Complex Fibroid Surgeries
Complex fibroid surgeries cater to surgeries for complex cases like multiple large fibroids, recurrent fibroids, cervical fibroids and broad ligament fibroids. Dr. Madhuri Vidyashankar P evaluates fibroid size, number, position, symptoms, fertility plans and previous surgery history before advising the safest surgical route.
When fibroid surgery becomes complex
Fibroid surgery may be complex when fibroids are multiple, large, recurrent, close to the cervix, located in the broad ligament, distorting the uterine cavity or associated with previous pelvic surgery.
Multiple large and recurrent fibroids
Multiple large fibroids and recurrent fibroids need careful mapping through ultrasound or MRI. Planning considers bleeding risk, uterine repair, fertility goals, recurrence risk and whether uterus preservation is appropriate.
Cervical and broad ligament fibroids
Cervical and broad ligament fibroids can lie close to important blood vessels, ureter and pelvic structures. Surgical planning therefore focuses on anatomy, safety and choosing the right minimally invasive or open approach.
Recovery and follow-up
Follow-up includes wound review, biopsy report discussion, bleeding control, anemia correction, activity guidance and pregnancy-related advice when the uterus has been preserved.
Pre-operative fibroid mapping
Complex fibroid surgery needs a clear understanding of fibroid number, size, depth and relation to the uterine cavity, cervix, tubes and pelvic sidewall. Ultrasound or MRI helps plan the route of surgery, expected blood loss, uterine repair and whether hysteroscopic, laparoscopic or open surgery is safer.
Uterus-preserving surgery
For women who want future pregnancy or want to preserve the uterus, myomectomy may be considered if clinically suitable. Dr. Madhuri explains recurrence risk, scar healing, pregnancy timing, need for caesarean delivery in some cases and the possibility that hysterectomy may be safer in selected situations.
Risk reduction during complex surgery
Large, cervical and broad ligament fibroids can be close to major vessels, bladder and ureter. Careful surgical planning focuses on safe dissection, bleeding control, protection of surrounding structures and appropriate counselling before the procedure.
Why choose Eva Gyne Nephro Centre
Eva Gyne Nephro Centre provides structured fibroid evaluation in Bengaluru with advanced laparoscopic and hysteroscopic expertise for complex Gynaecology surgery planning.
Frequently Asked Questions
What makes fibroid surgery complex?
Large size, multiple fibroids, recurrence, cervical location, broad ligament location, adhesions and fertility goals can make surgery more complex.
Can multiple fibroids be removed laparoscopically?
Some multiple fibroid cases can be managed laparoscopically, but suitability depends on size, number, location, bleeding risk and surgical safety.
Are recurrent fibroids treated differently?
Recurrent fibroids require review of previous surgery notes, current imaging, symptoms and future pregnancy plans before deciding treatment.
Which scans are useful?
Ultrasound is usually the first scan. MRI may help map multiple, cervical or broad ligament fibroids before complex surgery.
For personalized complex fibroid surgery care, book an appointment with Dr. Madhuri Vidyashankar P at Eva Gyne Nephro Centre or call +91 90084 96377.
