Laparoscopic Myomectomy
Dr Jenny Cook | Sydney Gynaecologist & Advanced Laparoscopic Surgeon
What is a Laparoscopic Myomectomy?
A laparoscopic myomectomy is a surgical procedure to remove fibroids while preserving the uterus. This option is particularly suited for women who wish to retain their uterus for future childbearing.
How does a Myomectomy work?
How the Procedure is Performed
A 4-port laparoscopy is used to access the uterus. During the procedure:
The fibroid is identified, assessed for size and location
An incision is made over the fibroid
The fibroid is progressively removed from the uterus
The uterus is then reconstructed laparoscopically:
Deep sutures are placed in the muscle layer
The outer (serosal) layer of the uterus is closed separately
The fibroid is morcellated (broken into smaller pieces) and removed in a laparoscopic bag
A pelvic drain is placed to assist healing
Procedure Timing & Hospital Stay
For a smaller fibroid (around 5 cm): about 60 minutes
For a larger fibroid (around 10 cm): up to 2 hours
Hospital stay: usually 1–2 nights
Recovery & Aftercare
Laparoscopic myomectomy is considered a major surgical procedure. You can expect:
About 3 weeks for full recovery
Pain relief and post-operative care provided
Follow-up visit at 10 days to review laparoscopic pictures and pathology
Planning for Pregnancy
It is important to allow time for the uterus to heal after surgery.
Recommended to wait 3 months before attempting conception
This ensures the uterine muscle has fully recovered and reduces risks in pregnancy
Case Studies
Safe fibroid removal with fertility in mind.
Laparoscopic Myomectomy is a specialised procedure that removes fibroids while preserving the uterus. With advanced surgical techniques, I can help you achieve relief from fibroid symptoms while supporting your future fertility.