With over 25,000 gynaecology specialists, India has one of the largest pools of expertise in gynaecology and obstetrics in the world. These experienced surgeons perform a wide variety of gynaecology and obstetric procedures, including treatment for the removal of fibroids in India.

Information regarding a few gynaecology procedures and fibroid treatment in India have been provided for your convenience in four different segments:

(This is a partial list. Please Enquire for the procedure you need and we will respond )

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Non-Invasive treatment for fibroid / Robotic surgery:

Fibroid Treatment through High Intensity Focused Ultrasound ( HIFU) in India

What is Fibroid Treatment through High Intensity Focused Ultrasound ( HIFU)?

High Intensity Focused Ultrasound ( HIFU) is the latest innovation in the non-invasive treatment of fibroids, enabling you to preserve fertility and have children. High Intensity Focused Ultrasound ( HIFU) combines the technologies of radiation-free MRI and ultrasound to treat the symptoms of uterine fibroids without any incisions or cuts whatsoever to the body.







How exactly is fibroid treatment done through High Intensity Focused Ultrasound ( HIFU) in India

3D MRI images are used to identify the exact location and size of the fibroid. Ultrasound energy is then delivered to the exact site of the fibroid without affecting tissue through which it passes as well as the surrounding tissue. The focused ultrasound beam generates heat of up to 65°C within the fibroid, thus destroying the fibroid cells. These destroyed cells are removed by the body naturally over a period of time, leading to a reduction in the size of the fibroid and consequent relief from the painful symptoms of fibroid.

The ultrasound energy is delivered in bursts of 15 seconds each. Each such burst of energy is called a Pulse or Sonication. Approximately 50 such Pulses are delivered over a period of 3 hours. During the entire process, the radiologist is able to monitor the progress of the treatment as well as the heat being generated at the fibroid site on a real-time basis using Magnetic Resonance Guidance (MRg). Using thermal mapping, the treatment temperature is kept in a band, such that your safety is ensured while the fibroid is being ablated. Motion sensors are also used so that the ultrasound beam is adjusted or stopped if you move on the scanning table.

You will receive a mild sedative before the procedure to keep you comfortable, but will at all times be completely conscious. You may feel slight warmth near the fibroid site during the procedure. You may also experience a slight pain or fever for up to 72 hours after the procedure, especially if a large volume of fibroid has been ablated.

Availability of Fibroid Treatment through High Intensity Focused Ultrasound ( HIFU) in India HIFU requires a huge investment on the special MRg and ultrasound equipment and is therefore available only at a few select hospitals in Asia, many of which are located in India. Please contact us for more details about High Intensity Focused Ultrasound ( HIFU) in India

Are there any situations in which this procedure is not advisable?

High Intensity Focused Ultrasound ( HIFU) is not advised in those cases where the fibroid is located very close to bowel loops, spine nerves,etc. It may also not be advisable for a few patients who have scar tissue or adhesions from earlier surgery.

Is Fibroid Treatment through High Intensity Focused Ultrasound ( HIFU) in India appropriate for fibroids of all sizes?

High Intensity Focused Ultrasound ( HIFU) can be used to treat fibroids larger than 3 cm in size. Treatment can generally be completed in one day in the case of small fibroids. In the case of large fibroids the treatment may extend to two days.

What steps do I need to take in order to have Fibroid Treatment through High Intensity Focused Ultrasound ( HIFU) in India:

We will need a medical summary from your gynaecologist giving us the details of your condition, MRI images and reports and ultrasound images and reports. We will also need routine blood test reports. Upon receipt of this information we will be able to advise you whether you are a candidate for HIFU treatment for fibroids in India.

As a foreign patient coming specifically for this purpose, how much time do I need to take off for having HIFU treatment for fibroids in India?

For most patients, the following schedule will hold good:

Are any follow up investigations required to be done after HIFU procedure in India?

It is recommended that an MRI be done one month, 3 months and 6 months after the procedure to monitor response.

