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Gynaecology

Open Myomectomy in India for Large or Multiple Uterine Fibroids

VRH Healthcare helps international patients access experienced gynecology surgeons and accredited hospitals for fibroid removal surgery in India with transparent cost guidance and coordinated treatment planning.

Understanding Open Myomectomy in India

Open myomectomy in India is a uterus-preserving surgical procedure used to remove uterine fibroids (also called leiomyomas) while maintaining the possibility of future pregnancy. Uterine fibroids are non-cancerous growths that develop within or around the muscular wall of the uterus and may cause symptoms such as heavy menstrual bleeding, pelvic pain or pressure, infertility, and recurrent pregnancy loss.

Open myomectomy is typically recommended when fibroids are large, numerous, deeply embedded in the uterine wall, or when minimally invasive options such as laparoscopic or hysteroscopic surgery are not suitable. During the procedure, a gynecologic surgeon makes an abdominal incision to access the uterus, removes the fibroids individually, and reconstructs the uterine wall using layered suturing techniques to preserve uterine strength and fertility potential.

Diagnosis and treatment planning usually involve pelvic ultrasound or MRI imaging to determine the number, size, and location of fibroids. These investigations help specialists decide whether open surgery, laparoscopic myomectomy, or other fibroid treatments are most appropriate for the patient.

India has become a preferred destination for international patients seeking uterine fibroid surgery due to experienced gynecologic surgeons, modern hospital infrastructure, and significantly lower treatment costs compared with many countries in the Middle East, Europe, the United Kingdom, and the United States.

VRH Healthcare is not a hospital. We act as an independent medical facilitator that helps international patients obtain expert gynecology opinions, compare accredited hospitals and surgeons, review medical reports, and receive transparent cost guidance before travelling to India for treatment.

Types / Variants of Open Myomectomy in India

1

Abdominal Myomectomy (Laparotomy)

Traditional open surgery through an abdominal incision to access and remove fibroids.

2

Intramural Myomectomy

Removal of fibroids located within the muscular wall of the uterus via open incision.

3

Subserosal Myomectomy

Excision of fibroids growing on the outer surface of the uterus, performed openly.

4

Pedunculated Myomectomy

Removal of fibroids attached to the uterus by a stalk, typically via open surgery.

Your surgeon explains why a particular approach is recommended for you.

Advanced Technology & Surgical Techniques Used in Open Myomectomy

In India, Myomectomy (Open) may be performed using:

Standard surgical instruments
Electrocautery for haemostasis
Surgical staplers (in some cases)
Advanced suturing techniques
Intraoperative ultrasound (for fibroid localisation)
Haemostatic agents (e.g., fibrin sealants)

Benefits

  • Effective removal of large or multiple fibroids.
  • Preserves the uterus, allowing for future pregnancies.
  • Offers symptomatic relief from heavy bleeding and pain.
  • Improved fertility potential for many women.
  • Direct visualisation of the uterus and fibroids during surgery.

Limitations

  • Requires a larger abdominal incision compared to minimally invasive methods.
  • Longer recovery period and hospital stay.
  • Potential for scar tissue formation.
  • Risk of blood loss, infection, or damage to surrounding organs.
  • Future pregnancies may require a C-section due to uterine scarring.

Diagnostics & Pre-Arrival Work-Up

Pelvic Ultrasound (Transvaginal and Abdominal)
MRI of the Pelvis
Hysteroscopy (if fibroids are submucosal)
Blood tests (Full Blood Count, Coagulation Profile, Blood Grouping)
Urine analysis
ECG and Chest X-ray (for surgical fitness)
Share reports securely for review and opinion
Proceed

Pre-Arrival & Travel Checklist

Medical records and imaging
Passport and medical visa
Pre-surgery instructions (medications, fasting)
Accommodation and airport pickup confirmation
Post-discharge recovery plan and tele-review schedule

How the Procedure is Done (Step-by-Step)

1

Anaesthesia & Incision

General anaesthesia is administered. An abdominal incision (horizontal or vertical) is made to access the uterus.

