Myomectomy (Uterine Fibroid Removal)

Having performed laparoscopic surgery for over 20 years, Mr. Trehan is one of the most experienced laparoscopic surgeons in the country. He is a specialist in the treatment of fibroids and undertakes almost all fibroid removal surgery by laparoscopic (keyhole) surgery with just an overnight stay in the hospital. Mr. Trehan’s complication rates are amongst the lowest reported in the medical literature, and patients frequently travel from across the world for fibroid treatment by Mr. Trehan.

  • Whilst a hysterectomy (removal of the uterus) is often used in order to treat fibroids, this is not an option for patients wishing to maintain their fertility and organs, and hence a myomectomy is performed.
  • During a myomectomy, the uterine fibroids are physically cut away from the normal uterine tissue and removed from the body, and the sites of the uterus from which fibroids were removed repaired. The uterus remains in tact and pregnancy can occur.
  • Myomectomies can be undertaken either via a laparotomy (open surgery) or laparoscopically (keyhole). Laparoscopic (keyhole) myomectomies are only performed by a handful of specialists in the country.
  • Mr. Trehan performs almost all benign gynaecological procedures, including myomectomies via laparoscopic (keyhole) surgery as it is associated with less post-operative pain and complications, a quicker recovery and a far superior cosmetic appearance when compared to laparotomy (open surgery).
  • An alternative method of treating fibroids is via Uterine Artery Embolisation (UAE), whereby the artery supplying blood to the fibroid is blocked, thereby causing death of the fibroid. However Uterine Artery Embolisation (UAE) is associated with a high risk of requiring re-operation (including hysterectomy) at a later date, an increased risk of permanent damage to to the ovaries, an increased risk of uterine infection and very high risk of a infertility and miscarriage.
  • Therefore, Uterine Artery Embolisation (UAE) should not be performed unless the patient is unfit for surgery.
  • Laparoscopic myomectomies by an experienced, skilled consultant gynaecologist with low complication rates remain the treatment of choice for fibroid removal.

Twelve photographs taken by Mr. Trehan during a laparoscopic myomectomy of three intramural fibroids within the same patient are shown below:

  • Fibroid Myomectomy 1
  • Fibroid Myomectomy 2
  • Fibroid Myomectomy 3
  • Fibroid Myomectomy 4
  • Fibroid Myomectomy 5
  • Fibroid Myomectomy 6
  • Fibroid Myomectomy 7
  • Fibroid Myomectomy 8
  • Fibroid Myomectomy 9
  • Fibroid Myomectomy 10
  • Fibroid Myomectomy 11
  • Fibroid Myomectomy 12

Additionally, a video taken by Mr. Trehan during a laparoscopic myomectomy of a large calcified subserosal fibroid is shown below. This video was presented by Mr. Trehan at a variety of international conferences:

• British Society for Gynaecological Endoscopy Annual Scientific Meeting, London, 7-8 May 2009
• 18th Annual Congress of the European Society for Gynaecological Endoscopy, Florence, October 2009
• International Obstetrics and Gynaecology conference, Abu Dhabi, 7-9 December 2009

Mr. Trehan’s patients can be confident that their operation will be completed by laparoscopic (keyhole) means as Mr. Trehan’s conversion to laparotomy rate is amongst the lowest in the medical literature, as are his major complication rates, reoperation rates and readmission rates. Further, over 90% of Mr Trehan’s patients are able to leave the hospital after just an overnight stay in hospital.

For information on making an appointment with Mr. Trehan, please click here.