Robotic Myomectomy ( Robotic Surgery for Fibroid Removal) in India using da Vinci Surgical Robot

Our associate hospitals in India are amongst the very few in Asia which offer Robotic Surgeries (Robotic Myomectomy) for the removal of fibroids. During robotic surgery in India, the surgeon sits at the console at which she can view magnified 3-D images of the uterus of the patient. The surgeon has foot and joystick-like hand controls which she uses to ' perform' the surgery. The hand and wrist movements of the surgeon are picked up by the robot and replicated without error but on a smaller scale. The robot eliminates tremor effects from the surgeon's hands and allows minute movements during delicate phases of the surgery. The high resolution camera clearly displays the presence of small blood vessels which can be spared. Greater reach and dexterity is made possible because of the 360 degree turning flexibility of the wrist of the da Vinci Robot. The use of the da Vinci Robot allows high precision in incisions, cauterising, resection (removal of fibroid tissue) and suturing. The efficiency of the robotic arm also enables surgery with minimal blood loss.

It needs to be clearly appreciated that even in the case of robotic myomectomy, it is the surgeon who is performing the surgery using the da Vinci robot as a state-of-the-art surgical tool.

Uterine Artery Embolization in India

Uterine Artery Embolization is a relatively new method for the treatment of fibroids. Uterine Artery Embolization is commonly performed at leading hospitals in India. A catheter (a thin tube) is inserted through an artery in the groin region and threaded close to the site of the fibroid. The arteries supplying blood to the fibroid are identified. Synthetic substances are then used to block the flow of blood from the artery to the fibroid. The fibroid is starved of blood and progressively shrinks in size, leading to elimination/reduction of the symptoms caused by the fibroid.

Uterine Artery Embolization in India is conducted as an overnight stay procedure.

Endometrial ablatio nin India

This is a minimally invasive procedure during which a hysteroscope is inserted into the uterus through the cervix. The inner layer of the uterus, called the endometrial layer, is destroyed using a laser, heat energy or electrical energy. The destruction of the endometrial layer is intended to treat abnormal bleeding in women who do not intend to become pregnant and do not have any other conditions requiring the

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Laparoscopic Surgery / Open Surgery

Myomectomy (Treatment / Surgery for Removal of Fibroids) in India

Fibroids are non-cancerous tumours. They are slow progressing growths of the muscle and connective tissue of the uterus. Fibroids can occur inside the uterine cavity, within the wall of the uterus or on the outside of the uterus. Fibroids are far more frequently observed in women of African origin.

Myomectomy is the surgical procedure for the removal of fibroids from the uterus, without removing the uterus. For many women seeking pregnancy, a myomectomy can improve the probability of having children.

Surgery for the removal of fibroids in India is commonly done using several methods, depending on the number and size of the fibroids and their location.

Hysteroscopy for fibroids removal in India

Fibroids on the inner wall of the uterus can be removed using hysteroscopy, provided that the fibroids are not deep rooted. A surgical hysteroscope, along with a viewing instrument, is introduced through the vagina into the uterus. The fibroids are removed through the vagina, leaving no external scars whatsoever. This procedure can even be done on outpatient basis with no hospital stay.

Laparoscopy Myomectomy ( Fibroids Removal Surgery) in India

Laparoscopy is a good option for removing fibroids that are growing outside of the uterus and if the number of fibroids is 5 or less. Also, ideally, the fibroids should not exceed approximately 8 cm (3 inches) in size, although larger fibroids can also be removed laparascopically.

Laparoscopic myomectomy requires a few tiny incisions in the abdomen and the use of a laparoscope to remove fibroids. A camera is introduced through one incision, while miniature surgical instruments are introduced through the others. The cutting away of the fibroids and the evacuation of the mass is performed through these small incisions. In the case of relatively large fibroids an electric morcellator may be used to cut the fibroid tissue into long strips.