2

Fibroid Identification & Removal

The surgeon identifies fibroids. Incisions are made into the uterus to carefully remove each fibroid.

3

Uterine Repair

The uterine wall is meticulously repaired with multiple layers of sutures to minimise scarring and bleeding.

4

Closure

The abdominal incision is closed with sutures or staples. A drain may be placed temporarily.

5

Recovery Room

The patient is moved to a recovery room for monitoring as the anaesthesia wears off.

Top Specialists for Gynaecology

Dr. Sushma Prasad Sinha - Senior Consultant Obstetrics and Gynecology Indraprastha Apollo Hospitals New Delhi

Dr. Sushma Prasad Sinha

Gynaecology

Indraprastha Apollo Hospital, New Delhi

Dr. Sushma Prasad Sinha, top Delhi gynecologist with 41+ years, excels in IVF, laparoscopic, and robotic surgeries at Apollo.

Dr. Meenakshi Dua - Clinical Director Obstetrics & Gynecology ART Fertility Clinics Gurugram

Dr. Meenakshi Dua

Gynaecology

ART Fertility Clinics, Gurugram

Dr. Meenakshi Dua, top infertility specialist in Gurugram, offers IVF, ICSI, and surrogacy with 18+ years of experience at ART Fertility Clinics.

Dr. Nidhi Jain - Senior Consultant Obstetrics & Gynecology Artemis Hospitals Gurugram

Dr. Nidhi Jain

Gynaecology

Artemis Hospital, Gurugram

Dr. Nidhi Jain, a leading Gurugram gynecologist with 15+ years, specializes in high-risk pregnancies and infertility treatments at Artemis.

Dr. Rakhi Gupta - Director Obstetrics & Gynecology Max Super Speciality Hospital Noida

Dr. Rakhi Gupta

Gynaecology

Max Super Speciality Hospital, Noida

Dr. Rakhi Gupta, top Noida gynecologist with 22+ years, specializes in infertility & high-risk pregnancies at Max Noida.

Dr. Neema Sharma - Director & Unit Head Obstetrics & Gynecology Fortis Vasant Kunj New Delhi

Dr. Neema Sharma

Gynaecology

Fortis Hospital, Vasant Kunj, New Delhi

Dr. Neema Sharma, top Delhi gynecologist with 25+ years, specializes in infertility & high-risk pregnancies at Fortis.

Expected Outcomes & What Success Means

Significant reduction or elimination of heavy menstrual bleeding.
Relief from pelvic pain, pressure, and discomfort.
Improved chances of conception and successful pregnancy.
Enhanced quality of life due to symptom resolution.
Preservation of the uterus, avoiding hysterectomy.

Recovery & Follow-Up Timeline

Hospital Stay (3-5 days)Initial pain management, monitoring for complications, and gradual mobilisation under medical supervision.
First 2 Weeks Post-DischargeRest at home, avoid heavy lifting. Incision care and managing mild discomfort with prescribed medication.
Weeks 2-6: Gradual ActivitySlowly increase activity levels. Avoid strenuous exercise. Follow-up with surgeon for wound check.
Full Recovery (6-8 weeks)Most patients can resume normal activities. Fertility counselling may begin if desired.
Long-Term Follow-UpRegular gynaecological check-ups to monitor uterine health and potential fibroid recurrence.

Fitness to fly and activity limits are centre-specific.

How Quickly Can I Start?

Step 1

Second Opinion

12-48 hours

Typically received after sharing medical reports.

Step 2

Scheduling

1-2 working days

Depending upon the availability of the specialist

Step 3

Visa Invitation Letter (VIL)

1-2 working days

issued promptly to support your medical visa application.

Request timelines and estimates
Proceed

Costs & What Affects Your Estimate

Hospital choice (tier, city)Surgeon's experience and feesComplexity and size of fibroidsLength of hospital stayPre-operative diagnosticsPost-operative care and medicationAny unforeseen complications

This page provides an overview of typical costs and influencing factors. A personalised cost estimate is shared after a medical review of your reports—please contact us to request your individual estimate.

