Adenomyomectomy is a surgical procedure performed to remove adenomyosis, a condition where the tissue that normally lines the uterus (endometrium) grows into the muscular wall of the uterus (myometrium). Adenomyosis can cause symptoms such as heavy or prolonged menstrual bleeding, pelvic pain, and infertility. Adenomyomectomy aims to remove the adenomyotic tissue while preserving the healthy uterus and improving symptoms.
Adenomyomectomy is typically performed using minimally invasive techniques such as laparoscopy or robotic-assisted surgery. During the procedure, small incisions are made in the abdomen, and a laparoscope (a thin, flexible tube with a camera and light source) is inserted to visualize the uterus and surrounding structures. Specialized instruments are used to carefully dissect and remove the adenomyotic tissue while preserving the healthy uterine tissue. In some cases, if the adenomyosis is extensive or if there are complications, open surgery (laparotomy) may be necessary.
Women with symptomatic adenomyosis who desire preservation of fertility or wish to avoid hysterectomy may be candidates for adenomyomectomy. A thorough evaluation by a gynecologist or gynecologic surgeon is necessary to confirm the diagnosis of adenomyosis and determine the severity of symptoms. Factors such as the patient's age, medical history, and fertility goals will also be considered in the decision-making process.
The recovery process after adenomyomectomy varies depending on the specific surgical technique used and individual healing factors. In general, patients can expect to experience some discomfort, bloating, or vaginal spotting in the days following surgery. Pain medication, antibiotics, and instructions for caring for the surgical site will be provided to promote healing and prevent complications. Most patients can resume normal activities within a few weeks after adenomyomectomy, although strenuous activity and heavy lifting may be restricted for some time.
Rest and Limit Activity: Avoid strenuous activities, heavy lifting, and vigorous exercise for the recommended period.
Keep the Area Clean: Gently clean the surgical area with water and mild soap as directed by your surgeon. Pat the area dry with a clean towel, and avoid rubbing or scrubbing.
Take Prescribed Medications: Take any prescribed pain medications, antibiotics, or other medications as instructed by your surgeon to manage pain and prevent infection.
Avoid Sexual Activity: Refrain from sexual intercourse and other sexual activities until your surgeon advises it is safe to do so. This typically takes several weeks to a month or more, depending on individual healing.
Wear Loose Clothing: Wear loose-fitting clothing, preferably cotton underwear, to minimize friction and promote airflow to the surgical area.
Attend Follow-Up Appointments: Keep all scheduled follow-up appointments with your surgeon to monitor your healing progress and address any concerns or complications promptly.
Avoid Tampons and Menstrual Cups: Refrain from using tampons and menstrual cups during your recovery period to prevent irritation and infection.
Stay Hydrated and Eat Nutritious Foods: Drink plenty of water and eat a balanced diet rich in vitamins and nutrients to support healing and boost your immune system.
Samarpan Hospital in Hisar, Haryana, offers expert care and advanced treatment options for women requiring adenomyomectomy. Our team of experienced gynecologists, gynecologic surgeons, and minimally invasive specialists is dedicated to providing personalized care and optimal outcomes for each patient. With state-of-the-art facilities, cutting-edge technology, and a patient-centered approach, Samarpan Hospital is committed to delivering the highest quality of care and improving the lives of women with adenomyosis.