Laparoscopy for fibroid removal is successful only in the hands of experienced laparoscopic surgeons who can:

Hospital stay of one or two days will be required after laparoscopic surgery for fibroid removal in India. Patients normally make a full recovery within a week or two of surgery.

Advantages of laparoscopy for fibroid removal in India
Disadvantages of laparoscopy for fibroid removal

Abdominal Myomectomy / Open Fibroid Surgery / Laparotomy in India

Traditional, open surgery - also known as abdominal myomectomy - is recommended in those cases where:

Advantages of open surgery for fibroid removal in India
Disadvantages of open surgery for fibroid removal

Hysterectomy in India

This is a procedure involving the removal of the uterus. Hysterectomy is categorised as follows:

Depending on the medical situation, the Fallopian tubes and ovaries may also need to be removed at the time of hysterectomy. The removal of the ovaries can relieve the pain of endometriosis.

Hysterectomy can be done using different medical/surgical approaches. Please contact us for more details about:

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Investigation - cum - Minor Treatment Procedures

Dilation and Curettage (D&C)

The lining of the uterus is scraped using a metallic device called a curette and tissue is checked for any cell abnormalities. This procedure helps to identify the cause of excessive or abnormal uterine bleeding. It is also done as a follow-up investigative procedure if cancer is detected following a biopsy or if abnormal cells are found on the pap smears of post menopausal women. Small tumours and any material left behind after an incomplete miscarriage or abortion can also be removed using this procedure

Cervical Conization / Cone Biopsy Procedure in India

This procedure is used to extract tissue for biopsy purposes, if a cervical biopsy or colposcopy have not yielded the desired results. In this procedure, a cone shaped mass of tissue is removed from the cervix. This procedure can also be a curative procedure if diseased tissue is removed completely.

Hysteroscopy in India

As a diagnostic procedure, hysteroscopy uses a fibre-optic endoscope (a thin tube with a camera) to obtain magnified images of the uterus. If abnormalities are observed, a surgical hysteroscope can be immediately introduced to complete a surgical procedure. Treatments during the hysteroscopy can include:

Selective Salpingography in India

Is used to identify and treat obstructions / diseases in the fallopian tube. Using a fine catheter, a dye is injected into the fallopian tube. X-rays are used to visualise the passage of the dye through the fallopian tubes. Blockages if any can be removed using wire guide canalisation or by performing a balloon tuboplasty.

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Investigation Procedures

Colposcopy in India

Is performed if the gynaecologist observes any abnormality during an examination of the cervix or if a Pap test shows an abnormality. A microscope is used to examine the cervix using magnified images. The gynaecologist can also conduct special tests, use colour filters and also perform a biopsy of the cervix during colposcopy.

Cervical Biopsy in India

Is performed if a Pap test or colposcopy indicate the presence of a abnormal cervical tissue.

Endocervical Curettage (ECC) in India

Is sometimes performed along with a cervical biopsy procedure as a precaution against incomplete biopsy. As a matter of abundant safety, a Sample of the tissue is taken just past the opening of the cervix.

Endometrial or Uterine Biopsy in India

is useful for the diagnosis of uterine polyps, uterine fibroids, uterine cancer and adenomyosis. Sample of the endometrium lining of the uterus is extracted for analysis.

Hysterosalpingography in India

Irregularities of the uterine wall and blockages of the fallopian tube can be detected during this x-ray procedure which involves the injection of dye into the uterus

Magnetic Resonance Imaging (MRI)

is used as an advanced imaging procedure to identify the location of uterine fibroids and also to distinguish between fibroids and adenomyosis.

Fluid-Contrast Ultrasound (FCUS)

This is a variant of the standard Ultrasound procedure. This technique helps to evaluate the thickness of the lining in the uterus, the texture of the surface, etc. It also indicates the presence of fibroids and polyps.

Vaginal Culture in India

Cervical mucus is extracted and analysed to identify the cause of an infection

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