Request an estimate
Proceed

How VRH Healthcare Helps

VRH Healthcare is not a hospital. We act as your medical facilitation and patient-navigation partner, helping you make informed decisions and move smoothly through care in India.

Independent second opinions (even if you already have an estimate)
Review of medical records and reports
Shortlisting appropriate hospitals and surgeons
Appointment scheduling and care timelines
Medical visa invitation letters (VILs)
Airport pickup, local transport, and accommodation near hospitals
Language interpreters and on-ground assistance
Indicative cost estimates based on medical review
Post-discharge tele-follow-ups
Talk to us first
Proceed

International Patient Services

Medical visa invitation letters
Airport transfers and local transport
Accommodation near the hospital
Language interpreters (Arabic, Russian, French, English)
Appointment coordination and updates for family
Post-discharge follow-ups via tele-consultation
Start with an opinion
Proceed

Your Care Journey with VRH

A simplified step-by-step guide to your treatment experience.

Step 01

Share medical reports

Step 02

Receive an expert second opinion and indicative estimate

Step 03

Plan travel, visa, and appointments

Step 04

Treatment with on-ground coordination

Step 05

Discharge and ongoing tele-follow-ups

You can request a second opinion at any stage—even if you already have an estimate.

Where We Serve: Countries We Support

Middle East

Saudi ArabiaOmanBahrainUAEYemenIraq

Language support, visa assistance, and coordinated care planning for fibroid treatment and gynecological surgery.

Africa

NigeriaKenyaTanzaniaEthiopiaGhanaAngolaMozambiqueUgandaSudanChadGuinea

Support for diagnostics review, travel planning, and post-treatment follow-up.

Central Asia & CIS

KazakhstanUzbekistanKyrgyzstanTajikistanRussia

Interpretation services and hospital coordination for surgical care.

South Asia

BangladeshNepalMaldivesSri LankaAfghanistan

Quick access to opinions, scheduling, and continuity of care.

U.K. & USA

Second opinions, cost-sensitive planning, and post-return tele-follow-ups.

Other Countries

Customised support based on individual travel and care needs.

Frequently Asked Questions

What are uterine fibroids?
Uterine fibroids are non-cancerous growths that develop in the uterus. They can vary in size and number, causing symptoms like heavy bleeding, pain, and pressure.
Is open myomectomy suitable for everyone?
Open myomectomy is typically recommended for women with large, numerous, or deeply embedded fibroids, especially if they desire to preserve their fertility. Your gynaecologist will assess your specific case.
What is the recovery time for open myomectomy?
Full recovery from open myomectomy usually takes 6 to 8 weeks. Initial hospital stay is 3-5 days, followed by a gradual return to normal activities at home.
Can fibroids recur after myomectomy?
While myomectomy removes existing fibroids, new fibroids can develop over time. The recurrence rate varies, and regular follow-ups are important.
Will I be able to get pregnant after open myomectomy?
Many women successfully conceive and carry pregnancies to term after open myomectomy. The procedure aims to improve fertility by removing fibroids that may interfere with conception or pregnancy.
What are the risks associated with open myomectomy?
Risks include bleeding, infection, damage to surrounding organs, scar tissue formation, and potential need for a C-section in future pregnancies. Your surgeon will discuss these in detail.
What is the cost of open myomectomy in India for international patients?
The cost of open myomectomy in India varies depending on the number and size of fibroids, the hospital chosen, and the complexity of surgery. In many cases, fibroid removal surgery in India is significantly more affordable than in the USA, UK, and Europe while maintaining high medical standards. VRH Healthcare helps international patients obtain personalised cost estimates after reviewing their medical reports.
How long do international patients need to stay in India for open myomectomy?
Most international patients stay in India for approximately 10–14 days for open myomectomy. This includes hospitalisation for surgery, early recovery, and follow-up consultations before being cleared for travel.
When can pregnancy be planned after open myomectomy?
Doctors usually recommend waiting around 3–6 months after open myomectomy before attempting pregnancy. This allows the uterus to heal properly and reduces the risk of complications during pregnancy.