is also recommended because of its outpatient approach that offers a quicker recovery time and reduced post-operative pain. The surgery can generally b completed within a span of 90 minutes although this can increase based on the complexity and severity of the case.

Total Abdominal Hysterectomy

Total abdominal hysterectomy is an open surgical procedure, it is one of the most common approaches to hysterectomy. The procedure accounts for around 63% of all the divergent types of a procedure carried out for hysterectomy. The surgeon performs this surgery by making a 6 to 8-inch incision across the belly region. Depending on the type of case, this incision can either be top to bottom or side to side. The surgeon removes the uterus of the patient with the help of this incision.

This procedure generally leaves a visible scar at the region of operation. The post-operative pain is also considerably higher in this mode of surgery when compared to the Laparoscopic procedures. It usually takes around 3 days for the patient to be dispatched from the hospital.

MIP Hysterectomy

This type of hysterectomy can be performed with multiple methods, some of them are listed below:

  • Vaginal Laparoscopic Hysterectomy Delhi:

During this procedure, an incision is made in the vagina and the uterus is removed through this incision. Once the uterus is successfully removed, the incision is closed, leaving no apparently visible scars.

  • Laparoscopic-assisted Vaginal Hysterectomy:

This type of surgery is performed using a Laparoscope. A laparoscope is a long thin tube with a light-assisted camera at its tip. This helps the surgeon get a visual of the site of operation. Several small incisions are made in the patient’s body to insert laparoscopic surgical tools. These tools are used to perform the surgery with the patient’s body and remove the uterus. The surgeon utilizes the visual feedback returned by the light-assisted camera with the help of a monitor. This monitor is used to perform the surgery using the Laparoscopic tools. The Laparoscopic incisions are generally made around the belly region of the patient for this type of surgery.

  • Laparoscopic Hysterectomy Delhi:

This type of surgery is performed in the vaginal region with the assistance of Laparoscopic tools that help the surgeon perform the surgery with relatively minimal invasion. It should also be noted that the recovery duration and the pain post operation is comparatively less for this type of procedure.

  • Robot-assisted Laparoscopic Hysterectomy Delhi :

This surgery is quite similar to the Laparoscopic Hysterectomy  Delhi with the only difference being the sophisticated instruments utilised in this procedure. The surgeon has access to a range of robotic tools which can perform the surgery with pinpoint precision and without the fear of damaging nearby organs. Advancement in technologies has provided the surgeons with the ability to use natural wrist movements as inputs to these complicated robotic systems which are then replicated by the robot to perform the surgery through the tiny incisions.

Radical Hysterectomy

This surgery removes the cervix, the uterus, the upper regions of the vagina and the supporting tissues. This is generally not advised to patients unless it is the only option. In certain cases of cancer, a Radical Hysterectomy is essential to ensure the week being of the patient.  often cases, the fallopian tubes and the ovaries of the patient are also removed in this surgery.

Total Laparoscopic Hysterectomy

This surgical procedure is comparatively less invasive than most of the other procedures in the list. It provides the women suffering from gynecological cancers and severe pain a chance to live a normal life.

Total Laparoscopic Hysterectomy  Delhiutilizes the advancements in the field of Laparoscopy to offer a surgical procedure that is quick, easier, efficient and less painful than the rest of the procedures available. During this procedure, the surgeon inserts a long, slender, fiber-optic cable into the abdomen of the patient. This tube is equipped with a miniature camera which that helps the doctor see inside the abdomen and analyse the uterus, fallopian tubes, and the ovaries without making bigger incisions that would ultimately result in added pain during the recovery period.

Several incisions are made in the abdomen to insert the surgical tools to aid the surgeons. These incisions are very tiny and are around half an inch in length, this is comparatively smaller than the five or six-inch incisions that are performed during open surgeries. Hence this type of Laparoscopic minimally invasive surgeries. The surgery is performed with the help of a video screen that is used to help the surgeon understand the situation inside the patient’s body and perform the surgery appropriately.

The surgeon removes the uterus from the incisions and in cases where the size of the incision is not sufficient, the existing incision is enlarged to proportions that are adequate to squeeze the uterus through it. The biggest advantages of this type of procedure include the duration of surgery which is under 2 hours and the low postoperative pain involved. The patient also experiences minimal scarring and generally recovers way faster than she would during a convention open hysterectomy procedure.

Benefits of Total Laparoscopic Hysterectomy Delhi

To convey the advantages of Total Laparoscopic Hysterectomy in a better way, we have formulated a list that will help you understand why it is better than the conventional approaches:

  • Less Surgical Complications

The Total Laparoscopic Hysterectomy also helps the patient enjoy the benefits of reduced complications as there is very minimal blood loss which in turn leads to a minimal chance of infection and decreased adhesion formation post the surgery.

  • Short duration of Stay in the Hospital

The duration of stay is one of the most important factors a patient considers while undergoing an operation since they mostly want to get back home and to their normal lives as quickly as they can once the operation is over. TLH comes as a relief to those who want a quicker and shorter stay at the hospital as the duration of stay is minimal.

  • Quick Recovery time

Patients of TLH often report quicker recovery times when compared to the conventional surgical methods mainly due to the use of the laparoscopic procedure that ensures that there is minimal incision points, thereby leading to an accelerated healing time.

  • Prevents uterine cancer in future

TLH is also effective in preventing the possibility of a uterine cancer in the future which is a considerably huge benefit especially if the patient has a hereditary line of ancestors affected with uterine cancers.

Since the incision is minimal, the surgery also involves relatively minimal scarring. This method of operation also has a great track record of being very successful.